Physician

Carmelo Otero, M.D.

According to 2025 Medicare claims, Carmelo Otero, M.D. (NPI: 1588683155) practices cardiac surgery in the San Antonio-New Braunfels, TX market, with the plurality of this provider's patient population coming from Bexar, TX. This provider's primary affiliated billing organization is M. REZA MIZANI, M.D., P.A. (NPI: 1275503393; TIN: 200743330) and primary practice location at 78207-8101. Otero is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Otero's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 315 traditional Medicare patients, billed 1,485 HCPCS/CPT codes, and received $197,373 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 267 prescription claims across 135 beneficiaries totaling $11,169 in drug costs, led by Eliquis (Apixaban). 2018 DME data shows 15 claims. Open Payments data shows 21 records totaling $11,054. 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 $452,982 and ending at $197,373. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $28,772 and ending at $11,169. 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	427	3,278	$452,982
2016	356	2,029	$297,364
2017	328	1,521	$229,024
2018	501	9,309	$760,359
2019	513	9,455	$736,309
2020	491	5,419	$528,525
2021	441	7,659	$632,875
2022	521	4,135	$441,577
2023	333	2,472	$255,140
2024	315	1,485	$197,373

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	72	166	$28,772
2016	59	131	$10,243
2017	64	129	$8,410
2018	99	177	$8,655
2019	147	289	$39,122
2020	137	221	$13,518
2021	162	274	$6,006
2022	182	331	$13,456
2023	163	295	$23,628
2024	135	267	$11,169

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	32	$1,534
2017	N/R	15	$783
2018	N/R	15	$858
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	69	$129
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$116
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	317	$89
93990	Ultrasound of hemodialysis access	73	131	$88
93922	Ultrasound study of arm and leg arteries	69	94	$50

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	11	525	$5,708
Clopidogrel	Clopidogrel Bisulfate	106	5,221	$1,201
Acetaminophen-Codeine	Acetaminophen With Codeine	74	326	$549
Lidocaine-Prilocaine	Lidocaine/Prilocaine	12	345	$160
Ciprofloxacin Hcl	Ciprofloxacin Hcl	18	112	$118

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.	21	$11,054	AngioDynamics, 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 Carmelo Otero, M.D.?

Tedicare shows public-source Medicare data for Carmelo Otero, M.D. (NPI 1588683155), 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 Carmelo Otero, M.D. have ACO affiliation data?

Carmelo Otero, M.D. is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Carmelo Otero, M.D.?

Carmelo Otero, M.D. is linked to M. REZA MIZANI, M.D., P.A. (billing NPI 1275503393) in the available physician profile data.

Does Carmelo Otero, M.D. have Open Payments data?

Carmelo Otero, M.D. has 21 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.