Physician

Seth T Wagner, D.O.

According to 2025 Medicare claims, Seth Wagner, D.O. (NPI: 1659506277) practices internal medicine in the Dalton, GA market, with the plurality of this provider's patient population coming from Whitfield, GA. This provider's primary affiliated billing organization is DALTON FAMILY PRACTICE, P.C. (NPI: 1639167026; TIN: 581336819) and primary practice location at 30720-2588. Wagner is affiliated with the Physician Partners ACO 2, LLC/Select Physicians Associates ACO (ACO ID: A5308) and Aledade 154 FL GA MSSP Enhanced (ACO ID: A5357), participating under the MSSP model.

Wagner's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 607 traditional Medicare patients, billed 10,798 HCPCS/CPT codes, and received $240,228 in Medicare payments. The top billing code was 80061 (Blood test, lipids (cholesterol and triglycerides)). Part D data shows 12,333 prescription claims across 920 beneficiaries totaling $1,477,357 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 171 claims. Open Payments data shows 35 records totaling $640. 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 $39,019 to $240,228. Similarly, Part D prescription costs have moved sharply higher in recent years, from $15,378 to $1,477,357. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $13,016 to $30,178.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	181	559	$39,019
2016	498	694	$71,367
2017	607	8,851	$180,336
2018	708	12,338	$247,074
2019	707	13,530	$234,172
2020	589	10,815	$186,118
2021	726	10,836	$220,157
2022	542	9,599	$185,161
2023	613	11,339	$286,120
2024	607	10,798	$240,228

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	54	205	$15,378
2016	38	105	$6,693
2017	624	6,343	$333,850
2018	752	10,328	$683,999
2019	738	11,830	$889,086
2020	702	11,976	$919,901
2021	770	13,522	$1,207,257
2022	742	12,214	$1,118,381
2023	827	12,030	$1,337,186
2024	920	12,333	$1,477,357

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	67	$2,087
2016	N/R	49	$2,341
2017	38	166	$4,854
2018	62	202	$2,622
2019	61	226	$4,831
2020	47	210	$9,845
2021	30	149	$8,831
2022	18	244	$19,173
2023	16	183	$20,434
2024	N/R	171	$24,641

* / # = 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
80061	Blood test, lipids (cholesterol and triglycerides)	463	777	$13
83721	Ldl cholesterol level	462	776	$10
36415	Insertion of needle into vein for collection of blood sample	481	1,051	$8
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	478	867	$8
81001	Manual urinalysis test with examination using microscope, automated	455	818	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	157	5,290	$190,528
Ozempic	Semaglutide	159	5,782	$190,299
Trulicity	Dulaglutide	135	4,620	$153,799
Jardiance	Empagliflozin	96	4,237	$82,263
Eliquis	Apixaban	97	3,893	$74,419

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	64	$18,111
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	38	$3,346
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	12	$1,539
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	11	$903
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	28	$447

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	35	$640	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 Seth T. Wagner, D.O.?

Tedicare shows public-source Medicare data for Seth T. Wagner, D.O. (NPI 1659506277), 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 Seth T. Wagner, D.O. have ACO affiliation data?

Seth T. Wagner, D.O. is shown with ACO affiliation data for Physician Partners ACO 2, LLC/Select Physicians Associates ACO (MSSP, ACO ID A5308) and Aledade 154 FL GA MSSP Enhanced (MSSP, ACO ID A5357).

What billing organization is linked to Seth T. Wagner, D.O.?

Seth T. Wagner, D.O. is linked to DALTON FAMILY PRACTICE, P.C. (billing NPI 1639167026) in the available physician profile data.

Does Seth T. Wagner, D.O. have Open Payments data?

Seth T. Wagner, D.O. has 35 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.