Physician

Shawn A Stussy, MD

According to 2025 Medicare claims, Shawn Stussy, MD (NPI: 1821082835) practices family practice in the Texarkana, TX-AR market, with the plurality of this provider's patient population coming from Bowie, TX. This provider's primary affiliated billing organization is FAMILY MEDICAL GROUP OF TEXARKANA (NPI: 1831233766; TIN: 200365313) and primary practice location at 75503-4625. Stussy is affiliated with the Prime Care Managers, LLC (ACO ID: A3280), participating under the MSSP model.

Stussy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 696 traditional Medicare patients, billed 17,174 HCPCS/CPT codes, and received $234,744 in Medicare payments. The top billing code was 84443 (Blood test, thyroid stimulating hormone (tsh)). Part D data shows 22,991 prescription claims across 1,132 beneficiaries totaling $1,419,497 in drug costs, led by Eliquis (Apixaban). DME data shows 1,025 claims. Open Payments data shows 62 records totaling $902. 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 risen steadily, from $149,030 to $234,744. Similarly, Part D prescription costs have risen steadily, from $621,805 to $1,419,497. For DME billing, reported payments moved sharply higher in recent years, from $55,341 to $104,932.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	692	22,754	$149,030
2016	745	25,540	$172,851
2017	701	25,868	$170,004
2018	600	22,445	$161,218
2019	672	20,951	$173,053
2020	749	18,375	$252,043
2021	768	21,536	$237,340
2022	779	16,546	$270,155
2023	768	17,628	$275,027
2024	696	17,174	$234,744

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	595	14,499	$621,805
2016	629	15,537	$660,756
2017	664	16,666	$671,511
2018	661	16,344	$751,291
2019	729	16,404	$710,478
2020	762	17,672	$799,725
2021	877	17,901	$839,185
2022	961	19,050	$946,525
2023	966	19,907	$1,185,772
2024	1,132	22,991	$1,419,497

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	358	1,197	$48,938
2016	304	1,157	$32,373
2017	310	1,088	$31,558
2018	281	1,324	$42,462
2019	348	1,493	$53,164
2020	287	1,420	$67,257
2021	261	1,248	$66,324
2022	269	1,049	$62,395
2023	311	1,199	$81,603
2024	326	1,025	$80,380

* / # = 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
84443	Blood test, thyroid stimulating hormone (tsh)	397	428	$16
80053	Blood test, comprehensive group of blood chemicals	431	486	$10
36415	Insertion of needle into vein for collection of blood sample	546	1,285	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	426	544	$8
81001	Manual urinalysis test with examination using microscope, automated	462	561	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	240	10,424	$196,756
Farxiga	Dapagliflozin Propanediol	281	10,922	$195,224
Mounjaro	Tirzepatide	153	4,732	$173,845
Ozempic	Semaglutide	85	3,026	$84,143
Trulicity	Dulaglutide	44	1,742	$54,381

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	29	123	$46,185
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	12	91	$5,984
A7032	Cushion for use on nasal mask interface, replacement only, each	N	21	44	$4,135
A7031	Face mask interface, replacement for full face mask, each	N	25	48	$4,041
A7030	Full face mask used with positive airway pressure device, each	N	23	46	$3,702

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	62	$902	ABBVIE 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 Shawn A. Stussy, MD?

Tedicare shows public-source Medicare data for Shawn A. Stussy, MD (NPI 1821082835), 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 Shawn A. Stussy, MD have ACO affiliation data?

Shawn A. Stussy, MD is shown with ACO affiliation data for Prime Care Managers, LLC (MSSP, ACO ID A3280).

What billing organization is linked to Shawn A. Stussy, MD?

Shawn A. Stussy, MD is linked to FAMILY MEDICAL GROUP OF TEXARKANA (billing NPI 1831233766) in the available physician profile data.

Does Shawn A. Stussy, MD have Open Payments data?

Shawn A. Stussy, MD has 62 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.