Physician

Andrea Marx, M.D.

According to 2025 Medicare claims, Andrea Marx, M.D. (NPI: 1770525495) practices rheumatology in the Harrisburg-Carlisle, PA market, with the plurality of this provider's patient population coming from Cumberland, PA. This provider's primary affiliated billing organization is PINNACLE HEALTH MEDICAL SERVICES (NPI: 1669088290; TIN: 251709054) and primary practice location at 17011-1703.

Marx's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 146 traditional Medicare patients, billed 1,779 HCPCS/CPT codes, and received $58,738 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 927 prescription claims across 178 beneficiaries totaling $283,379 in drug costs, led by Xeljanz (Tofacitinib Citrate). DME data shows 11 claims. 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's Medicare Part B carrier billing has moved sharply higher in recent years, from $47,779 to $58,738. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $597,231 to $283,379. 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$29K$59K2015 Medicare payment: $47,779 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $47,920 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,293 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $915 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,177 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,569 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,269 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $4,082 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $26,834 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $58,738 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015300618$47,779
2016291644$47,920
20171414$1,293
20181111$915
20191111$1,177
20201818$1,569
20211830$2,269
20223031$4,082
202399593$26,834
20241461,779$58,738

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$332K$665K2015 Drug cost: $597,231 (USD; Tot_Drug_Cst)2016 Drug cost: $664,613 (USD; Tot_Drug_Cst)2017 Drug cost: $78,352 (USD; Tot_Drug_Cst)2022 Drug cost: $335 (USD; Tot_Drug_Cst)2023 Drug cost: $34,791 (USD; Tot_Drug_Cst)2024 Drug cost: $283,379 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015167935$597,231
2016180977$664,613
201775176$78,352
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R11$335
202391262$34,791
2024178927$283,379

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$380$7612024 Medicare payment: $761 (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/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R11$761

* / # = 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 more3939$153
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more71100$119
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more70107$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1621$54
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's5868$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XeljanzTofacitinib Citrate21615$114,899
OtezlaApremilast17510$82,284
Hydroxychloroquine SulfateHydroxychloroquine Sulfate16914,300$7,757
MethotrexateMethotrexate Sodium22617,174$7,363
ColchicineColchicine271,635$2,293

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0745Neuromuscular stimulator, electronic shock unitYN/R11$761

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 Andrea Marx, M.D.?

Tedicare shows public-source Medicare data for Andrea Marx, M.D. (NPI 1770525495), 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 Andrea Marx, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Andrea Marx, M.D.?

Andrea Marx, M.D. is linked to PINNACLE HEALTH MEDICAL SERVICES (billing NPI 1669088290) in the available physician profile data.

Does Andrea Marx, M.D. 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.