Physician

Paul George Nicholas, D.O.

According to 2025 Medicare claims, Paul Nicholas, D.O. (NPI: 1609898022) practices internal medicine in the Wilmington, DE-MD-NJ market, with the plurality of this provider's patient population coming from Salem, NJ. This provider's primary affiliated billing organization is PAUL G. NICHOLAS III, D.O., P.A. (NPI: 1346462983; TIN: 222664593) and primary practice location at 08098-1409.

Nicholas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 45 traditional Medicare patients, billed 1,437 HCPCS/CPT codes, and received $49,371 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 695 prescription claims across 50 beneficiaries totaling $24,337 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). 2020 DME data shows 11 claims. No Open Payments records. 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 higher plateau to a lower plateau, from $130,599 to $49,371. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $80,105 to $24,337. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $2,942 to $205.

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$65K$131K2015 Medicare payment: $130,599 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $121,115 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $101,650 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $87,347 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $76,798 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $54,890 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $55,477 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $54,808 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $55,527 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $49,371 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015923,596$130,599
2016913,387$121,115
2017883,136$101,650
2018782,684$87,347
2019702,429$76,798
2020641,767$54,890
2021561,661$55,477
2022521,734$54,808
2023501,797$55,527
2024451,437$49,371

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$40K$80K2015 Drug cost: $80,105 (USD; Tot_Drug_Cst)2016 Drug cost: $64,208 (USD; Tot_Drug_Cst)2017 Drug cost: $49,316 (USD; Tot_Drug_Cst)2018 Drug cost: $41,669 (USD; Tot_Drug_Cst)2019 Drug cost: $42,524 (USD; Tot_Drug_Cst)2020 Drug cost: $40,141 (USD; Tot_Drug_Cst)2021 Drug cost: $34,485 (USD; Tot_Drug_Cst)2022 Drug cost: $28,032 (USD; Tot_Drug_Cst)2023 Drug cost: $29,406 (USD; Tot_Drug_Cst)2024 Drug cost: $24,337 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201572977$80,105
2016781,046$64,208
201774950$49,316
201866840$41,669
201961910$42,524
202062927$40,141
202153736$34,485
202251654$28,032
202346670$29,406
202450695$24,337

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$1.4K$2.7K2015 Medicare payment: $2,738 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $758 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $235 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $117 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $111 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $150 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R88$2,738
2016N/R32$758
2017N/R24$235
2018N/R14$117
2019N/R11$111
2020N/R11$150
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more39104$97
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more38225$68
98927Osteopathic manipulative treatment, 5-6 body regions40205$44
96372Injection of drug or substance under skin or into muscle36181$11
J2001Injection, lidocaine hcl for intravenous infusion, 10 mg37193$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen721,441$1,821
Oxycodone HclOxycodone Hcl23477$989
Levothyroxine SodiumLevothyroxine Sodium383,300$712
EzetimibeEzetimibe151,350$611
LansoprazoleLansoprazole13870$481

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Paul George Nicholas, D.O.?

Tedicare shows public-source Medicare data for Paul George Nicholas, D.O. (NPI 1609898022), 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 Paul George Nicholas, D.O. have ACO affiliation data?

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

What billing organization is linked to Paul George Nicholas, D.O.?

Paul George Nicholas, D.O. is linked to PAUL G. NICHOLAS III, D.O., P.A. (billing NPI 1346462983) in the available physician profile data.

Does Paul George Nicholas, D.O. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.