Physician

John A Pablo, M.D.

According to 2025 Medicare claims, John Pablo, M.D. (NPI: 1831237148) practices radiation oncology in the Hilton Head Island-Bluffton-Port Royal, SC market, with the plurality of this provider's patient population coming from Beaufort, SC. This provider's primary affiliated billing organization is SJC ONCOLOGY SERVICES-SOUTH CAROLINA, LLC (NPI: 1306055025; TIN: 581894698) and primary practice location at 29910-5154.

Pablo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 788 traditional Medicare patients, billed 4,847 HCPCS/CPT codes, and received $574,241 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 243 prescription claims across 96 beneficiaries totaling $6,003 in drug costs, led by Cevimeline Hcl (Cevimeline Hcl). 2020 DME data shows 39 claims. Open Payments data shows 17 records totaling $6,120. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,895 and ending at $6,003. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	495	3,261	$316,045
2016	622	3,757	$428,002
2017	650	4,367	$485,337
2018	664	3,501	$379,090
2019	711	3,911	$437,650
2020	733	3,821	$495,541
2021	679	3,206	$445,866
2022	723	3,049	$457,842
2023	704	3,744	$474,781
2024	788	4,847	$574,241

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	75	165	$5,895
2016	71	191	$4,974
2017	76	232	$7,357
2018	76	216	$7,414
2019	64	182	$3,899
2020	85	213	$6,761
2021	88	199	$7,138
2022	89	205	$5,108
2023	87	219	$3,819
2024	96	243	$6,003

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	38	$5,445
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	12	$1,505
2019	N/R	11	$713
2020	N/R	39	$5,055
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	146	146	$143
77427	Radiation treatment management, 5 treatment sessions	137	395	$140
77263	Complex radiation therapy planning	169	177	$123
77014	Ct guidance for insertion of radiation therapy fields	220	1,000	$52
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	305	375	$51

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Cevimeline Hcl	Cevimeline Hcl	13	390	$1,814
Pilocarpine Hcl	Pilocarpine Hcl	11	570	$1,630
Tamsulosin Hcl	Tamsulosin Hcl	120	7,059	$1,090
Pentoxifylline	Pentoxifylline	15	510	$291
Ciprofloxacin Hcl	Ciprofloxacin Hcl	11	60	$32

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	16	$520	ABIOMED
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$5,600	PFIZER INC.
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 John A. Pablo, M.D.?

Tedicare shows public-source Medicare data for John A. Pablo, M.D. (NPI 1831237148), 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 John A. Pablo, M.D. have ACO affiliation data?

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

What billing organization is linked to John A. Pablo, M.D.?

John A. Pablo, M.D. is linked to SJC ONCOLOGY SERVICES-SOUTH CAROLINA, LLC (billing NPI 1306055025) in the available physician profile data.

Does John A. Pablo, M.D. have Open Payments data?

John A. Pablo, M.D. has 17 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.