Physician

Charles Edwin Hyre, MD

According to 2025 Medicare claims, Charles Hyre, MD (NPI: 1811964406) practices general surgery in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is VALLEY PHYSICIAN ENTERPRISE, INC (NPI: 1538316203; TIN: 262767279) and primary practice location at 22601-2808. Hyre is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Hyre's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 356 traditional Medicare patients, billed 2,531 HCPCS/CPT codes, and received $311,308 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 689 prescription claims across 268 beneficiaries totaling $23,271 in drug costs, led by Lubiprostone (Lubiprostone). DME data shows 362 claims. Open Payments data shows 29 records totaling $2,559. 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 up and down with repeated peaks and valleys, starting at $189,122 and ending at $311,308. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $15,818 and ending at $27,550.

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$263K$526K2015 Medicare payment: $189,122 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $201,994 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $288,765 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $525,661 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $203,759 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $180,836 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $177,285 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $153,118 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $179,549 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $311,308 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154731,417$189,122
20164581,521$201,994
20174902,210$288,765
20184994,363$525,661
20194931,391$203,759
20204531,116$180,836
20213901,138$177,285
20223451,046$153,118
20233801,103$179,549
20243562,531$311,308

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$26K$52K2015 Drug cost: $16,289 (USD; Tot_Drug_Cst)2016 Drug cost: $24,364 (USD; Tot_Drug_Cst)2017 Drug cost: $37,550 (USD; Tot_Drug_Cst)2018 Drug cost: $32,565 (USD; Tot_Drug_Cst)2019 Drug cost: $29,237 (USD; Tot_Drug_Cst)2020 Drug cost: $51,765 (USD; Tot_Drug_Cst)2021 Drug cost: $28,991 (USD; Tot_Drug_Cst)2022 Drug cost: $31,825 (USD; Tot_Drug_Cst)2023 Drug cost: $36,490 (USD; Tot_Drug_Cst)2024 Drug cost: $23,271 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015167522$16,289
2016216696$24,364
2017208666$37,550
2018233793$32,565
2019200628$29,237
2020227709$51,765
2021237641$28,991
2022226641$31,825
2023235678$36,490
2024268689$23,271

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$48K$96K2016 Medicare payment: $34,640 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $18,314 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $88,422 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $8,317 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $28,104 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $12,978 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $570 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $93,671 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $96,357 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R115$34,640
2017N/R110$18,314
2018N/R265$88,422
2019N/R111$8,317
2020N/R150$28,104
2021N/R40$12,978
2022N/R33$570
2023N/R270$93,671
2024N/R362$96,357

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4444$121
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes4347$99
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6371$88
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more7272$72
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more101164$62

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LubiprostoneLubiprostone12341$795
SucralfateSucralfate301,080$768
Pantoprazole SodiumPantoprazole Sodium352,376$614
Dicyclomine HclDicyclomine Hcl21750$573
Oxycodone HclOxycodone Hcl197569$475

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
B4199Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premixNN/R12$30,170
B4197Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premixNN/R13$19,370
B4185Parenteral nutrition solution, not otherwise specified, 10 grams lipidsNN/R31$11,039
E2402Negative pressure wound therapy electrical pump, stationary or portableYN/R13$8,495
B4224Parenteral nutrition administration kit, per dayNN/R46$7,665

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.29$2,559Smith+Nephew, 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 Charles Edwin Hyre, MD?

Tedicare shows public-source Medicare data for Charles Edwin Hyre, MD (NPI 1811964406), 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 Charles Edwin Hyre, MD have ACO affiliation data?

Charles Edwin Hyre, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Charles Edwin Hyre, MD?

Charles Edwin Hyre, MD is linked to VALLEY PHYSICIAN ENTERPRISE, INC (billing NPI 1538316203) in the available physician profile data.

Does Charles Edwin Hyre, MD have Open Payments data?

Charles Edwin Hyre, MD has 29 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.