Physician

J. Chris Higgins, MD

According to 2025 Medicare claims, J. Higgins, MD (NPI: 1679531925) practices cardiology in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is CENTRAL MAINE MEDICAL CENTER (NPI: 1689653487; TIN: 010211494) and primary practice location at 04240-7027. Higgins is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Higgins' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 481 traditional Medicare patients, billed 829 HCPCS/CPT codes, and received $42,864 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 474 prescription claims across 141 beneficiaries totaling $55,410 in drug costs, led by Eliquis (Apixaban). 2021 DME data shows 12 claims. Open Payments data shows 1 records totaling $61. 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 started with an early spike, then settled into a lower baseline, moving from $202,973 to $42,864. Similarly, Part D prescription costs have fallen sharply in recent years, from $107,483 to $55,410. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $10,061 to $623.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$110K$220K2015 Medicare payment: $202,973 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $219,643 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $206,862 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $217,108 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $171,139 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $129,640 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $45,879 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $36,090 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $36,429 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $42,864 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158893,168$202,973
20169253,241$219,643
20179613,166$206,862
20188983,549$217,108
20197552,902$171,139
20201,2202,548$129,640
2021373651$45,879
2022236452$36,090
2023405701$36,429
2024481829$42,864

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$261K$523K2015 Drug cost: $107,483 (USD; Tot_Drug_Cst)2016 Drug cost: $242,179 (USD; Tot_Drug_Cst)2017 Drug cost: $325,158 (USD; Tot_Drug_Cst)2018 Drug cost: $485,092 (USD; Tot_Drug_Cst)2019 Drug cost: $522,819 (USD; Tot_Drug_Cst)2020 Drug cost: $448,108 (USD; Tot_Drug_Cst)2021 Drug cost: $187,692 (USD; Tot_Drug_Cst)2022 Drug cost: $28,537 (USD; Tot_Drug_Cst)2023 Drug cost: $35,475 (USD; Tot_Drug_Cst)2024 Drug cost: $55,410 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152951,834$107,483
20164724,005$242,179
20175614,877$325,158
20185945,712$485,092
20195455,334$522,819
20205243,811$448,108
2021224976$187,692
202269236$28,537
202389314$35,475
2024141474$55,410

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$13K$26K2016 Medicare payment: $1,353 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,705 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $25,850 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,362 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $623 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R18$1,353
2017N/R45$1,705
2018N/R57$25,850
2019N/R38$2,362
2020N/RN/RN/R
2021N/R12$623
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4545$137
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more98131$72
78452Nuclear medicine studies of heart muscle at rest and with stress and spect3132$60
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes3535$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only295376$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban19736$13,960
BumetanideBumetanide15900$710
Atorvastatin CalciumAtorvastatin Calcium312,340$530
Metoprolol SuccinateMetoprolol Succinate372,670$428
Losartan PotassiumLosartan Potassium513,810$386

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$61Edwards Lifesciences Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for J. Chris Higgins, MD?

Tedicare shows public-source Medicare data for J. Chris Higgins, MD (NPI 1679531925), 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 J. Chris Higgins, MD have ACO affiliation data?

J. Chris Higgins, MD is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to J. Chris Higgins, MD?

J. Chris Higgins, MD is linked to CENTRAL MAINE MEDICAL CENTER (billing NPI 1689653487) in the available physician profile data.

Does J. Chris Higgins, MD have Open Payments data?

J. Chris Higgins, MD 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.