Physician

None

According to 2025 Medicare claims, NPI 1861437717 (NPI: 1861437717) practices rheumatology in the Atlantic City-Hammonton, NJ market, with the plurality of this provider's patient population coming from Atlantic, NJ. 1861437717 uses personal NPI as billing NPI and primary practice location at 08221-1023.

1861437717's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 479 traditional Medicare patients, billed 99,881 HCPCS/CPT codes, and received $909,659 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 2,137 prescription claims across 288 beneficiaries totaling $2,549,994 in drug costs, led by Enbrel Sureclick (Etanercept). 2023 DME data shows 12 claims. Open Payments data shows 53 records totaling $1,059. 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 risen steadily, from $1,777,517 to $2,549,994. 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	875	63,023	$626,926
2016	814	83,230	$687,951
2017	757	123,131	$859,925
2018	739	123,256	$913,361
2019	646	100,959	$854,426
2020	579	106,977	$926,507
2021	584	111,522	$931,038
2022	532	110,399	$911,673
2023	531	109,860	$977,794
2024	479	99,881	$909,659

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	553	4,086	$1,777,517
2016	517	3,739	$1,712,646
2017	500	3,660	$1,788,416
2018	488	3,400	$1,721,739
2019	454	3,139	$1,759,188
2020	428	3,028	$2,153,105
2021	410	2,877	$2,256,201
2022	372	2,561	$2,146,093
2023	329	2,326	$2,495,154
2024	288	2,137	$2,549,994

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	17	$278
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	12	$2,792
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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	273	629	$60
20610	Aspiration and/or injection of fluid from large joint	54	133	$53
96401	Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	278	781	$51
J0897	Injection, denosumab, 1 mg	258	26,880	$21
J1010	Injection, methylprednisolone acetate, 1 mg	74	4,800	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	96	3,136	$810,505
Enbrel	Etanercept	58	2,044	$523,890
Xeljanz Xr	Tofacitinib Citrate	53	1,590	$293,898
Rinvoq	Upadacitinib	25	750	$152,858
Humira(Cf) Pen	Adalimumab	22	616	$150,750

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.	53	$1,059	Janssen Biotech, 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 NPI 1861437717?

Tedicare shows public-source Medicare data for NPI 1861437717 (NPI 1861437717), 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 NPI 1861437717 have ACO affiliation data?

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

What billing organization is linked to NPI 1861437717?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does NPI 1861437717 have Open Payments data?

NPI 1861437717 has 53 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.