Physician

Robert James Woodruff, M.D.

According to 2025 Medicare claims, Robert Woodruff, M.D. (NPI: 1669513552) practices orthopedic surgery in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is BLACK HILLS ORTHOPEDIC & SPINE CENTER, INC. (NPI: 1477523678; TIN: 460335970) and primary practice location at 57701-7366. Woodruff is affiliated with the Avera Prairie View ACO (ACO ID: A4692), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Woodruff's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 309 traditional Medicare patients, billed 1,267 HCPCS/CPT codes, and received $234,309 in Medicare payments. The top billing code was 22853 (Insertion of cage or mesh device to spine bone and disc space during spine fusion). Part D data shows 210 prescription claims across 109 beneficiaries totaling $2,038 in drug costs, led by Meloxicam (Meloxicam). 2021 DME data shows 14 claims. Open Payments data shows 1 records totaling $148. 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 $157,341 to $234,309. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $8,075 and ending at $2,038. 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.

Year	Patients	Clm Lines	Payment
2015	326	1,173	$157,341
2016	345	1,088	$162,728
2017	452	1,506	$251,296
2018	374	1,208	$214,165
2019	334	1,155	$216,897
2020	312	1,199	$211,232
2021	330	1,273	$266,168
2022	224	1,026	$278,921
2023	242	1,003	$238,631
2024	309	1,267	$234,309

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	123	388	$8,075
2016	100	198	$5,789
2017	128	255	$3,481
2018	107	220	$24,630
2019	89	175	$25,415
2020	109	232	$17,047
2021	119	226	$1,520
2022	51	80	$704
2023	63	101	$1,270
2024	109	210	$2,038

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	12	12	$3,755
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	14	14	$867
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
22853	Insertion of cage or mesh device to spine bone and disc space during spine fusion	43	84	$180
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	49	49	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	330	$92
72050	X-ray of upper spine, 4-5 views	52	61	$40
72110	X-ray of lower and sacral spine, minimum of 4 views	143	157	$37

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Meloxicam	Meloxicam	104	3,681	$246
Methylprednisolone	Methylprednisolone	28	168	$186
Gabapentin	Gabapentin	18	647	$180
Diclofenac Sodium	Diclofenac Sodium	16	480	$127

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.	1	$148	Stryker Corporation
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

Explore More Providers

FAQ

What Medicare data is available for Robert James Woodruff, M.D.?

Tedicare shows public-source Medicare data for Robert James Woodruff, M.D. (NPI 1669513552), 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 Robert James Woodruff, M.D. have ACO affiliation data?

Robert James Woodruff, M.D. is shown with ACO affiliation data for Avera Prairie View ACO (MSSP, ACO ID A4692), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Robert James Woodruff, M.D.?

Robert James Woodruff, M.D. is linked to BLACK HILLS ORTHOPEDIC & SPINE CENTER, INC. (billing NPI 1477523678) in the available physician profile data.

Does Robert James Woodruff, M.D. have Open Payments data?

Robert James Woodruff, M.D. has 1 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.