Physician

Riley W Hale, MD

According to 2025 Medicare claims, Riley Hale, MD (NPI: 1609947423) practices orthopedic surgery in the Fort Collins-Loveland, CO market, with the plurality of this provider's patient population coming from Larimer, CO. This provider's primary affiliated billing organization is ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC (NPI: 1770579385; TIN: 840593455) and primary practice location at 80538-9004. Hale is affiliated with the Banner Network Colorado, LLC (ACO ID: A4768) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Hale's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 734 traditional Medicare patients, billed 5,241 HCPCS/CPT codes, and received $441,977 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 1,957 prescription claims across 611 beneficiaries totaling $28,121 in drug costs, led by Eliquis (Apixaban). DME data shows 75 claims. Open Payments data shows 4 records totaling $8,574. 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 $188,211 to $441,977. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $2,958 to $28,121. For DME billing, reported payments moved sharply higher in recent years, from $752 to $27,379.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	429	3,681	$188,211
2016	362	2,876	$169,264
2017	458	3,713	$232,412
2018	531	3,544	$248,780
2019	531	3,642	$300,785
2020	418	2,821	$272,608
2021	548	3,903	$303,564
2022	554	3,691	$316,316
2023	617	3,516	$350,875
2024	734	5,241	$441,977

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	128	226	$2,958
2016	110	264	$4,142
2017	141	353	$4,698
2018	143	318	$4,599
2019	155	321	$2,919
2020	184	466	$3,192
2021	300	1,054	$17,058
2022	332	1,295	$14,282
2023	467	1,840	$23,832
2024	611	1,957	$28,121

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	14	14	$1,947
2019	16	27	$13,502
2020	N/R	N/R	N/R
2021	13	49	$4,204
2022	N/R	45	$2,360
2023	N/R	36	$2,936
2024	62	75	$27,308

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	237	$94
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	270	290	$66
73502	X-ray of hip, 2-3 views	267	346	$37
73562	X-ray of knee, 3 views	332	512	$30
73560	X-ray of knee, 1-2 views	191	207	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	27	532	$9,830
Oxycodone Hcl	Oxycodone Hcl	572	3,588	$4,828
Cefadroxil	Cefadroxil	409	2,877	$2,655
Ondansetron Odt	Ondansetron	67	680	$1,009
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	85	479	$924

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
E0935	Continuous passive motion exercise device for use on knee only	Y	51	52	$25,357
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$1,457
E0143	Walker, folding, wheeled, adjustable or fixed height	N	11	11	$493

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$8,574	Medical Device Business Services, 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 Riley W. Hale, MD?

Tedicare shows public-source Medicare data for Riley W. Hale, MD (NPI 1609947423), 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 Riley W. Hale, MD have ACO affiliation data?

Riley W. Hale, MD is shown with ACO affiliation data for Banner Network Colorado, LLC (MSSP, ACO ID A4768) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Riley W. Hale, MD?

Riley W. Hale, MD is linked to ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC (billing NPI 1770579385) in the available physician profile data.

Does Riley W. Hale, MD have Open Payments data?

Riley W. Hale, MD has 4 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.