Physician

Leigh M Sutton, MD

According to 2025 Medicare claims, Leigh Sutton, MD (NPI: 1639445950) practices dermatology in the Lincoln, NE market, with the plurality of this provider's patient population coming from Lancaster, NE. This provider's primary affiliated billing organization is SUTTON SKIN AND EYE CLINIC PC (NPI: 1881690261; TIN: 470658437) and primary practice location at 68516-5332. Sutton is affiliated with the Bryan Health Connect ACO, LLC (ACO ID: A4573), participating under the MSSP model.

Sutton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,009 traditional Medicare patients, billed 6,110 HCPCS/CPT codes, and received $434,881 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 1,259 prescription claims across 579 beneficiaries totaling $288,467 in drug costs, led by Erivedge (Vismodegib). Open Payments data shows 15 records totaling $255. 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 $80,342 to $434,881. Similarly, Part D prescription costs have risen steadily, from $21,167 to $288,467. 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.

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$271K$541K2017 Medicare payment: $80,342 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $280,164 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $403,944 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $350,409 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $541,186 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $511,630 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $433,452 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $434,881 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017296817$80,342
20187672,607$280,164
20191,0893,733$403,944
20207532,552$350,409
20211,0084,055$541,186
20221,0807,821$511,630
20239726,080$433,452
20241,0096,110$434,881

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$217K$435K2015 Drug cost: $21,167 (USD; Tot_Drug_Cst)2016 Drug cost: $47,998 (USD; Tot_Drug_Cst)2017 Drug cost: $5,360 (USD; Tot_Drug_Cst)2018 Drug cost: $28,384 (USD; Tot_Drug_Cst)2019 Drug cost: $137,718 (USD; Tot_Drug_Cst)2020 Drug cost: $148,738 (USD; Tot_Drug_Cst)2021 Drug cost: $325,814 (USD; Tot_Drug_Cst)2022 Drug cost: $434,842 (USD; Tot_Drug_Cst)2023 Drug cost: $352,258 (USD; Tot_Drug_Cst)2024 Drug cost: $288,467 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015146301$21,167
201679181$47,998
201778113$5,360
2018249576$28,384
2019385832$137,718
2020315640$148,738
20214771,039$325,814
20225271,167$434,842
20234671,148$352,258
20245791,259$288,467

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks259299$411
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more199243$80
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more456596$58
11102Biopsy of related skin growth, first growth248275$50
17000Destruction of precancer skin growth, 1 growth272385$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ErivedgeVismodegib11330$183,081
Dupixent PenDupilumab13350$51,642
AcitretinAcitretin221,065$8,516
FluorouracilFluorouracil591,670$4,692
Betamethasone DipropionateBetamethasone Dipropionate591,393$1,852

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.15$255Lilly USA, LLC
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 Leigh M. Sutton, MD?

Tedicare shows public-source Medicare data for Leigh M. Sutton, MD (NPI 1639445950), 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 Leigh M. Sutton, MD have ACO affiliation data?

Leigh M. Sutton, MD is shown with ACO affiliation data for Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573).

What billing organization is linked to Leigh M. Sutton, MD?

Leigh M. Sutton, MD is linked to SUTTON SKIN AND EYE CLINIC PC (billing NPI 1881690261) in the available physician profile data.

Does Leigh M. Sutton, MD have Open Payments data?

Leigh M. Sutton, MD 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.