Physician

Andrew Michael Namen, M.D.

According to 2025 Medicare claims, Andrew Namen, M.D. (NPI: 1518945872) practices pulmonary disease in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI: 1003803032; TIN: 223849199) and primary practice location at 27103-5166. Namen is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Namen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 679 traditional Medicare patients, billed 2,630 HCPCS/CPT codes, and received $166,582 in Medicare payments. The top billing code was 95810 (Sleep study in sleep lab (6 years or older)). Part D data shows 2,378 prescription claims across 326 beneficiaries totaling $2,617,794 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 2,657 claims. Open Payments data shows 3 records totaling $26,752. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved sharply higher in recent years, from $73,811 to $166,582. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $216,139 to $2,617,794. For DME billing, reported payments rose steadily, from $71,643 to $159,660.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$83K$167K2015 Medicare payment: $73,811 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $79,197 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $84,491 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $71,628 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $82,528 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $77,073 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $76,758 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $89,118 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $163,885 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $166,582 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155361,110$73,811
20165721,188$79,197
20175941,221$84,491
20185141,040$71,628
20195411,043$82,528
20204731,011$77,073
2021457951$76,758
20225151,465$89,118
20236612,556$163,885
20246792,630$166,582

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.3M$2.6M2015 Drug cost: $216,139 (USD; Tot_Drug_Cst)2016 Drug cost: $382,735 (USD; Tot_Drug_Cst)2017 Drug cost: $521,397 (USD; Tot_Drug_Cst)2018 Drug cost: $818,542 (USD; Tot_Drug_Cst)2019 Drug cost: $1,265,655 (USD; Tot_Drug_Cst)2020 Drug cost: $2,033,922 (USD; Tot_Drug_Cst)2021 Drug cost: $2,163,202 (USD; Tot_Drug_Cst)2022 Drug cost: $2,583,445 (USD; Tot_Drug_Cst)2023 Drug cost: $2,194,342 (USD; Tot_Drug_Cst)2024 Drug cost: $2,617,794 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015147941$216,139
20161881,366$382,735
20172161,616$521,397
20182522,067$818,542
20192672,285$1,265,655
20203072,580$2,033,922
20212942,541$2,163,202
20223242,610$2,583,445
20233302,545$2,194,342
20243262,378$2,617,794

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$82K$165K2015 Medicare payment: $61,245 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $64,454 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $54,533 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $61,498 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $106,705 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $162,153 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $148,717 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $124,136 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $124,320 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $164,952 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015300755$61,245
20164741,246$64,454
20174881,313$54,533
20184811,328$61,498
20195611,812$106,705
20206692,235$162,153
20216761,964$148,717
20227222,007$124,136
20238972,307$124,320
20249472,657$164,952

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
95810Sleep study in sleep lab (6 years or older)6476$325
95811Sleep study in sleep lab with continuous airway pressure (6 years or older)91111$287
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more202267$84
G0398Home sleep study test (hst) with type ii portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation119129$71
94729Test to examine how well the lungs exchange gases6363$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OfevNintedanib Esylate992,970$1,329,636
Sodium OxybateSodium Oxybate12360$228,593
NucalaMepolizumab371,036$139,467
Trelegy ElliptaFluticasone/Umeclidin/Vilanter1545,430$112,654
Stiolto RespimatTiotropium Br/Olodaterol Hcl1124,500$70,849

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, eachYN/R26$24,167
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY22202$20,681
A7031Face mask interface, replacement for full face mask, eachN85191$18,012
A7030Full face mask used with positive airway pressure device, eachN87197$17,918
E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)YN/R34$9,834

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$1,056Boehringer Ingelheim Pharmaceuticals, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.2$25,696Boehringer Ingelheim Pharmaceuticals, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Andrew Michael Namen, M.D.?

Tedicare shows public-source Medicare data for Andrew Michael Namen, M.D. (NPI 1518945872), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Andrew Michael Namen, M.D. have ACO affiliation data?

Andrew Michael Namen, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Andrew Michael Namen, M.D.?

Andrew Michael Namen, M.D. is linked to WAKE FOREST UNIVERSITY HEALTH SCIENCES (billing NPI 1003803032) in the available physician profile data.

Does Andrew Michael Namen, M.D. have Open Payments data?

Andrew Michael Namen, M.D. has 3 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.