Physician

Justin Michael Fox, M.D.

According to 2025 Medicare claims, Justin Fox, M.D. (NPI: 1629269600) practices interventional cardiology in the Trenton-Princeton, NJ market, with the plurality of this provider's patient population coming from Mercer, NJ. This provider's primary affiliated billing organization is HAMILTON CARDIOLOGY ASSOCIATES, PA (NPI: 1326026378; TIN: 223052989) and primary practice location at 08690-0456. Fox is affiliated with the Penn Medicine Healthcare Partners, LLC (ACO ID: A5318), participating under the MSSP model.

Fox's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,244 traditional Medicare patients, billed 7,872 HCPCS/CPT codes, and received $474,470 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 9,061 prescription claims across 1,130 beneficiaries totaling $1,845,634 in drug costs, led by Eliquis (Apixaban). DME data shows 81 claims. Open Payments data shows 75 records totaling $1,538. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $201,737 to $1,845,634. 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	2,920	7,839	$603,089
2016	2,751	7,537	$570,744
2017	1,933	5,912	$448,191
2018	1,809	6,461	$451,490
2019	1,724	6,213	$474,045
2020	1,448	4,822	$368,617
2021	1,324	6,104	$491,903
2022	1,436	7,622	$596,632
2023	1,134	6,361	$452,115
2024	1,244	7,872	$474,470

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	402	3,493	$201,737
2016	455	4,438	$310,265
2017	511	4,935	$396,196
2018	494	4,920	$411,899
2019	515	5,124	$517,372
2020	534	5,127	$660,736
2021	614	5,433	$811,168
2022	940	7,294	$1,483,019
2023	1,036	8,356	$1,706,610
2024	1,130	9,061	$1,845,634

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	N/R	N/R	N/R
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	81	$3,646

* / # = 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
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	400	400	$132
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	603	1,340	$97
93015	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	218	220	$54
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	607	1,422	$13
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	576	1,087	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	392	23,481	$442,876
Entresto	Sacubitril/Valsartan	255	13,341	$285,013
Xarelto	Rivaroxaban	217	13,264	$237,846
Repatha Sureclick	Evolocumab	165	7,986	$152,445
Jardiance	Empagliflozin	125	6,895	$129,621

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
J2260	Injection, milrinone lactate, 5 mg	N	N/R	27	$2,146
A4222	Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)	N	N/R	27	$982
A4221	Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)	N	N/R	27	$518

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	75	$1,538	Boston Scientific Corporation
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 Justin Michael Fox, M.D.?

Tedicare shows public-source Medicare data for Justin Michael Fox, M.D. (NPI 1629269600), 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 Justin Michael Fox, M.D. have ACO affiliation data?

Justin Michael Fox, M.D. is shown with ACO affiliation data for Penn Medicine Healthcare Partners, LLC (MSSP, ACO ID A5318).

What billing organization is linked to Justin Michael Fox, M.D.?

Justin Michael Fox, M.D. is linked to HAMILTON CARDIOLOGY ASSOCIATES, PA (billing NPI 1326026378) in the available physician profile data.

Does Justin Michael Fox, M.D. have Open Payments data?

Justin Michael Fox, M.D. has 75 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.