Physician

Roger A Lewis, M.D.

According to 2025 Medicare claims, Roger Lewis, M.D. (NPI: 1568411858) practices family practice in the Morgantown, WV market, with the plurality of this provider's patient population coming from Preston, WV. Lewis uses personal NPI as billing NPI and primary practice location at 26764-1223. Lewis is affiliated with the Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Lewis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 168 traditional Medicare patients, billed 5,777 HCPCS/CPT codes, and received $177,865 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 13,776 prescription claims across 299 beneficiaries totaling $1,597,167 in drug costs, led by Invega Sustenna (Paliperidone Palmitate). DME data shows 102 claims. Open Payments data shows 50 records totaling $1,178. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $735,563 to $1,597,167. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

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$89K$178K2015 Medicare payment: $126,399 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $133,126 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $129,889 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $127,163 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $117,378 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $121,795 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $148,156 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $141,714 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $175,603 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $177,865 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152143,261$126,399
20162303,335$133,126
20172173,264$129,889
20182193,837$127,163
20191993,237$117,378
20202233,226$121,795
20213533,276$148,156
20222223,759$141,714
20231955,475$175,603
20241685,777$177,865

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$807K$1.6M2015 Drug cost: $735,563 (USD; Tot_Drug_Cst)2016 Drug cost: $666,666 (USD; Tot_Drug_Cst)2017 Drug cost: $753,234 (USD; Tot_Drug_Cst)2018 Drug cost: $927,908 (USD; Tot_Drug_Cst)2019 Drug cost: $913,881 (USD; Tot_Drug_Cst)2020 Drug cost: $964,402 (USD; Tot_Drug_Cst)2021 Drug cost: $1,363,078 (USD; Tot_Drug_Cst)2022 Drug cost: $1,512,105 (USD; Tot_Drug_Cst)2023 Drug cost: $1,614,264 (USD; Tot_Drug_Cst)2024 Drug cost: $1,597,167 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152319,459$735,563
20162429,353$666,666
201724910,266$753,234
201825610,871$927,908
20192409,809$913,881
202027110,624$964,402
202130714,389$1,363,078
202231415,183$1,512,105
202331114,583$1,614,264
202429913,776$1,597,167

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$17K$33K2015 Medicare payment: $33,070 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $26,260 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $16,703 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $21,196 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $26,588 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $17,126 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,642 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $13,769 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $10,994 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $10,759 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201561423$33,070
201658455$26,260
201751423$16,703
201854439$21,196
201929422$26,588
202014276$17,126
20211387$4,642
202211183$13,769
2023N/R175$10,994
2024N/R102$10,759

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more124555$91
90480Admn sarscov2 vacc 1 dose6674$39
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's116458$12
36415Insertion of needle into vein for collection of blood sample100306$8
81002Urinalysis, manual test65120$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Invega SustennaPaliperidone Palmitate401,128$136,677
JardianceEmpagliflozin3006,465$133,491
OzempicSemaglutide1023,717$125,960
EliquisApixaban2176,275$121,637
Trelegy ElliptaFluticasone/Umeclidin/Vilanter1045,100$109,877

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R15$6,460
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R37$3,636
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysNN/R11$262
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R12$260
E0570Nebulizer, with compressorYN/R27$141

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.50$1,178AstraZeneca Pharmaceuticals LP
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Roger A. Lewis, M.D.?

Tedicare shows public-source Medicare data for Roger A. Lewis, M.D. (NPI 1568411858), 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 Roger A. Lewis, M.D. have ACO affiliation data?

Roger A. Lewis, M.D. is shown with ACO affiliation data for Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to Roger A. Lewis, M.D.?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Roger A. Lewis, M.D. have Open Payments data?

Roger A. Lewis, M.D. has 50 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.