Physician

Paul F Pollice, MD

According to 2025 Medicare claims, Paul Pollice, MD (NPI: 1740272434) practices orthopedic surgery in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Lehigh, PA. This provider's primary affiliated billing organization is ORTHOPAEDIC ASSOCIATES OF ALLENTOWN (NPI: 1801888987; TIN: 231857130) and primary practice location at 18104-9147. Pollice is affiliated with the Keystone ACO (ACO ID: A1552), participating under the MSSP model.

Pollice's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 974 traditional Medicare patients, billed 22,233 HCPCS/CPT codes, and received $483,441 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 940 prescription claims across 521 beneficiaries totaling $12,086 in drug costs, led by Celecoxib (Celecoxib). DME data shows 248 claims. Open Payments data shows 1 records totaling $20. 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 declined steadily, from $30,319 to $12,086. For DME billing, reported payments rose steadily, from $4,200 to $75,083.

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$287K$574K2015 Medicare payment: $574,407 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $516,732 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $468,549 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $539,192 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $521,915 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $430,436 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $509,976 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $553,804 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $517,193 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $483,441 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,1397,628$574,407
20161,2037,972$516,732
20171,1756,824$468,549
20181,1059,927$539,192
20191,1558,380$521,915
20201,0356,203$430,436
20211,0105,967$509,976
20221,0456,549$553,804
20231,0307,170$517,193
202497422,233$483,441

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$15K$30K2015 Drug cost: $30,319 (USD; Tot_Drug_Cst)2016 Drug cost: $18,749 (USD; Tot_Drug_Cst)2017 Drug cost: $16,288 (USD; Tot_Drug_Cst)2018 Drug cost: $14,089 (USD; Tot_Drug_Cst)2019 Drug cost: $18,374 (USD; Tot_Drug_Cst)2020 Drug cost: $12,217 (USD; Tot_Drug_Cst)2021 Drug cost: $17,907 (USD; Tot_Drug_Cst)2022 Drug cost: $18,400 (USD; Tot_Drug_Cst)2023 Drug cost: $11,637 (USD; Tot_Drug_Cst)2024 Drug cost: $12,086 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155381,020$30,319
2016535932$18,749
2017475881$16,288
2018416722$14,089
2019430891$18,374
2020427828$12,217
20214741,017$17,907
20225401,064$18,400
2023459810$11,637
2024521940$12,086

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$39K$79K2015 Medicare payment: $3,305 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,167 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $993 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,751 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,464 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $447 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $14,422 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $52,855 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $78,602 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $74,339 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20154646$3,305
20163157$2,167
20172727$993
20186273$2,751
20193838$1,464
20201111$447
20217690$14,422
2022206210$52,855
2023239267$78,602
2024231248$74,339

* / # = 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 more362415$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6941,075$62
20610Aspiration and/or injection of fluid from large joint307601$50
73562X-ray of knee, 3 views570877$29
73560X-ray of knee, 1-2 views258297$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib34110,885$8,536
MupirocinMupirocin3794,984$2,340
CephalexinCephalexin90308$425
MethocarbamolMethocarbamol19342$122
Tramadol HclTramadol Hcl36299$122

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0935Continuous passive motion exercise device for use on knee onlyY146149$69,643
E0143Walker, folding, wheeled, adjustable or fixed heightN8585$3,846
E0745Neuromuscular stimulator, electronic shock unitYN/R14$850

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$20Sanara MedTech 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 Paul F. Pollice, MD?

Tedicare shows public-source Medicare data for Paul F. Pollice, MD (NPI 1740272434), 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 Paul F. Pollice, MD have ACO affiliation data?

Paul F. Pollice, MD is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552).

What billing organization is linked to Paul F. Pollice, MD?

Paul F. Pollice, MD is linked to ORTHOPAEDIC ASSOCIATES OF ALLENTOWN (billing NPI 1801888987) in the available physician profile data.

Does Paul F. Pollice, MD have Open Payments data?

Paul F. Pollice, MD has 1 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.