Physician

Amit Merchea, MD

According to 2025 Medicare claims, Amit Merchea, MD (NPI: 1730383118) practices colorectal surgery (formerly proctology) in the Jacksonville, FL market, with the plurality of this provider's patient population coming from Duval, FL. This provider's primary affiliated billing organization is MAYO CLINIC JACKSONVILLE (NPI: 1790772317; TIN: 593337028) and primary practice location at 32224-1865. Merchea is affiliated with the Mayo Clinic Community ACO, LLC (ACO ID: A4617), participating under the MSSP model.

Merchea's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 159 traditional Medicare patients, billed 283 HCPCS/CPT codes, and received $83,817 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 69 prescription claims across 25 beneficiaries totaling $437 in drug costs, led by Neomycin Sulfate (Neomycin Sulfate). DME data shows 249 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 moved up and down with repeated peaks and valleys, starting at $100,745 and ending at $83,817. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $2,020 to $437. For DME billing, reported payments fell sharply in recent years, from $449 to $440.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	227	503	$100,745
2016	265	547	$114,665
2017	200	405	$91,438
2018	276	472	$116,032
2019	232	433	$122,454
2020	183	408	$110,154
2021	166	301	$72,649
2022	186	300	$86,762
2023	181	307	$101,765
2024	159	283	$83,817

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	19	27	$2,020
2016	19	24	$1,540
2017	31	49	$1,707
2018	37	76	$556
2019	43	96	$521
2020	43	113	$864
2021	23	49	$532
2022	32	70	$552
2023	37	78	$493
2024	25	69	$437

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	122	$10,599
2016	79	275	$19,762
2017	97	521	$33,858
2018	111	562	$34,383
2019	152	790	$46,508
2020	119	684	$48,354
2021	61	539	$40,808
2022	37	509	$84,357
2023	38	427	$34,366
2024	N/R	249	$17,336

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$131
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$83
46600	Diagnostic exam of anus using an endoscope	22	22	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	19	23	$68
99202	New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more	15	15	$52

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Neomycin Sulfate	Neomycin Sulfate	18	29	$90
Metronidazole	Metronidazole	21	61	$71
Ondansetron Hcl	Ondansetron Hcl	16	18	$28

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
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	29	$4,738
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	42	$4,239
A5057	Ostomy pouch, drainable, with extended wear barrier attached, with built in convexity, with filter, (1 piece), each	N	N/R	11	$1,878
A4373	Ostomy skin barrier, with flange (solid, flexible or accordion), with built-in convexity, any size, each	N	N/R	13	$1,609
A5063	Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each	N	N/R	20	$1,296

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 Amit Merchea, MD?

Tedicare shows public-source Medicare data for Amit Merchea, MD (NPI 1730383118), 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 Amit Merchea, MD have ACO affiliation data?

Amit Merchea, MD is shown with ACO affiliation data for Mayo Clinic Community ACO, LLC (MSSP, ACO ID A4617).

What billing organization is linked to Amit Merchea, MD?

Amit Merchea, MD is linked to MAYO CLINIC JACKSONVILLE (billing NPI 1790772317) in the available physician profile data.

Does Amit Merchea, 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.