Physician

Donald Anthony St. Claire, M.D.

According to 2025 Medicare claims, Donald Claire, M.D. (NPI: 1790719268) practices interventional cardiology in the San Francisco-San Mateo-Redwood City, CA market, with the plurality of this provider's patient population coming from San Mateo, CA. This provider's primary affiliated billing organization is SUTTER BAY MEDICAL FOUNDATION (NPI: 1013950807; TIN: 941156581) and primary practice location at 94062-2850. Claire is affiliated with the Sutter Medicare Direct (ACO ID: A5279), participating under the MSSP model.

Claire's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,813 traditional Medicare patients, billed 7,011 HCPCS/CPT codes, and received $735,755 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 5,820 prescription claims across 730 beneficiaries totaling $1,324,341 in drug costs, led by Eliquis (Apixaban). 2020 DME data shows 11 claims. Open Payments data shows 1 records totaling $26. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $367,209 to $1,324,341. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $4,561 to $661.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,097	6,204	$652,033
2016	1,125	5,812	$572,978
2017	1,142	6,198	$622,223
2018	1,100	6,559	$633,750
2019	1,075	6,544	$659,326
2020	940	5,653	$596,891
2021	1,194	5,657	$757,678
2022	1,479	5,386	$651,367
2023	1,823	6,434	$778,400
2024	1,813	7,011	$735,755

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	380	3,527	$367,209
2016	394	3,555	$412,079
2017	459	3,915	$466,208
2018	498	4,553	$561,136
2019	526	4,658	$595,796
2020	540	4,897	$661,858
2021	567	5,001	$795,061
2022	619	4,829	$897,970
2023	686	5,553	$1,186,858
2024	730	5,820	$1,324,341

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	81	$3,341
2017	N/R	19	$1,098
2018	N/R	15	$855
2019	N/R	24	$1,284
2020	N/R	11	$661
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	491	561	$169
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	424	755	$162
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	508	$116
G2211	Visit 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's	555	729	$15
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	732	1,183	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	379	27,180	$518,858
Jardiance	Empagliflozin	116	9,030	$174,895
Xarelto	Rivaroxaban	104	8,125	$147,769
Repatha Sureclick	Evolocumab	103	6,428	$119,531
Praluent Pen	Alirocumab	95	6,094	$103,183

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$26	Medtronic, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Donald Anthony St. Claire, M.D.?

Tedicare shows public-source Medicare data for Donald Anthony St. Claire, M.D. (NPI 1790719268), 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 Donald Anthony St. Claire, M.D. have ACO affiliation data?

Donald Anthony St. Claire, M.D. is shown with ACO affiliation data for Sutter Medicare Direct (MSSP, ACO ID A5279).

What billing organization is linked to Donald Anthony St. Claire, M.D.?

Donald Anthony St. Claire, M.D. is linked to SUTTER BAY MEDICAL FOUNDATION (billing NPI 1013950807) in the available physician profile data.

Does Donald Anthony St. Claire, M.D. have Open Payments data?

Donald Anthony St. Claire, M.D. has 1 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.