Physician

Paul Richard Gardial, M.D.

According to 2025 Medicare claims, Paul Gardial, M.D. (NPI: 1639170194) practices family practice in the Texarkana, TX-AR market, with the plurality of this provider's patient population coming from Bowie, TX. This provider's primary affiliated billing organization is COLLOM & CARNEY CLINIC ASSOCIATION (NPI: 1285616805; TIN: 751151440) and primary practice location at 75503-3534. Gardial is affiliated with the Prime Care Managers, LLC (ACO ID: A3280), participating under the MSSP model.

Gardial's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 424 traditional Medicare patients, billed 7,590 HCPCS/CPT codes, and received $200,725 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 12,188 prescription claims across 561 beneficiaries totaling $851,157 in drug costs, led by Eliquis (Apixaban). DME data shows 351 claims. Open Payments data shows 61 records totaling $935. 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 $99,830 to $200,725. Similarly, Part D prescription costs have risen steadily, from $497,655 to $851,157. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $49,288 and ending at $33,992.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	432	4,682	$99,830
2016	434	9,526	$144,243
2017	440	5,962	$136,566
2018	416	5,528	$118,056
2019	424	5,769	$152,828
2020	444	6,100	$157,454
2021	426	5,582	$175,058
2022	430	5,587	$153,808
2023	397	5,686	$158,970
2024	424	7,590	$200,725

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	401	10,884	$497,655
2016	392	10,331	$466,432
2017	402	10,732	$504,373
2018	416	10,510	$518,888
2019	413	9,588	$486,741
2020	473	10,476	$521,727
2021	487	10,453	$529,970
2022	482	10,367	$566,880
2023	491	11,098	$787,864
2024	561	12,188	$851,157

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	216	814	$29,706
2016	114	570	$21,238
2017	82	437	$13,812
2018	94	514	$15,146
2019	66	513	$20,453
2020	61	550	$30,583
2021	40	394	$26,924
2022	34	339	$18,442
2023	29	321	$21,815
2024	52	351	$25,240

* / # = 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	271	363	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	318	718	$59
80053	Blood test, comprehensive group of blood chemicals	307	445	$10
36415	Insertion of needle into vein for collection of blood sample	336	609	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	302	387	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	139	6,058	$115,034
Mounjaro	Tirzepatide	96	3,024	$104,350
Farxiga	Dapagliflozin Propanediol	90	4,230	$79,188
Jardiance	Empagliflozin	88	4,080	$78,764
Januvia	Sitagliptin Phosphate	57	2,310	$36,770

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	30	$10,024
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	12	92	$7,200
K0823	Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds	Y	N/R	18	$2,775
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	11	$1,180
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	17	$940

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	61	$935	ABBVIE 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 Paul Richard Gardial, M.D.?

Tedicare shows public-source Medicare data for Paul Richard Gardial, M.D. (NPI 1639170194), 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 Richard Gardial, M.D. have ACO affiliation data?

Paul Richard Gardial, M.D. is shown with ACO affiliation data for Prime Care Managers, LLC (MSSP, ACO ID A3280).

What billing organization is linked to Paul Richard Gardial, M.D.?

Paul Richard Gardial, M.D. is linked to COLLOM & CARNEY CLINIC ASSOCIATION (billing NPI 1285616805) in the available physician profile data.

Does Paul Richard Gardial, M.D. have Open Payments data?

Paul Richard Gardial, M.D. has 61 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.