Physician

Edward C Allegra, MD

According to 2025 Medicare claims, Edward Allegra, MD (NPI: 1588665913) practices rheumatology in the Lakewood-New Brunswick, NJ market, with the plurality of this provider's patient population coming from Monmouth, NJ. This provider's primary affiliated billing organization is ALLEGRA ARTHRITIS ASSOCIATES PC (NPI: 1205994902; TIN: 203045848) and primary practice location at 07701-2003.

Allegra's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 995 traditional Medicare patients, billed 453,617 HCPCS/CPT codes, and received $3,844,734 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 8,413 prescription claims across 1,025 beneficiaries totaling $5,251,526 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2019 DME data shows 23 claims. Open Payments data shows 332 records totaling $30,551. 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 $1,460,784 to $3,844,734. Similarly, Part D prescription costs have risen steadily, from $2,192,225 to $5,251,526. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.9M$3.8M2015 Medicare payment: $1,460,784 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,965,526 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,372,373 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,599,503 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,243,482 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $3,626,165 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,642,353 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,507,010 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,636,394 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,844,734 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,021176,994$1,460,784
20161,010245,261$1,965,526
2017966269,142$2,372,373
2018931267,784$2,599,503
2019888333,527$3,243,482
2020822369,624$3,626,165
2021889392,395$3,642,353
2022928398,666$3,507,010
2023956445,928$3,636,394
2024995453,617$3,844,734

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.6M$5.3M2015 Drug cost: $2,192,225 (USD; Tot_Drug_Cst)2016 Drug cost: $2,522,576 (USD; Tot_Drug_Cst)2017 Drug cost: $2,845,478 (USD; Tot_Drug_Cst)2018 Drug cost: $3,094,545 (USD; Tot_Drug_Cst)2019 Drug cost: $3,353,496 (USD; Tot_Drug_Cst)2020 Drug cost: $3,233,666 (USD; Tot_Drug_Cst)2021 Drug cost: $3,124,857 (USD; Tot_Drug_Cst)2022 Drug cost: $3,280,282 (USD; Tot_Drug_Cst)2023 Drug cost: $4,286,771 (USD; Tot_Drug_Cst)2024 Drug cost: $5,251,526 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157676,939$2,192,225
20167927,492$2,522,576
20177777,586$2,845,478
20187977,636$3,094,545
20198218,112$3,353,496
20207818,234$3,233,666
20218308,045$3,124,857
20228237,512$3,280,282
20238697,759$4,286,771
20241,0258,413$5,251,526

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$10K$21K2015 Medicare payment: $20,803 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $15,318 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $15,996 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $167 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $13,050 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20154646$20,803
20163031$15,318
20172628$15,996
2018N/R34$167
20192323$13,050
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
96413Administration of chemotherapy into vein, 1 hour or less1921,135$116
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more432827$105
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5721,054$73
96372Injection of drug or substance under skin or into muscle3381,213$12
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg3572,243$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab993,920$1,026,388
Enbrel SureclickEtanercept572,156$557,299
Simponi AriaGolimumab772,918$510,920
Xeljanz XrTofacitinib Citrate772,310$431,292
EnbrelEtanercept331,036$259,312

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.332$30,551ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Edward C. Allegra, MD?

Tedicare shows public-source Medicare data for Edward C. Allegra, MD (NPI 1588665913), 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 Edward C. Allegra, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Edward C. Allegra, MD?

Edward C. Allegra, MD is linked to ALLEGRA ARTHRITIS ASSOCIATES PC (billing NPI 1205994902) in the available physician profile data.

Does Edward C. Allegra, MD have Open Payments data?

Edward C. Allegra, MD has 332 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.