Physician

Douglas Ken Andersen, DO

According to 2025 Medicare claims, Douglas Andersen, DO (NPI: 1730599598) practices medical oncology in the Pocatello, ID market, with the plurality of this provider's patient population coming from Bannock, ID. This provider's primary affiliated billing organization is POCATELLO HEALTH SERVICES, LLC (NPI: 1215165485; TIN: 263757202) and primary practice location at 83201-5175. Andersen is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), and MountainStar Care Partners ACO (ACO ID: A5181), participating under the MSSP model.

Andersen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 333 traditional Medicare patients, billed 779 HCPCS/CPT codes, and received $62,929 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 1,310 prescription claims across 258 beneficiaries totaling $4,531,813 in drug costs, led by Revlimid (Lenalidomide). 2023 DME data shows 151 claims. Open Payments data shows 83 records totaling $1,596. 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 risen steadily, from $13,352 to $62,929. Similarly, Part D prescription costs have risen steadily, from $653 to $4,531,813. 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.

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$32K$64K2018 Medicare payment: $13,352 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $29,562 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $13,096 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $51,107 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $63,671 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $63,488 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $62,929 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201848166$13,352
201928259$29,562
202063150$13,096
2021184617$51,107
2022236797$63,671
2023326800$63,488
2024333779$62,929

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$2.3M$4.5M2015 Drug cost: $653 (USD; Tot_Drug_Cst)2016 Drug cost: $5,755 (USD; Tot_Drug_Cst)2017 Drug cost: $6,767 (USD; Tot_Drug_Cst)2018 Drug cost: $40,709 (USD; Tot_Drug_Cst)2019 Drug cost: $2,771 (USD; Tot_Drug_Cst)2020 Drug cost: $118,421 (USD; Tot_Drug_Cst)2021 Drug cost: $1,050,124 (USD; Tot_Drug_Cst)2022 Drug cost: $1,421,470 (USD; Tot_Drug_Cst)2023 Drug cost: $3,161,655 (USD; Tot_Drug_Cst)2024 Drug cost: $4,531,813 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151533$653
20161944$5,755
20172588$6,767
201839146$40,709
201961118$2,771
202068160$118,421
202191495$1,050,124
2022147824$1,421,470
20232141,164$3,161,655
20242581,310$4,531,813

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$6.9K$14K2021 Medicare payment: $1,843 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $3,502 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $13,824 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R33$1,843
2022N/R63$3,502
2023N/R151$13,824
2024N/RN/RN/R

* / # = 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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more4040$132
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more124275$103
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more193307$63
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2024$60
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5258$39

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RevlimidLenalidomide34903$717,914
PomalystPomalidomide24672$527,191
Abiraterone AcetateAbiraterone Acetate1675,280$522,144
LenalidomideLenalidomide38952$487,727
VenclextaVenetoclax18528$214,970

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.83$1,596AstraZeneca Pharmaceuticals LP
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 Douglas Ken Andersen, DO?

Tedicare shows public-source Medicare data for Douglas Ken Andersen, DO (NPI 1730599598), 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 Douglas Ken Andersen, DO have ACO affiliation data?

Douglas Ken Andersen, DO is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and MountainStar Care Partners ACO (MSSP, ACO ID A5181).

What billing organization is linked to Douglas Ken Andersen, DO?

Douglas Ken Andersen, DO is linked to POCATELLO HEALTH SERVICES, LLC (billing NPI 1215165485) in the available physician profile data.

Does Douglas Ken Andersen, DO have Open Payments data?

Douglas Ken Andersen, DO has 83 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.