Physician

Andres Eduardo Carmona Rubio, M.D

According to 2025 Medicare claims, Andres Rubio, M.D (NPI: 1750722781) practices advanced heart failure and transplant cardiology in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44195-0001. Rubio is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Rubio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 287 traditional Medicare patients, billed 556 HCPCS/CPT codes, and received $52,213 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 3,183 prescription claims across 417 beneficiaries totaling $7,492,161 in drug costs, led by Vyndamax (Tafamidis). 2022 DME data shows 130 claims. Open Payments data shows 12 records totaling $5,028. 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 $41,628 to $7,492,161. 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$35K$69K2021 Medicare payment: $69,488 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $63,698 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $61,557 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $52,213 (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
2021270682$69,488
2022269592$63,698
2023291600$61,557
2024287556$52,213

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$3.7M$7.5M2015 Drug cost: $41,628 (USD; Tot_Drug_Cst)2016 Drug cost: $44,778 (USD; Tot_Drug_Cst)2017 Drug cost: $34,013 (USD; Tot_Drug_Cst)2018 Drug cost: $10,657 (USD; Tot_Drug_Cst)2019 Drug cost: $4,744 (USD; Tot_Drug_Cst)2020 Drug cost: $8,350 (USD; Tot_Drug_Cst)2021 Drug cost: $281,978 (USD; Tot_Drug_Cst)2022 Drug cost: $2,070,675 (USD; Tot_Drug_Cst)2023 Drug cost: $4,621,135 (USD; Tot_Drug_Cst)2024 Drug cost: $7,492,161 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201568756$41,628
2016113823$44,778
201778359$34,013
201866187$10,657
20192583$4,744
20201135$8,350
2021207961$281,978
20223392,227$2,070,675
20234032,569$4,621,135
20244173,183$7,492,161

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$4.1K$8.2K2021 Medicare payment: $6,269 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $8,157 (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/R96$6,269
2022N/R130$8,157
2023N/RN/RN/R
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 more3333$137
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2020$131
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5974$107
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more130175$69
99443Telephone medical discussion with physician, 21-30 minutes2632$62

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VyndamaxTafamidis2247,620$5,578,006
VyndaqelTafamidis Meglumine341,020$733,032
JardianceEmpagliflozin31023,753$455,238
EntrestoSacubitril/Valsartan29821,186$414,016
EliquisApixaban1217,103$133,409

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.12$5,028PFIZER 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 Andres Eduardo Carmona Rubio, M.D?

Tedicare shows public-source Medicare data for Andres Eduardo Carmona Rubio, M.D (NPI 1750722781), 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 Andres Eduardo Carmona Rubio, M.D have ACO affiliation data?

Andres Eduardo Carmona Rubio, M.D is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Andres Eduardo Carmona Rubio, M.D?

Andres Eduardo Carmona Rubio, M.D is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Andres Eduardo Carmona Rubio, M.D have Open Payments data?

Andres Eduardo Carmona Rubio, M.D has 12 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.