Physician

Caroline Criag Billingsley, M.D.

According to 2025 Medicare claims, Caroline Billingsley, M.D. (NPI: 1619136082) practices gynecologist/oncologist in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Butler, OH. This provider's primary affiliated billing organization is UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC (NPI: 1801840434; TIN: 311405915) and primary practice location at 45069-2509. Billingsley is affiliated with the Kettering Physician Partners Accountable Care LLC (ACO ID: A5062), participating under the MSSP model.

Billingsley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 162 traditional Medicare patients, billed 551 HCPCS/CPT codes, and received $50,089 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 207 prescription claims across 86 beneficiaries totaling $21,208 in drug costs, led by Ondansetron Odt (Ondansetron). Open Payments data shows 7 records totaling $87,407. 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 $3,065 to $50,089. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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	14	31	$3,065
2016	58	177	$26,694
2017	92	226	$29,395
2018	142	388	$44,447
2019	153	484	$56,044
2020	129	350	$39,029
2021	145	403	$50,519
2022	156	436	$51,777
2023	158	412	$45,795
2024	162	551	$50,089

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	12	31	$626
2016	28	128	$5,594
2017	31	81	$3,076
2018	43	119	$4,484
2019	57	144	$21,264
2020	61	189	$330,108
2021	53	203	$317,109
2022	62	198	$257,161
2023	65	152	$73,877
2024	86	207	$21,208

DME Billing Trend

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

No connected DME records

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	109	$104
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	43	$60
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	121	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	31	31	$49
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	21	82	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ondansetron Odt	Ondansetron	32	223	$248
Oxycodone Hcl	Oxycodone Hcl	31	184	$112
Ibuprofen	Ibuprofen	23	230	$89
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	24	79	$68

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.	3	$65	Merck Sharp & Dohme LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	4	$87,342	GlaxoSmithKline, LLC.
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 Caroline Criag Billingsley, M.D.?

Tedicare shows public-source Medicare data for Caroline Criag Billingsley, M.D. (NPI 1619136082), 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 Caroline Criag Billingsley, M.D. have ACO affiliation data?

Caroline Criag Billingsley, M.D. is shown with ACO affiliation data for Kettering Physician Partners Accountable Care LLC (MSSP, ACO ID A5062).

What billing organization is linked to Caroline Criag Billingsley, M.D.?

Caroline Criag Billingsley, M.D. is linked to UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC (billing NPI 1801840434) in the available physician profile data.

Does Caroline Criag Billingsley, M.D. have Open Payments data?

Caroline Criag Billingsley, M.D. has 7 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.