Physician

Marvin Walker Sexton, MD

According to 2025 Medicare claims, Marvin Sexton, MD (NPI: 1659365138) practices pulmonary disease in the Dothan, AL market, with the plurality of this provider's patient population coming from Houston, AL. This provider's primary affiliated billing organization is PULMONARY ASSOCIATES, PA (NPI: 1912987785; TIN: 63-0830848) and primary practice location at 36301-4770. Sexton is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), participating under the MSSP model.

Sexton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,873 traditional Medicare patients, billed 7,428 HCPCS/CPT codes, and received $350,820 in Medicare payments. The top billing code was 99490 (Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month). Part D data shows 601 prescription claims across 123 beneficiaries totaling $653,928 in drug costs, led by Prolastin C (Alpha-1-Proteinase Inhibitor). DME data shows 1,577 claims. Open Payments data shows 91 records totaling $2,541. 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 up and down with repeated peaks and valleys, starting at $302,271 and ending at $350,820. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $487,320 and ending at $653,928. For DME billing, reported payments declined steadily, from $433,023 to $97,516.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,517	4,315	$302,271
2016	1,628	4,592	$360,807
2017	1,376	3,991	$285,750
2018	1,363	4,229	$266,201
2019	1,166	3,485	$205,431
2020	965	3,057	$172,139
2021	2,494	8,006	$365,325
2022	1,560	4,209	$277,855
2023	2,049	7,289	$355,471
2024	1,873	7,428	$350,820

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	289	2,008	$487,320
2016	280	1,775	$653,052
2017	315	1,555	$807,815
2018	254	1,220	$734,319
2019	306	1,735	$733,272
2020	374	2,464	$1,089,208
2021	349	1,938	$1,348,396
2022	188	855	$723,709
2023	169	700	$878,832
2024	123	601	$653,928

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	2,832	6,130	$428,801
2016	3,204	6,435	$272,729
2017	2,621	5,021	$162,224
2018	2,364	4,533	$168,887
2019	2,049	4,152	$171,905
2020	1,849	4,015	$201,998
2021	1,497	3,340	$199,068
2022	1,018	2,354	$144,267
2023	813	1,860	$126,935
2024	682	1,577	$97,135

* / # = 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
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	719	3,319	$46
94729	Test to examine how well the lungs exchange gases	598	609	$34
94727	Test to determine lung volumes using gas dilution or washout	444	450	$27
71046	X-ray of chest, 2 views	368	400	$23
94010	Test to measure expiratory airflow and volume	400	410	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolastin C	Alpha-1-Proteinase Inhibitor	23	644	$281,859
Xywav	Sodium,calcium,mag,pot Oxybate	13	386	$257,757
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	20	720	$15,466
Modafinil	Modafinil	48	1,838	$4,421
Armodafinil	Armodafinil	29	930	$1,784

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	29	$24,958
A7030	Full face mask used with positive airway pressure device, each	N	50	100	$9,380
E0601	Continuous positive airway pressure (cpap) device	Y	36	210	$8,526
A7031	Face mask interface, replacement for full face mask, each	N	44	92	$8,080
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	61	114	$6,851

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	91	$2,541	INTUITIVE SURGICAL, 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 Marvin Walker Sexton, MD?

Tedicare shows public-source Medicare data for Marvin Walker Sexton, MD (NPI 1659365138), 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 Marvin Walker Sexton, MD have ACO affiliation data?

Marvin Walker Sexton, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604).

What billing organization is linked to Marvin Walker Sexton, MD?

Marvin Walker Sexton, MD is linked to PULMONARY ASSOCIATES, PA (billing NPI 1912987785) in the available physician profile data.

Does Marvin Walker Sexton, MD have Open Payments data?

Marvin Walker Sexton, MD has 91 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.