Physician

William M Merritt, MD

According to 2025 Medicare claims, William Merritt, MD (NPI: 1609070143) practices gynecologist/oncologist in the Columbia, SC market, with the plurality of this provider's patient population coming from Richland, SC. This provider's primary affiliated billing organization is SOUTH CAROLINA ONCOLOGY ASSOC PA (NPI: 1467406918; TIN: 570787600) and primary practice location at 29210-8239. Merritt is affiliated with the CVS ACO (ACO ID: A5407), participating under the MSSP model.

Merritt's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 510 traditional Medicare patients, billed 176,137 HCPCS/CPT codes, and received $2,251,863 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 688 prescription claims across 181 beneficiaries totaling $1,480,247 in drug costs, led by Zejula (Niraparib Tosylate). DME data shows 71 claims. Open Payments data shows 77 records totaling $1,649. 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 $1,223,695 to $2,251,863. Similarly, Part D prescription costs have risen steadily, from $131,968 to $1,480,247. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,097 and ending at $691.

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$1.1M$2.3M2015 Medicare payment: $1,223,695 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,111,653 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,388,902 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,778,848 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,969,200 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,614,093 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,663,402 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,712,818 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,585,603 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,251,863 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015479119,563$1,223,695
2016489114,677$1,111,653
2017497104,152$1,388,902
2018523126,729$1,778,848
2019539135,934$1,969,200
2020475108,084$1,614,093
2021456123,582$1,663,402
2022488129,436$1,712,818
2023466152,244$1,585,603
2024510176,137$2,251,863

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$740K$1.5M2015 Drug cost: $131,968 (USD; Tot_Drug_Cst)2016 Drug cost: $32,506 (USD; Tot_Drug_Cst)2017 Drug cost: $35,288 (USD; Tot_Drug_Cst)2018 Drug cost: $102,148 (USD; Tot_Drug_Cst)2019 Drug cost: $188,251 (USD; Tot_Drug_Cst)2020 Drug cost: $570,737 (USD; Tot_Drug_Cst)2021 Drug cost: $317,924 (USD; Tot_Drug_Cst)2022 Drug cost: $614,463 (USD; Tot_Drug_Cst)2023 Drug cost: $1,376,112 (USD; Tot_Drug_Cst)2024 Drug cost: $1,480,247 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015181756$131,968
2016180615$32,506
2017168604$35,288
2018159508$102,148
2019145537$188,251
2020151574$570,737
2021152398$317,924
2022156433$614,463
2023169692$1,376,112
2024181688$1,480,247

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$5.5K$11K2015 Medicare payment: $2,039 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $11,048 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $6,101 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,933 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,580 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $5,654 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,503 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $202 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $4,257 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $7,935 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R43$2,039
2016N/R101$11,048
2017N/R96$6,101
2018N/R25$3,933
2019N/R61$4,580
2020N/R58$5,654
2021N/R47$3,503
2022N/R13$202
2023N/R49$4,257
2024N/R71$7,935

* / # = 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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more359702$64
86304Immunologic analysis for detection of tumor antigen, quantitative; ca 125124588$20
36415Insertion of needle into vein for collection of blood sample1881,118$9
80048Blood test, basic group of blood chemicals (calcium, total)1401,005$8
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count121987$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ZejulaNiraparib Tosylate25750$444,073
RubracaRucaparib Camsylate361,080$405,792
LenvimaLenvatinib Mesylate17480$375,314
LynparzaOlaparib14390$216,110
EliquisApixaban471,590$30,516

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, eachNN/R16$3,942
A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachNN/R16$2,398
A4432Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), eachNN/R13$997
A4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounceNN/R12$511
A4367Ostomy belt, eachNN/R14$88

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.77$1,649Novartis Pharmaceuticals Corporation
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 William M. Merritt, MD?

Tedicare shows public-source Medicare data for William M. Merritt, MD (NPI 1609070143), 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 William M. Merritt, MD have ACO affiliation data?

William M. Merritt, MD is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to William M. Merritt, MD?

William M. Merritt, MD is linked to SOUTH CAROLINA ONCOLOGY ASSOC PA (billing NPI 1467406918) in the available physician profile data.

Does William M. Merritt, MD have Open Payments data?

William M. Merritt, MD has 77 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.