Physician

Robert Joseph Bailey, D.O.

According to 2025 Medicare claims, Robert Bailey, D.O. (NPI: 1568695039) practices gastroenterology in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (NPI: 1154422806; TIN: 232812220) and primary practice location at 17601-2644. Bailey is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), and AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Bailey's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 418 traditional Medicare patients, billed 10,181 HCPCS/CPT codes, and received $239,992 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 385 prescription claims across 189 beneficiaries totaling $25,831 in drug costs, led by Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates). Open Payments data shows 84 records totaling $1,456. 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 from a lower plateau to a higher plateau, from $69,377 to $239,992. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $78,670 and ending at $25,831. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	306	808	$69,377
2016	525	3,816	$193,981
2017	540	2,117	$100,507
2018	542	1,494	$102,071
2019	736	1,861	$119,170
2020	666	4,379	$176,835
2021	517	4,691	$245,704
2022	401	4,916	$152,913
2023	478	7,914	$222,431
2024	418	10,181	$239,992

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	66	118	$78,670
2016	160	358	$43,853
2017	178	428	$158,529
2018	171	419	$163,666
2019	167	413	$168,495
2020	208	455	$210,414
2021	194	451	$135,364
2022	189	443	$95,081
2023	228	491	$50,342
2024	189	385	$25,831

DME Billing Trend

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

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	166	168	$212
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	102	102	$79
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$70
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	34	38	$62
43450	Dilation of esophagus	34	34	$33

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	56	72	$3,650
Pantoprazole Sodium	Pantoprazole Sodium	121	6,862	$1,473
Cholestyramine	Cholestyramine (With Sugar)	13	630	$1,009
Omeprazole	Omeprazole	65	2,342	$649
Lactulose	Lactulose	11	500	$513

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	84	$1,456	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Robert Joseph Bailey, D.O.?

Tedicare shows public-source Medicare data for Robert Joseph Bailey, D.O. (NPI 1568695039), 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 Robert Joseph Bailey, D.O. have ACO affiliation data?

Robert Joseph Bailey, D.O. is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290), Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019), and AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Robert Joseph Bailey, D.O.?

Robert Joseph Bailey, D.O. is linked to REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (billing NPI 1154422806) in the available physician profile data.

Does Robert Joseph Bailey, D.O. have Open Payments data?

Robert Joseph Bailey, D.O. has 84 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.