Physician

Antonio Capone, MD

According to 2025 Medicare claims, Antonio Capone, MD (NPI: 1760411664) practices ophthalmology in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Oakland, MI. This provider's primary affiliated billing organization is ASSOCIATED RETINAL CONSULTANTS, PC (NPI: 1215003793; TIN: 381946761) and primary practice location at 48073-6710. Capone is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Capone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 403 traditional Medicare patients, billed 13,227 HCPCS/CPT codes, and received $1,406,264 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 144 prescription claims across 45 beneficiaries totaling $13,453 in drug costs, led by Difluprednate (Difluprednate). 2019 DME data shows 16 claims. Open Payments data shows 44 records totaling $39,244. 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 fallen sharply in recent years, from $3,484,514 to $1,406,264. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $39,790 to $13,453. 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$1.7M$3.5M2015 Medicare payment: $3,484,514 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $3,297,466 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $3,088,296 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,348,565 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,188,274 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,547,026 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,530,269 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,776,728 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,441,126 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,406,264 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201595321,130$3,484,514
201686319,298$3,297,466
201790117,587$3,088,296
201889518,834$3,348,565
201983417,134$3,188,274
202071511,956$2,547,026
202166611,550$2,530,269
20226129,375$1,776,728
202350512,935$1,441,126
202440313,227$1,406,264

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$20K$40K2015 Drug cost: $39,790 (USD; Tot_Drug_Cst)2016 Drug cost: $31,940 (USD; Tot_Drug_Cst)2017 Drug cost: $38,558 (USD; Tot_Drug_Cst)2018 Drug cost: $31,299 (USD; Tot_Drug_Cst)2019 Drug cost: $34,611 (USD; Tot_Drug_Cst)2020 Drug cost: $25,413 (USD; Tot_Drug_Cst)2021 Drug cost: $27,495 (USD; Tot_Drug_Cst)2022 Drug cost: $18,604 (USD; Tot_Drug_Cst)2023 Drug cost: $10,907 (USD; Tot_Drug_Cst)2024 Drug cost: $13,453 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015134447$39,790
2016123415$31,940
2017127509$38,558
2018116473$31,299
2019139483$34,611
2020108413$25,413
2021106402$27,495
202272276$18,604
202350123$10,907
202445144$13,453

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$478$9562015 Medicare payment: $956 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $589 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $730 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $462 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $708 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151423$956
2016N/R14$589
2017N/R17$730
2018N/R11$462
2019N/R16$708
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
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
67028Injection of drug into eye132680$107
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3551,003$102
765122d ultrasound scan of eye tissue and structures6375$40
92134Imaging of retina237751$32
92250Photography of the retina226335$28

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
DifluprednateDifluprednate17730$2,107
Prednisolone AcetatePrednisolone Acetate281,123$1,017
LatanoprostLatanoprost251,321$440

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.20$13,552Apellis Pharmaceuticals, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.24$25,692Kyowa Kirin, Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Antonio Capone, MD?

Tedicare shows public-source Medicare data for Antonio Capone, MD (NPI 1760411664), 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 Antonio Capone, MD have ACO affiliation data?

Antonio Capone, MD is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Antonio Capone, MD?

Antonio Capone, MD is linked to ASSOCIATED RETINAL CONSULTANTS, PC (billing NPI 1215003793) in the available physician profile data.

Does Antonio Capone, MD have Open Payments data?

Antonio Capone, MD has 44 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.