Physician

Howard Roy Cohen, MD

According to 2025 Medicare claims, Howard Cohen, MD (NPI: 1790786499) practices internal medicine 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 HOWARD ROY COHEN M.D., LLC (NPI: 1669032512; TIN: 841924395) and primary practice location at 17011-2204.

Cohen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 382 traditional Medicare patients, billed 4,485 HCPCS/CPT codes, and received $358,655 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 6,115 prescription claims across 411 beneficiaries totaling $643,978 in drug costs, led by Eliquis (Apixaban). DME data shows 127 claims. Open Payments data shows 4 records totaling $66. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $37,592 and ending at $25,535.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	529	6,370	$455,787
2016	562	6,426	$549,010
2017	503	5,839	$459,762
2018	498	6,577	$496,064
2019	481	6,520	$550,604
2020	445	6,421	$604,060
2021	425	5,560	$456,555
2022	427	6,126	$495,939
2023	399	3,505	$228,344
2024	382	4,485	$358,655

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	450	7,074	$535,323
2016	454	7,323	$506,891
2017	451	6,885	$495,828
2018	444	7,043	$548,455
2019	444	7,150	$578,731
2020	430	6,781	$635,113
2021	434	6,368	$670,351
2022	440	6,466	$748,368
2023	411	5,999	$766,165
2024	411	6,115	$643,978

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	56	462	$45,968
2016	59	555	$23,002
2017	18	397	$17,978
2018	16	285	$13,827
2019	12	266	$35,441
2020	27	423	$35,562
2021	11	321	$15,070
2022	N/R	234	$14,226
2023	N/R	196	$20,509
2024	11	127	$19,593

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	141	141	$132
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	399	$91
G0442	Annual alcohol misuse screening, 5 to 15 minutes	137	137	$19
G0444	Annual depression screening, 5 to 15 minutes	144	144	$19
36415	Insertion of needle into vein for collection of blood sample	171	283	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	158	9,598	$176,182
Jardiance	Empagliflozin	45	3,450	$62,319
Ozempic	Semaglutide	23	980	$29,052
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	24	1,140	$22,076
Entresto	Sacubitril/Valsartan	15	990	$20,819

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	11	54	$17,646
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$812
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	12	$516
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	17	$237
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	18	$236

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$66	Novo Nordisk 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 Howard Roy Cohen, MD?

Tedicare shows public-source Medicare data for Howard Roy Cohen, MD (NPI 1790786499), 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 Howard Roy Cohen, MD have ACO affiliation data?

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

What billing organization is linked to Howard Roy Cohen, MD?

Howard Roy Cohen, MD is linked to HOWARD ROY COHEN M.D., LLC (billing NPI 1669032512) in the available physician profile data.

Does Howard Roy Cohen, MD have Open Payments data?

Howard Roy Cohen, MD has 4 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.