Physician

Robert A Midence, MD

According to 2025 Medicare claims, Robert Midence, MD (NPI: 1578581112) practices internal medicine in the Sebring, FL market, with the plurality of this provider's patient population coming from Highlands, FL. This provider's primary affiliated billing organization is ST LUCIE MEDICAL SPECIALISTS LLC (NPI: 1548447535; TIN: 41-2250823) and primary practice location at 33870-5536. Midence is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290) and Mission Health Partners, LLC (ACO ID: A2591), participating under the MSSP model.

Midence's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 510 traditional Medicare patients, billed 3,537 HCPCS/CPT codes, and received $204,559 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 15,494 prescription claims across 1,107 beneficiaries totaling $1,161,405 in drug costs, led by Eliquis (Apixaban). DME data shows 687 claims. Open Payments data shows 3 records totaling $56. 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 risen steadily, from $676,192 to $1,161,405. 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.

Year	Patients	Clm Lines	Payment
2015	683	5,280	$210,570
2016	715	5,242	$205,271
2017	694	4,149	$202,514
2018	697	4,017	$209,841
2019	713	4,344	$245,639
2020	688	3,509	$219,957
2021	659	3,352	$246,339
2022	614	3,028	$201,161
2023	562	2,852	$207,874
2024	510	3,537	$204,559

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	768	9,937	$676,192
2016	793	10,433	$649,881
2017	815	10,300	$659,596
2018	870	10,646	$655,374
2019	936	11,846	$756,005
2020	1,048	13,328	$818,049
2021	1,180	14,505	$881,149
2022	1,110	14,707	$1,040,243
2023	1,183	15,249	$1,273,202
2024	1,107	15,494	$1,161,405

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	198	786	$35,348
2016	180	697	$19,986
2017	181	608	$14,802
2018	207	671	$15,477
2019	241	870	$22,896
2020	244	894	$30,287
2021	248	875	$38,582
2022	236	751	$36,435
2023	195	687	$39,635
2024	240	687	$34,873

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	313	313	$133
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	493	1,490	$90
G0444	Annual depression screening, 5 to 15 minutes	108	108	$19
96372	Injection of drug or substance under skin or into muscle	19	26	$12
81003	Automated urinalysis test	34	51	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	153	9,808	$187,174
Mounjaro	Tirzepatide	83	3,248	$118,715
Jardiance	Empagliflozin	69	4,940	$96,022
Ozempic	Semaglutide	63	2,520	$80,343
Januvia	Sitagliptin Phosphate	52	3,678	$66,868

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	19	$8,036
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	22	64	$3,351
A7032	Cushion for use on nasal mask interface, replacement only, each	N	13	30	$3,213
A7033	Pillow for use on nasal cannula type interface, replacement only, pair	N	N/R	34	$2,960
E0601	Continuous positive airway pressure (cpap) device	Y	14	77	$2,454

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$56	Abbott Laboratories
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 A. Midence, MD?

Tedicare shows public-source Medicare data for Robert A. Midence, MD (NPI 1578581112), 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 A. Midence, MD have ACO affiliation data?

Robert A. Midence, MD is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290) and Mission Health Partners, LLC (MSSP, ACO ID A2591).

What billing organization is linked to Robert A. Midence, MD?

Robert A. Midence, MD is linked to ST LUCIE MEDICAL SPECIALISTS LLC (billing NPI 1548447535) in the available physician profile data.

Does Robert A. Midence, MD have Open Payments data?

Robert A. Midence, MD 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.