Physician

Anthony James Caprio, MD

According to 2025 Medicare claims, Anthony Caprio, MD (NPI: 1659459659) practices geriatric medicine in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Mecklenburg, NC. This provider's primary affiliated billing organization is THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (NPI: 1508135799; TIN: 56-0529945) and primary practice location at 28204-2990. Caprio is affiliated with the Carolinas HealthCare System ACO, LLC (ACO ID: A3675), participating under the MSSP model.

Caprio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 77 traditional Medicare patients, billed 167 HCPCS/CPT codes, and received $10,552 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,121 prescription claims across 143 beneficiaries totaling $157,773 in drug costs, led by Eliquis (Apixaban). 2019 DME data shows 25 claims. No Open Payments records. 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 fallen sharply in recent years, from $56,619 to $10,552. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $4,459 to $1,307.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	288	747	$56,619
2016	304	722	$51,317
2017	298	751	$55,939
2018	304	794	$62,266
2019	288	780	$58,074
2020	180	472	$33,191
2021	183	575	$47,968
2022	167	498	$40,930
2023	199	544	$49,161
2024	77	167	$10,552

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	149	4,551	$220,930
2016	145	4,682	$247,205
2017	147	5,137	$270,334
2018	156	5,116	$324,827
2019	171	4,585	$277,753
2020	147	4,001	$229,328
2021	138	3,228	$240,006
2022	138	3,082	$215,071
2023	174	3,293	$205,331
2024	143	2,121	$157,773

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	70	$1,360
2016	N/R	67	$3,332
2017	N/R	24	$828
2018	N/R	N/R	N/R
2019	N/R	25	$933
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	28	28	$141
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	18	$103
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	28	55	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	242	4,690	$98,535
Spiriva Respimat	Tiotropium Bromide	11	340	$6,010
Januvia	Sitagliptin Phosphate	11	154	$3,274
Duloxetine Hcl	Duloxetine Hcl	61	2,465	$1,746
Levothyroxine Sodium	Levothyroxine Sodium	140	5,082	$1,721

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Anthony James Caprio, MD?

Tedicare shows public-source Medicare data for Anthony James Caprio, MD (NPI 1659459659), 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 Anthony James Caprio, MD have ACO affiliation data?

Anthony James Caprio, MD is shown with ACO affiliation data for Carolinas HealthCare System ACO, LLC (MSSP, ACO ID A3675).

What billing organization is linked to Anthony James Caprio, MD?

Anthony James Caprio, MD is linked to THE CHARLOTTE-MECKLENBURG HOSPITAL AUTHORITY (billing NPI 1508135799) in the available physician profile data.

Does Anthony James Caprio, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.