Physician

Joel M Warren, M.D.

According to 2025 Medicare claims, Joel Warren, M.D. (NPI: 1720250749) practices internal medicine in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Campbell, KY. This provider's primary affiliated billing organization is TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC (NPI: 1306843842; TIN: 611192347) and primary practice location at 41017-3409. Warren is affiliated with the Healthcare Solutions Network (ACO ID: A3283), participating under the MSSP model.

Warren's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 394 traditional Medicare patients, billed 16,017 HCPCS/CPT codes, and received $166,123 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 2,537 prescription claims across 686 beneficiaries totaling $1,286,057 in drug costs, led by Sucraid (Sacrosidase). Open Payments data shows 152 records totaling $2,955. 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 moved sharply higher in recent years, from $97,768 to $166,123. Similarly, Part D prescription costs have risen steadily, from $171,687 to $1,286,057. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	347	1,346	$97,768
2016	400	1,148	$82,100
2017	402	938	$83,362
2018	406	12,189	$91,518
2019	343	5,230	$73,045
2020	310	664	$59,553
2021	308	5,280	$66,836
2022	353	5,313	$101,333
2023	420	9,789	$144,685
2024	394	16,017	$166,123

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	152	701	$171,687
2016	205	1,157	$392,261
2017	232	1,365	$114,454
2018	313	1,868	$445,405
2019	340	2,024	$909,486
2020	339	1,964	$589,526
2021	345	2,068	$1,028,549
2022	469	2,007	$1,118,914
2023	636	2,404	$1,744,480
2024	686	2,537	$1,286,057

DME Billing Trend

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

No connected DME records

* / # = 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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	88	90	$194
45380	Biopsy of large bowel using a flexible endoscope	71	72	$86
43248	Insertion of guide wire with dilation of esophagus using a flexible endoscope	66	77	$80
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	96	118	$76
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	136	162	$45

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sucraid	Sacrosidase	16	599	$261,096
Xifaxan	Rifaximin	59	1,227	$160,815
Humira(Cf) Pen	Adalimumab	16	448	$145,152
Linzess	Linaclotide	81	4,890	$86,323
Motegrity	Prucalopride Succinate	30	1,740	$31,341

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	152	$2,955	ABBVIE 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 Joel M. Warren, M.D.?

Tedicare shows public-source Medicare data for Joel M. Warren, M.D. (NPI 1720250749), 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 Joel M. Warren, M.D. have ACO affiliation data?

Joel M. Warren, M.D. is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283).

What billing organization is linked to Joel M. Warren, M.D.?

Joel M. Warren, M.D. is linked to TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC (billing NPI 1306843842) in the available physician profile data.

Does Joel M. Warren, M.D. have Open Payments data?

Joel M. Warren, M.D. has 152 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.