Physician

Brian Boone, M.D.

According to 2025 Medicare claims, Brian Boone, M.D. (NPI: 1821309683) practices otolaryngology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is SOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA (NPI: 1134153083; TIN: 20-2229599) and primary practice location at 29150-1996. Boone is affiliated with the CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under the REACH model.

Boone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 906 traditional Medicare patients, billed 18,592 HCPCS/CPT codes, and received $272,604 in Medicare payments. The top billing code was 31231 (Diagnostic exam of nasal passages using an endoscope). Part D data shows 776 prescription claims across 318 beneficiaries totaling $18,041 in drug costs, led by Fluticasone Propionate (Fluticasone Propionate). DME data shows 466 claims. Open Payments data shows 2 records totaling $62. 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 $14,240 to $272,604. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, reported payments rose steadily, from $650 to $24,527.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	52	299	$14,240
2016	194	1,125	$75,795
2017	328	3,040	$117,747
2018	644	10,396	$245,708
2019	935	17,429	$438,531
2020	947	22,344	$383,801
2021	1,013	23,048	$445,875
2022	1,089	24,760	$388,175
2023	1,053	22,270	$328,798
2024	906	18,592	$272,604

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	34	59	$2,023
2016	85	234	$8,774
2017	114	321	$17,870
2018	175	621	$35,639
2019	237	689	$34,416
2020	231	677	$42,951
2021	242	640	$33,443
2022	227	556	$39,532
2023	336	880	$29,620
2024	318	776	$18,041

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	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	23	$1,070
2019	70	182	$5,314
2020	175	413	$17,032
2021	161	329	$13,648
2022	173	343	$15,802
2023	138	380	$19,004
2024	157	466	$22,593

* / # = 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
31231	Diagnostic exam of nasal passages using an endoscope	202	227	$133
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	152	152	$126
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	587	1,105	$90
92567	Test to assess middle ear function	200	210	$12
95117	Professional service for multiple injections of allergen	268	2,660	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Fluticasone Propionate	Fluticasone Propionate	390	15,964	$5,109
Epinephrine	Epinephrine	22	262	$3,993
Azelastine Hcl	Azelastine Hcl	118	5,195	$3,091
Ipratropium Bromide	Ipratropium Bromide	39	1,221	$1,086
Omeprazole	Omeprazole	82	2,979	$757

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
A7031	Face mask interface, replacement for full face mask, each	N	23	66	$6,248
A7030	Full face mask used with positive airway pressure device, each	N	23	61	$5,315
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	27	74	$2,904
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	15	$1,774
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	47	$1,472

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$62	GENZYME CORPORATION
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 Brian Boone, M.D.?

Tedicare shows public-source Medicare data for Brian Boone, M.D. (NPI 1821309683), 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 Brian Boone, M.D. have ACO affiliation data?

Brian Boone, M.D. is shown with ACO affiliation data for CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to Brian Boone, M.D.?

Brian Boone, M.D. is linked to SOUTH CAROLINA ENT ALLERGY & SLEEP MEDICINE PA (billing NPI 1134153083) in the available physician profile data.

Does Brian Boone, M.D. have Open Payments data?

Brian Boone, M.D. has 2 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.