Physician

Ansermo Lester Arthur, M.D.

According to 2025 Medicare claims, Ansermo Arthur, M.D. (NPI: 1720161151) practices interventional cardiology in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Aiken, SC. This provider's primary affiliated billing organization is AIKEN PROFESSIONAL ASSOCIATION, LLC (NPI: 1639479801; TIN: 27-3493136) and primary practice location at 29801-6351. Arthur is affiliated with the PBACO Holding, LLC (ACO ID: A1001), TC2, LLC (ACO ID: A3365), and Sentara Accountable Care Organization, LLC (ACO ID: A4868), participating under the MSSP model.

Arthur's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,541 traditional Medicare patients, billed 5,668 HCPCS/CPT codes, and received $394,556 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 10,625 prescription claims across 1,220 beneficiaries totaling $2,403,365 in drug costs, led by Eliquis (Apixaban). DME data shows 414 claims. Open Payments data shows 109 records totaling $5,573. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $1,005,357 to $2,403,365. In contrast, DME billing represents a smaller volume and declined steadily, from $79,061 to $37,510.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,810	7,020	$537,215
2016	1,890	6,353	$359,452
2017	1,894	6,261	$376,066
2018	1,888	5,985	$331,784
2019	1,777	5,817	$469,295
2020	1,534	4,929	$380,140
2021	1,446	5,444	$407,292
2022	1,471	5,978	$369,307
2023	1,303	4,823	$366,127
2024	1,541	5,668	$394,556

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	1,035	13,262	$1,005,357
2016	1,058	14,051	$1,217,527
2017	1,086	14,161	$1,442,547
2018	1,120	13,643	$1,547,405
2019	1,136	11,878	$1,604,226
2020	1,137	11,347	$1,835,044
2021	1,211	11,122	$2,052,402
2022	1,220	11,699	$2,400,265
2023	1,160	10,743	$2,478,156
2024	1,220	10,625	$2,403,365

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	108	$64,697
2016	N/R	92	$45,317
2017	42	196	$92,718
2018	84	304	$49,111
2019	165	424	$22,848
2020	214	497	$72,775
2021	242	567	$20,953
2022	148	468	$56,656
2023	112	343	$14,469
2024	117	414	$18,934

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	362	422	$128
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	200	204	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	730	925	$77
93294	Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days	159	349	$20
93296	Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	187	261	$15

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	1,108	51,235	$981,295
Entresto	Sacubitril/Valsartan	421	19,030	$420,596
Xarelto	Rivaroxaban	384	17,663	$323,029
Brilinta	Ticagrelor	251	12,435	$179,057
Droxidopa	Droxidopa	23	690	$91,395

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
A7030	Full face mask used with positive airway pressure device, each	N	N/R	27	$2,419
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	22	60	$2,363
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	16	44	$2,348
A7031	Face mask interface, replacement for full face mask, each	N	11	27	$2,346
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	18	$2,188

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	109	$5,573	Abbott Laboratories
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 Ansermo Lester Arthur, M.D.?

Tedicare shows public-source Medicare data for Ansermo Lester Arthur, M.D. (NPI 1720161151), 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 Ansermo Lester Arthur, M.D. have ACO affiliation data?

Ansermo Lester Arthur, M.D. is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001), TC2, LLC (MSSP, ACO ID A3365), and Sentara Accountable Care Organization, LLC (MSSP, ACO ID A4868).

What billing organization is linked to Ansermo Lester Arthur, M.D.?

Ansermo Lester Arthur, M.D. is linked to AIKEN PROFESSIONAL ASSOCIATION, LLC (billing NPI 1639479801) in the available physician profile data.

Does Ansermo Lester Arthur, M.D. have Open Payments data?

Ansermo Lester Arthur, M.D. has 109 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.