Physician

Lucas Seibolt, M.D.

According to 2025 Medicare claims, Lucas Seibolt, M.D. (NPI: 1588074140) practices cardiology in the Valdosta, GA market, with the plurality of this provider's patient population coming from Lowndes, GA. This provider's primary affiliated billing organization is SGMC PHYSICIAN NETWORK INC (NPI: 1417597170; TIN: 84-3707279) and primary practice location at 31602-2512. Seibolt is affiliated with the PRIVIA QUALITY NETWORK - I LLC (ACO ID: A5533), participating under the MSSP model.

Seibolt's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 937 traditional Medicare patients, billed 2,846 HCPCS/CPT codes, and received $178,861 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 3,842 prescription claims across 523 beneficiaries totaling $441,263 in drug costs, led by Eliquis (Apixaban). DME data shows 36 claims. Open Payments data shows 115 records totaling $5,324. 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 risen steadily, from $1,779 to $178,861. Similarly, Part D prescription costs have moved sharply higher in recent years, from $6,953 to $441,263. 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	15	16	$1,779
2020	N/R	N/R	N/R
2021	201	811	$68,066
2022	550	2,499	$189,212
2023	661	2,395	$168,393
2024	937	2,846	$178,861

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	32	212	$6,953
2016	30	211	$7,436
2017	33	158	$7,281
2018	20	40	$576
2019	N/R	16	$402
2020	40	94	$8,466
2021	142	388	$26,251
2022	228	1,323	$141,259
2023	360	2,527	$287,477
2024	523	3,842	$441,263

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	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	24	$1,114
2023	N/R	118	$5,105
2024	N/R	36	$1,823

* / # = 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	99	99	$101
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	298	310	$87
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	436	670	$84
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	387	430	$10
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	331	431	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	170	6,408	$126,070
Jardiance	Empagliflozin	120	4,674	$90,926
Entresto	Sacubitril/Valsartan	58	2,149	$48,926
Xarelto	Rivaroxaban	68	2,393	$44,046
Farxiga	Dapagliflozin Propanediol	40	1,529	$28,914

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
A7030	Full face mask used with positive airway pressure device, each	N	N/R	11	$1,007
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	25	$816

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	115	$5,324	Medtronic, 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 Lucas Seibolt, M.D.?

Tedicare shows public-source Medicare data for Lucas Seibolt, M.D. (NPI 1588074140), 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 Lucas Seibolt, M.D. have ACO affiliation data?

Lucas Seibolt, M.D. is shown with ACO affiliation data for PRIVIA QUALITY NETWORK - I LLC (MSSP, ACO ID A5533).

What billing organization is linked to Lucas Seibolt, M.D.?

Lucas Seibolt, M.D. is linked to SGMC PHYSICIAN NETWORK INC (billing NPI 1417597170) in the available physician profile data.

Does Lucas Seibolt, M.D. have Open Payments data?

Lucas Seibolt, M.D. has 115 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.