Physician

Randy C Gardell, MD

According to 2025 Medicare claims, Randy Gardell, MD (NPI: 1659483873) practices neurology in the Waco, TX market, with the plurality of this provider's patient population coming from Mc Lennan, TX. This provider's primary affiliated billing organization is CENTRAL TEXAS NEUROLOGICAL ASSOCIATION (NPI: 1265516207; TIN: 742626697) and primary practice location at 76712-6655. Gardell is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Gardell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 997 traditional Medicare patients, billed 4,280 HCPCS/CPT codes, and received $291,964 in Medicare payments. The top billing code was 95812 (Measurement of brain wave activity (eeg), 41-60 minutes). Part D data shows 9,722 prescription claims across 1,222 beneficiaries totaling $4,583,045 in drug costs, led by Vumerity (Diroximel Fumarate). 2023 DME data shows 19 claims. Open Payments data shows 256 records totaling $4,480. 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 moved up and down with repeated peaks and valleys, starting at $2,233,902 and ending at $4,583,045. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $6,317 and ending at $1,975.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,156	11,115	$312,292
2016	1,098	12,214	$290,011
2017	1,120	13,081	$301,406
2018	959	11,642	$273,875
2019	863	8,680	$236,993
2020	855	7,458	$238,427
2021	796	6,169	$247,040
2022	754	8,997	$263,943
2023	1,127	9,586	$358,992
2024	997	4,280	$291,964

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	615	6,236	$2,233,902
2016	604	5,781	$2,749,526
2017	615	5,691	$2,903,603
2018	614	4,902	$2,240,304
2019	631	4,598	$2,082,189
2020	648	5,034	$2,625,177
2021	679	5,105	$2,251,253
2022	744	5,441	$2,306,226
2023	1,212	9,092	$3,435,904
2024	1,222	9,722	$4,583,045

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	31	$406
2019	N/R	N/R	N/R
2020	N/R	11	$142
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	19	$552
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
95812	Measurement of brain wave activity (eeg), 41-60 minutes	98	98	$246
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	236	236	$148
95910	Nerve conduction, 7-8 studies	126	126	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	741	1,566	$88
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	275	488	$70

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Vumerity	Diroximel Fumarate	112	3,584	$1,059,295
Octagam	Immun Globg(Igg)/Malt/Iga Ov50	16	454	$349,506
Nuplazid	Pimavanserin Tartrate	63	1,950	$320,557
Ingrezza	Valbenazine Tosylate	33	990	$263,219
Privigen	Immun Glob G(Igg)/Pro/Iga 0-50	28	784	$259,135

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	256	$4,480	ARGENX US, 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 Randy C. Gardell, MD?

Tedicare shows public-source Medicare data for Randy C. Gardell, MD (NPI 1659483873), 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 Randy C. Gardell, MD have ACO affiliation data?

Randy C. Gardell, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Randy C. Gardell, MD?

Randy C. Gardell, MD is linked to CENTRAL TEXAS NEUROLOGICAL ASSOCIATION (billing NPI 1265516207) in the available physician profile data.

Does Randy C. Gardell, MD have Open Payments data?

Randy C. Gardell, MD has 256 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.