Physician

Clinton Andrew Bays, MD

According to 2025 Medicare claims, Clinton Bays, MD (NPI: 1740840966) practices sports medicine, with the plurality of this provider's patient population coming from Coles, IL. This provider's primary affiliated billing organization is SARAH BUSH LINCOLN HEALTH CENTER (NPI: 1568581379; TIN: 237098532) and primary practice location at 61938-4607. Bays is affiliated with the IRCCO (ACO ID: A2619) and SBL accountable care organization (ACO ID: A5147), participating under the MSSP model.

Bays' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 248 traditional Medicare patients, billed 918 HCPCS/CPT codes, and received $31,231 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 129 prescription claims across 69 beneficiaries totaling $1,226 in drug costs, led by Duloxetine Hcl (Duloxetine Hcl). 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,963 to $1,226. 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$16K$31K2023 Medicare payment: $9,003 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $31,231 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
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/RN/RN/R
2022N/RN/RN/R
202363225$9,003
2024248918$31,231

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$33K$66K2019 Drug cost: $1,963 (USD; Tot_Drug_Cst)2020 Drug cost: $5,532 (USD; Tot_Drug_Cst)2021 Drug cost: $60,043 (USD; Tot_Drug_Cst)2022 Drug cost: $65,731 (USD; Tot_Drug_Cst)2023 Drug cost: $24,133 (USD; Tot_Drug_Cst)2024 Drug cost: $1,226 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R12$1,963
20201852$5,532
202178391$60,043
202270395$65,731
202355245$24,133
202469129$1,226

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4646$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6985$65
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more118142$51
20611Aspiration and/or injection of fluid large joint using ultrasound guidance176247$48
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg45356$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Duloxetine HclDuloxetine Hcl18540$222
PrednisonePrednisone32272$92
MethylprednisoloneMethylprednisolone1590$46
MeloxicamMeloxicam24840$29

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Clinton Andrew Bays, MD?

Tedicare shows public-source Medicare data for Clinton Andrew Bays, MD (NPI 1740840966), 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 Clinton Andrew Bays, MD have ACO affiliation data?

Clinton Andrew Bays, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and SBL accountable care organization (MSSP, ACO ID A5147).

What billing organization is linked to Clinton Andrew Bays, MD?

Clinton Andrew Bays, MD is linked to SARAH BUSH LINCOLN HEALTH CENTER (billing NPI 1568581379) in the available physician profile data.

Does Clinton Andrew Bays, 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.