Physician

Roberto Cisneros Reyna, M.D.

According to 2025 Medicare claims, Roberto Reyna, M.D. (NPI: 1639250558) practices internal medicine in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 25401-4006. Reyna is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Reyna's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 302 traditional Medicare patients, billed 1,423 HCPCS/CPT codes, and received $99,192 in Medicare payments. The top billing code was G0438 (Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit). Part D data shows 7,958 prescription claims across 439 beneficiaries totaling $858,314 in drug costs, led by Eliquis (Apixaban). DME data shows 246 claims. Open Payments data shows 15 records totaling $278. 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 moved from a higher plateau to a lower plateau, from $203,682 to $99,192. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	631	3,630	$203,682
2016	845	4,903	$255,319
2017	912	5,037	$248,064
2018	840	3,790	$182,896
2019	573	2,769	$155,889
2020	497	2,258	$140,450
2021	480	2,437	$160,190
2022	343	2,094	$136,785
2023	310	1,858	$139,321
2024	302	1,423	$99,192

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	446	7,398	$511,012
2016	582	10,824	$720,698
2017	586	10,827	$688,372
2018	512	9,313	$664,785
2019	469	8,404	$671,923
2020	417	7,998	$691,887
2021	455	7,369	$688,554
2022	419	7,021	$741,078
2023	384	6,408	$804,664
2024	439	7,958	$858,314

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	120	688	$37,240
2016	131	610	$19,691
2017	188	756	$18,769
2018	142	745	$19,232
2019	128	555	$11,124
2020	62	359	$8,659
2021	45	296	$11,639
2022	22	238	$16,109
2023	20	155	$13,560
2024	28	246	$16,516

* / # = 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
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$162
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	161	161	$114
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	272	798	$66
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	99	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	127	165	$40

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	202	10,581	$197,921
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	104	4,800	$102,924
Mounjaro	Tirzepatide	75	2,193	$75,521
Jardiance	Empagliflozin	57	3,630	$68,030
Januvia	Sitagliptin Phosphate	42	2,700	$44,298

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	27	$9,173
A4373	Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each	N	N/R	11	$1,005
A7030	Full face mask used with positive airway pressure device, each	N	N/R	11	$942
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	26	$935
A4362	Skin barrier; solid, 4 x 4 or equivalent; each	N	N/R	11	$764

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$278	Novo Nordisk 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 Roberto Cisneros Reyna, M.D.?

Tedicare shows public-source Medicare data for Roberto Cisneros Reyna, M.D. (NPI 1639250558), 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 Roberto Cisneros Reyna, M.D. have ACO affiliation data?

Roberto Cisneros Reyna, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Roberto Cisneros Reyna, M.D.?

Roberto Cisneros Reyna, M.D. is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does Roberto Cisneros Reyna, M.D. have Open Payments data?

Roberto Cisneros Reyna, M.D. has 15 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.