Physician

Hope Havener, M.D.

According to 2025 Medicare claims, Hope Havener, M.D. (NPI: 1639173495) practices internal medicine in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is GRAVES GILBERT CLINIC PLLC (NPI: 1114948288; TIN: 610700826) and primary practice location at 42103-3404. Havener is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and GGC ValueCare LLC (ACO ID: A5611), participating under the MSSP model.

Havener's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 410 traditional Medicare patients, billed 14,117 HCPCS/CPT codes, and received $295,944 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 15,947 prescription claims across 715 beneficiaries totaling $2,130,341 in drug costs, led by Ozempic (Semaglutide). DME data shows 322 claims. Open Payments data shows 141 records totaling $2,402. 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 risen steadily, from $1,175,966 to $2,130,341. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $35,876 and ending at $26,896.

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$168K$336K2015 Medicare payment: $286,875 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $265,838 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $335,831 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $293,609 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $287,802 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $229,480 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $275,438 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $240,937 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $259,401 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $295,944 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201548714,385$286,875
201647015,551$265,838
201751321,371$335,831
201848714,379$293,609
201949912,083$287,802
202048510,715$229,480
202145111,220$275,438
20223859,990$240,937
202336711,523$259,401
202441014,117$295,944

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$1.1M$2.1M2015 Drug cost: $1,175,966 (USD; Tot_Drug_Cst)2016 Drug cost: $1,238,274 (USD; Tot_Drug_Cst)2017 Drug cost: $1,279,361 (USD; Tot_Drug_Cst)2018 Drug cost: $1,341,952 (USD; Tot_Drug_Cst)2019 Drug cost: $1,491,669 (USD; Tot_Drug_Cst)2020 Drug cost: $1,609,067 (USD; Tot_Drug_Cst)2021 Drug cost: $1,759,988 (USD; Tot_Drug_Cst)2022 Drug cost: $1,737,671 (USD; Tot_Drug_Cst)2023 Drug cost: $1,897,077 (USD; Tot_Drug_Cst)2024 Drug cost: $2,130,341 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201554313,793$1,175,966
201652013,699$1,238,274
201757114,309$1,279,361
201858714,466$1,341,952
201964114,093$1,491,669
202064214,722$1,609,067
202167515,234$1,759,988
202263515,353$1,737,671
202362914,523$1,897,077
202471515,947$2,130,341

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$22K$44K2015 Medicare payment: $43,587 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $28,265 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $16,613 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $20,587 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $17,806 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $16,347 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $19,763 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $11,825 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $18,062 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $15,759 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015240854$43,587
2016210763$28,265
2017177537$16,613
2018185583$20,587
2019138438$17,806
202078293$16,347
202133208$19,763
202223182$11,825
202355285$18,062
202456322$15,759

* / # = 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 more302736$82
84443Blood test, thyroid stimulating hormone (tsh)311445$16
80061Blood test, lipids (cholesterol and triglycerides)312466$13
80053Blood test, comprehensive group of blood chemicals340566$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count301439$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1946,970$222,234
MounjaroTirzepatide1846,082$216,957
EliquisApixaban19211,080$210,673
JardianceEmpagliflozin1187,555$141,711
Trelegy ElliptaFluticasone/Umeclidin/Vilanter1356,000$123,161

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R12$4,957
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R44$3,391
A5500For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoeN1313$1,766
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R12$1,177
E1392Portable oxygen concentrator, rentalYN/R33$1,129

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.141$2,402Novo Nordisk Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Hope Havener, M.D.?

Tedicare shows public-source Medicare data for Hope Havener, M.D. (NPI 1639173495), 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 Hope Havener, M.D. have ACO affiliation data?

Hope Havener, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and GGC ValueCare LLC (MSSP, ACO ID A5611).

What billing organization is linked to Hope Havener, M.D.?

Hope Havener, M.D. is linked to GRAVES GILBERT CLINIC PLLC (billing NPI 1114948288) in the available physician profile data.

Does Hope Havener, M.D. have Open Payments data?

Hope Havener, M.D. has 141 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.