Physician

Luis E Duarte, MD

According to 2025 Medicare claims, Luis Duarte, MD (NPI: 1700867348) practices neurosurgery in the San Angelo, TX market, with the plurality of this provider's patient population coming from Tom Green, TX. This provider's primary affiliated billing organization is SHANNON CLINIC (NPI: 1770587149; TIN: 752600873) and primary practice location at 76903-5904. Duarte is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Duarte's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 598 traditional Medicare patients, billed 22,664 HCPCS/CPT codes, and received $742,396 in Medicare payments. The top billing code was 62323 (Injection of substance into lower spine canal using imaging guidance). Part D data shows 287 prescription claims across 156 beneficiaries totaling $2,862 in drug costs, led by Gabapentin (Gabapentin). DME data shows 31 claims. Open Payments data shows 19 records totaling $207,203. 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 declined steadily, from $1,043,968 to $742,396. Similarly, Part D prescription costs have declined steadily, from $48,135 to $2,862. For DME billing, reported payments moved from a higher plateau to a lower plateau, from $121,538 to $129,354.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	994	4,949	$1,043,968
2016	1,067	5,646	$1,069,783
2017	1,178	6,100	$1,099,817
2018	1,296	6,364	$1,174,123
2019	1,225	7,300	$1,442,894
2020	883	5,600	$979,645
2021	809	4,600	$818,762
2022	743	3,931	$648,850
2023	643	3,469	$723,188
2024	598	22,664	$742,396

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	473	1,668	$48,135
2016	565	2,259	$69,766
2017	486	2,053	$56,374
2018	693	2,728	$174,852
2019	453	1,490	$71,366
2020	324	1,143	$47,563
2021	187	395	$20,100
2022	138	239	$4,441
2023	161	243	$2,036
2024	156	287	$2,862

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	169	169	$167,100
2016	131	132	$227,777
2017	80	80	$194,432
2018	50	50	$142,195
2019	45	47	$163,703
2020	65	65	$120,127
2021	24	36	$87,075
2022	18	18	$67,343
2023	34	34	$94,324
2024	31	31	$129,022

* / # = 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
62323	Injection of substance into lower spine canal using imaging guidance	134	196	$194
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	428	951	$97
J1040	Injection, methylprednisolone acetate, 80 mg	64	86	$7
J1010	Injection, methylprednisolone acetate, 1 mg	166	19,360	$0
J1100	Injection, dexamethasone sodium phosphate, 1 mg	85	488	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	103	3,543	$1,248
Oxcarbazepine	Oxcarbazepine	16	691	$779
Cefdinir	Cefdinir	53	112	$176
Dexamethasone	Dexamethasone	19	40	$84
Tizanidine Hcl	Tizanidine Hcl	11	197	$53

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
E0748	Osteogenesis stimulator, electrical, non-invasive, spinal applications	N	31	31	$129,022

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	19	$207,203	Hyhte Holdings 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 Luis E. Duarte, MD?

Tedicare shows public-source Medicare data for Luis E. Duarte, MD (NPI 1700867348), 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 Luis E. Duarte, MD have ACO affiliation data?

Luis E. Duarte, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Luis E. Duarte, MD?

Luis E. Duarte, MD is linked to SHANNON CLINIC (billing NPI 1770587149) in the available physician profile data.

Does Luis E. Duarte, MD have Open Payments data?

Luis E. Duarte, MD has 19 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.