Physician

Andrew Perez, M.D.

According to 2025 Medicare claims, Andrew Perez, M.D. (NPI: 1801856125) practices critical care (intensivists) in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is ST CLAIR MEDICAL SERVICES INC (NPI: 1386295756; TIN: 251876056) and primary practice location at 15243-1873. Perez is affiliated with the Bridges Health Partners Accountable Care Organization (ACO ID: A3919), participating under the MSSP model.

Perez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 273 traditional Medicare patients, billed 752 HCPCS/CPT codes, and received $53,346 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,139 prescription claims across 281 beneficiaries totaling $1,321,096 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 941 claims. Open Payments data shows 40 records totaling $851. 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 declined steadily, from $99,219 to $53,346. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $399,190 to $1,321,096. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $16,411 to $55,605.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	461	1,337	$99,219
2016	459	1,396	$105,092
2017	433	1,210	$89,198
2018	380	1,051	$73,259
2019	497	1,434	$100,369
2020	441	1,168	$78,629
2021	446	1,211	$86,029
2022	445	1,194	$78,770
2023	352	986	$74,568
2024	273	752	$53,346

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	207	1,162	$399,190
2016	210	1,306	$525,271
2017	212	1,475	$631,483
2018	249	1,601	$732,021
2019	320	2,095	$1,183,003
2020	334	2,507	$1,347,218
2021	302	2,216	$948,611
2022	317	2,425	$1,219,693
2023	333	2,521	$1,430,132
2024	281	2,139	$1,321,096

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	16	299	$11,789
2016	29	352	$12,999
2017	79	591	$18,268
2018	78	672	$31,875
2019	198	836	$60,637
2020	251	1,263	$100,469
2021	229	1,028	$82,540
2022	228	951	$69,587
2023	246	1,134	$65,984
2024	238	941	$50,887

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	76	$92
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	106	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	89	103	$59
94727	Test to determine lung volumes using gas dilution or washout	48	51	$9
94729	Test to examine how well the lungs exchange gases	48	50	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	419	16,770	$342,710
Pirfenidone	Pirfenidone	25	727	$210,551
Prolastin C	Alpha-1-Proteinase Inhibitor	14	378	$136,029
Xolair	Omalizumab	20	784	$93,360
Nucala	Mepolizumab	18	672	$87,292

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	23	202	$13,725
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,139
E1392	Portable oxygen concentrator, rental	Y	13	118	$3,738
A7031	Face mask interface, replacement for full face mask, each	N	15	39	$3,495
A7030	Full face mask used with positive airway pressure device, each	N	15	37	$3,144

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	40	$851	GlaxoSmithKline, LLC.
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 Andrew Perez, M.D.?

Tedicare shows public-source Medicare data for Andrew Perez, M.D. (NPI 1801856125), 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 Andrew Perez, M.D. have ACO affiliation data?

Andrew Perez, M.D. is shown with ACO affiliation data for Bridges Health Partners Accountable Care Organization (MSSP, ACO ID A3919).

What billing organization is linked to Andrew Perez, M.D.?

Andrew Perez, M.D. is linked to ST CLAIR MEDICAL SERVICES INC (billing NPI 1386295756) in the available physician profile data.

Does Andrew Perez, M.D. have Open Payments data?

Andrew Perez, M.D. has 40 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.