Physician

Peter Andrew Elsea, MD

According to 2025 Medicare claims, Peter Elsea, MD (NPI: 1699731182) practices internal medicine in the Amherst Town-Northampton, MA market, with the plurality of this provider's patient population coming from Hampshire, MA. This provider's primary affiliated billing organization is MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC (NPI: 1295787919; TIN: 043194547) and primary practice location at 01060-4272. Elsea is affiliated with the Mass General Brigham ACO, LLC (ACO ID: A4641) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Elsea's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 537 traditional Medicare patients, billed 1,840 HCPCS/CPT codes, and received $140,640 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,779 prescription claims across 721 beneficiaries totaling $577,443 in drug costs, led by Eliquis (Apixaban). DME data shows 52 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 risen steadily, from $88,509 to $140,640. Similarly, Part D prescription costs have risen steadily, from $67,098 to $577,443. For DME billing, reported payments moved sharply higher in recent years, from $2,706 to $51,666.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	413	1,131	$88,509
2016	341	1,586	$101,718
2017	415	1,539	$105,239
2018	469	1,669	$113,764
2019	622	2,060	$142,277
2020	550	1,716	$114,378
2021	587	1,662	$132,448
2022	623	1,802	$154,137
2023	562	1,719	$141,110
2024	537	1,840	$140,640

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	145	620	$67,098
2016	279	2,601	$168,821
2017	425	4,910	$309,276
2018	561	6,762	$419,772
2019	544	6,614	$406,992
2020	562	6,465	$455,755
2021	691	7,345	$495,440
2022	815	8,780	$647,930
2023	713	8,370	$707,680
2024	721	8,779	$577,443

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	63	$1,939
2016	N/R	N/R	N/R
2017	12	52	$579
2018	17	136	$3,189
2019	19	185	$3,860
2020	16	233	$4,815
2021	14	172	$6,764
2022	28	118	$3,362
2023	N/R	52	$1,553
2024	N/R	52	$947

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	249	249	$131
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	529	$90
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	193	246	$58
G0008	Administration of influenza virus vaccine	42	43	$33
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	136	194	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	90	5,491	$102,426
Xarelto	Rivaroxaban	43	2,790	$50,704
Breo Ellipta	Fluticasone/Vilanterol	56	1,740	$23,066
Jardiance	Empagliflozin	12	1,080	$20,571
Oxycontin	Oxycodone Hcl	13	364	$20,349

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
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	N/R	12	$446
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	14	$304
A7038	Filter, disposable, used with positive airway pressure device	N	N/R	12	$104
J7613	Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	N	N/R	14	$93

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 Peter Andrew Elsea, MD?

Tedicare shows public-source Medicare data for Peter Andrew Elsea, MD (NPI 1699731182), 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 Peter Andrew Elsea, MD have ACO affiliation data?

Peter Andrew Elsea, MD is shown with ACO affiliation data for Mass General Brigham ACO, LLC (MSSP, ACO ID A4641) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Peter Andrew Elsea, MD?

Peter Andrew Elsea, MD is linked to MASS GENERAL BRIGHAM MEDICAL GROUP WESTERN MASSACHUSETTS INC (billing NPI 1295787919) in the available physician profile data.

Does Peter Andrew Elsea, 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.