Physician

Cara-Louise Fox, MD

According to 2025 Medicare claims, Cara-Louise Fox, MD (NPI: 1770807521) practices family practice in the Carson City, NV market, with the plurality of this provider's patient population coming from Carson City, NV. This provider's primary affiliated billing organization is CARSON MEDICAL GROUP PROFESSIONAL CORPORATION (NPI: 1780694620; TIN: 880133501) and primary practice location at 89706-0674. Fox is affiliated with the Silver State ACO LLC (ACO ID: A2251) and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Fox's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 424 traditional Medicare patients, billed 2,596 HCPCS/CPT codes, and received $144,112 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,457 prescription claims across 500 beneficiaries totaling $371,065 in drug costs, led by Eliquis (Apixaban). DME data shows 41 claims. Open Payments data shows 14 records totaling $247. 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 from a lower plateau to a higher plateau, from $72,351 to $144,112. Similarly, Part D prescription costs have risen steadily, from $178,875 to $371,065. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $11,351 to $4,381.

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$78K$157K2015 Medicare payment: $72,351 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $78,413 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $112,284 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $115,323 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $116,024 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $156,981 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $155,549 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $156,876 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $128,597 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $144,112 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153261,105$72,351
20163571,245$78,413
20174561,637$112,284
20184811,723$115,323
20194911,663$116,024
20205912,873$156,981
20216082,822$155,549
20225952,471$156,876
20234251,991$128,597
20244242,596$144,112

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$186K$371K2015 Drug cost: $178,875 (USD; Tot_Drug_Cst)2016 Drug cost: $204,778 (USD; Tot_Drug_Cst)2017 Drug cost: $248,048 (USD; Tot_Drug_Cst)2018 Drug cost: $245,540 (USD; Tot_Drug_Cst)2019 Drug cost: $239,744 (USD; Tot_Drug_Cst)2020 Drug cost: $315,005 (USD; Tot_Drug_Cst)2021 Drug cost: $338,699 (USD; Tot_Drug_Cst)2022 Drug cost: $361,297 (USD; Tot_Drug_Cst)2023 Drug cost: $331,175 (USD; Tot_Drug_Cst)2024 Drug cost: $371,065 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152672,867$178,875
20163003,616$204,778
20173814,537$248,048
20183944,572$245,540
20194084,546$239,744
20204545,107$315,005
20214784,925$338,699
20225065,309$361,297
20234964,900$331,175
20245005,457$371,065

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$9.5K$19K2015 Medicare payment: $10,572 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $8,178 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $13,743 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $15,812 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $19,077 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $12,517 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $6,511 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,998 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $8,371 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,792 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201512179$10,572
201616232$8,178
201730234$13,743
201814211$15,812
201928232$19,077
202014173$12,517
202114125$6,511
20221173$2,998
2023N/R137$8,371
2024N/R41$2,792

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit218218$124
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more302420$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more125154$53
77080Dxa bone density measurement of hip, pelvis, spine106106$37
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's306436$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban563,704$70,392
JardianceEmpagliflozin251,770$32,260
OzempicSemaglutide12616$18,443
FarxigaDapagliflozin Propanediol21930$16,510
LinzessLinaclotide17870$15,090

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R29$2,363
E1392Portable oxygen concentrator, rentalYN/R12$429

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$247Novo Nordisk 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 Cara-Louise Fox, MD?

Tedicare shows public-source Medicare data for Cara-Louise Fox, MD (NPI 1770807521), 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 Cara-Louise Fox, MD have ACO affiliation data?

Cara-Louise Fox, MD is shown with ACO affiliation data for Silver State ACO LLC (MSSP, ACO ID A2251) and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Cara-Louise Fox, MD?

Cara-Louise Fox, MD is linked to CARSON MEDICAL GROUP PROFESSIONAL CORPORATION (billing NPI 1780694620) in the available physician profile data.

Does Cara-Louise Fox, MD have Open Payments data?

Cara-Louise Fox, MD has 14 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.