Physician

Andrew M Coughlin, M.D.

According to 2025 Medicare claims, Andrew Coughlin, M.D. (NPI: 1578714440) practices plastic and reconstructive surgery in the Omaha, NE-IA market, with the plurality of this provider's patient population coming from Pottawattamie, IA. This provider's primary affiliated billing organization is NEBRASKA METHODIST HOSPITAL (NPI: 1689628372; TIN: 470376604) and primary practice location at 68114-4108. Coughlin is affiliated with the Nebraska Health Network, LLC (ACO ID: A3273), NPG Health Collaborative LLC (ACO ID: A3287), Bryan Health Connect ACO, LLC (ACO ID: A4573), Main Street Rural Health Maple ACO LLC (ACO ID: A5401), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Coughlin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 368 traditional Medicare patients, billed 1,399 HCPCS/CPT codes, and received $171,074 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 172 prescription claims across 62 beneficiaries totaling $2,872 in drug costs, led by Levothyroxine Sodium (Levothyroxine Sodium). DME data shows 26 claims. Open Payments data shows 5 records totaling $377. 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 $1,023 to $2,872. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $4,471 and ending at $953.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	163	706	$158,754
2016	176	710	$121,049
2017	243	960	$178,167
2018	311	1,224	$214,449
2019	301	1,054	$177,297
2020	269	953	$177,586
2021	300	1,078	$177,907
2022	298	1,023	$185,535
2023	330	1,064	$186,715
2024	368	1,399	$171,074

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	24	66	$1,023
2016	29	89	$1,836
2017	54	151	$2,216
2018	50	118	$1,989
2019	61	133	$2,883
2020	69	176	$3,253
2021	65	175	$3,254
2022	69	164	$3,105
2023	57	136	$2,773
2024	62	172	$2,872

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	24	$3,112
2017	N/R	22	$2,564
2018	N/R	70	$10,265
2019	N/R	42	$6,482
2020	N/R	32	$947
2021	N/R	23	$2,329
2022	N/R	28	$4,300
2023	496	564	$2,223,711
2024	N/R	26	$3,804

* / # = 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	127	127	$117
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	122	$88
31575	Diagnostic exam of voice box using a flexible endoscope	52	78	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	161	222	$59
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	117	157	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Levothyroxine Sodium	Levothyroxine Sodium	63	4,488	$716
Oxycodone Hcl	Oxycodone Hcl	18	111	$68

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
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	13	$3,324
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	13	$480

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$377	Integra LifeSciences 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

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FAQ

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

Tedicare shows public-source Medicare data for Andrew M. Coughlin, M.D. (NPI 1578714440), 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 M. Coughlin, M.D. have ACO affiliation data?

Andrew M. Coughlin, M.D. is shown with ACO affiliation data for Nebraska Health Network, LLC (MSSP, ACO ID A3273), NPG Health Collaborative LLC (MSSP, ACO ID A3287), Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573), Main Street Rural Health Maple ACO LLC (MSSP, ACO ID A5401), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

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

Andrew M. Coughlin, M.D. is linked to NEBRASKA METHODIST HOSPITAL (billing NPI 1689628372) in the available physician profile data.

Does Andrew M. Coughlin, M.D. have Open Payments data?

Andrew M. Coughlin, M.D. has 5 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.