Physician

Kenneth Clair Foxx, MD

According to 2025 Medicare claims, Kenneth Foxx, MD (NPI: 1568720548) practices neurosurgery in the Binghamton, NY market, with the plurality of this provider's patient population coming from Broome, NY. This provider's primary affiliated billing organization is UNITED MEDICAL ASSOCIATES PC (NPI: 1013972801; TIN: 161395906) and primary practice location at 13790-2107. Foxx is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), participating under the MSSP model.

Foxx's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 203 traditional Medicare patients, billed 602 HCPCS/CPT codes, and received $157,335 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 54 prescription claims across 30 beneficiaries totaling $1,303 in drug costs, led by Tizanidine Hcl (Tizanidine Hcl). Open Payments data shows 6 records totaling $278. 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 up and down with repeated peaks and valleys, starting at $69,235 and ending at $157,335. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $1,765 to $1,303. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	107	277	$69,235
2020	326	925	$195,302
2021	307	781	$177,172
2022	212	459	$106,208
2023	127	274	$76,462
2024	203	602	$157,335

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	28	43	$1,765
2016	N/R	N/R	N/R
2017	N/R	13	$491
2018	N/R	N/R	N/R
2019	17	22	$156
2020	33	79	$643
2021	21	37	$285
2022	26	56	$451
2023	24	43	$236
2024	30	54	$1,303

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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	55	67	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	37	45	$69
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	64	$39
G2211	Visit 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's	33	40	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tizanidine Hcl	Tizanidine Hcl	12	168	$24
Meloxicam	Meloxicam	13	390	$21

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.	6	$278	Stryker Corporation
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

Explore More Providers

FAQ

What Medicare data is available for Kenneth Clair Foxx, MD?

Tedicare shows public-source Medicare data for Kenneth Clair Foxx, MD (NPI 1568720548), 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 Kenneth Clair Foxx, MD have ACO affiliation data?

Kenneth Clair Foxx, MD is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616).

What billing organization is linked to Kenneth Clair Foxx, MD?

Kenneth Clair Foxx, MD is linked to UNITED MEDICAL ASSOCIATES PC (billing NPI 1013972801) in the available physician profile data.

Does Kenneth Clair Foxx, MD have Open Payments data?

Kenneth Clair Foxx, MD has 6 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.