Physician

Kristi G. Sutton, MD

According to 2025 Medicare claims, Kristi Sutton, MD (NPI: 1720202989) practices internal medicine in the Hot Springs, AR market, with the plurality of this provider's patient population coming from Garland, AR. This provider's primary affiliated billing organization is CHI ST. VINCENT MEDICAL GROUP HOT SPRINGS (NPI: 1831387117; TIN: 261125131) and primary practice location at 71909-6100. Sutton is affiliated with the CommonSpirit ACO I (ACO ID: A2164) and CommonSpirit ACO III (ACO ID: A2645), participating under the MSSP model.

Sutton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 800 traditional Medicare patients, billed 19,433 HCPCS/CPT codes, and received $290,853 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 17,645 prescription claims across 1,289 beneficiaries totaling $1,028,686 in drug costs, led by Ozempic (Semaglutide). DME data shows 694 claims. Open Payments data shows 21 records totaling $398. 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 $872,724 to $1,028,686. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $38,260 to $55,670.

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$150K$301K2015 Medicare payment: $254,358 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $251,252 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $163,891 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $249,003 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $236,006 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $266,203 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $300,849 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $275,707 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $267,607 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $290,853 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201579728,712$254,358
201685034,587$251,252
201770012,761$163,891
201884420,399$249,003
201984418,784$236,006
20201,07022,320$266,203
20211,44731,136$300,849
202283234,640$275,707
202379424,404$267,607
202480019,433$290,853

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$571K$1.1M2015 Drug cost: $872,724 (USD; Tot_Drug_Cst)2016 Drug cost: $822,805 (USD; Tot_Drug_Cst)2017 Drug cost: $559,667 (USD; Tot_Drug_Cst)2018 Drug cost: $609,183 (USD; Tot_Drug_Cst)2019 Drug cost: $768,522 (USD; Tot_Drug_Cst)2020 Drug cost: $878,393 (USD; Tot_Drug_Cst)2021 Drug cost: $1,017,199 (USD; Tot_Drug_Cst)2022 Drug cost: $1,141,109 (USD; Tot_Drug_Cst)2023 Drug cost: $1,129,189 (USD; Tot_Drug_Cst)2024 Drug cost: $1,028,686 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201586112,973$872,724
201692513,392$822,805
20179338,999$559,667
201898510,575$609,183
20191,05612,616$768,522
20201,16115,275$878,393
20211,26315,984$1,017,199
20221,26317,096$1,141,109
20231,15416,396$1,129,189
20241,28917,645$1,028,686

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$21K$41K2015 Medicare payment: $31,223 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $16,964 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $8,236 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $5,868 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $13,719 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $20,582 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $32,541 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $33,653 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $28,883 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $41,355 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015241798$31,223
2016225629$16,964
2017150443$8,236
201868294$5,868
2019174669$13,719
2020203784$20,582
2021234760$32,541
2022246719$33,653
2023162513$28,883
2024207694$41,355

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6151,086$78
G2211Visit 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's5691,147$12
80053Blood test, comprehensive group of blood chemicals542655$10
36415Insertion of needle into vein for collection of blood sample6181,115$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count557717$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1366,244$190,575
EliquisApixaban1899,244$174,550
XareltoRivaroxaban603,990$71,468
MounjaroTirzepatide341,432$49,933
FarxigaDapagliflozin Propanediol221,340$24,254

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R37$15,613
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY1282$7,130
A7031Face mask interface, replacement for full face mask, eachN1843$3,685
A7030Full face mask used with positive airway pressure device, eachN1833$2,989
E0601Continuous positive airway pressure (cpap) deviceYN/R45$1,343

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.21$398Amgen Inc.
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 Kristi G. Sutton, MD?

Tedicare shows public-source Medicare data for Kristi G. Sutton, MD (NPI 1720202989), 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 Kristi G. Sutton, MD have ACO affiliation data?

Kristi G. Sutton, MD is shown with ACO affiliation data for CommonSpirit ACO I (MSSP, ACO ID A2164) and CommonSpirit ACO III (MSSP, ACO ID A2645).

What billing organization is linked to Kristi G. Sutton, MD?

Kristi G. Sutton, MD is linked to CHI ST. VINCENT MEDICAL GROUP HOT SPRINGS (billing NPI 1831387117) in the available physician profile data.

Does Kristi G. Sutton, MD have Open Payments data?

Kristi G. Sutton, MD has 21 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.