Physician

Patrick Gregory Hall, M.D.

According to 2025 Medicare claims, Patrick Hall, M.D. (NPI: 1861497364) practices orthopedic surgery in the Duluth, MN-WI market, with the plurality of this provider's patient population coming from St. Louis, MN. This provider's primary affiliated billing organization is ORTHOPEDIC ASSOCIATES OF DULUTH, P.A. (NPI: 1225033715; TIN: 410954165) and primary practice location at 55812-2127. Hall is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Hall's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 160 traditional Medicare patients, billed 1,063 HCPCS/CPT codes, and received $65,623 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 33 prescription claims across 28 beneficiaries totaling $295 in drug costs. 2018 DME data shows 13 claims. Open Payments data shows 4 records totaling $215. 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 declined steadily, from $104,488 to $65,623. Similarly, Part D prescription costs have declined steadily, from $8,459 to $295. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $2,312 to $557.

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$56K$113K2015 Medicare payment: $104,488 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $112,945 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $107,919 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $103,367 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $96,720 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $82,548 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $66,182 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $73,205 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $57,382 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $65,623 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153011,546$104,488
20163112,052$112,945
20172941,777$107,919
20182351,450$103,367
20192151,317$96,720
20201981,489$82,548
2021188878$66,182
20222081,092$73,205
2023174922$57,382
20241601,063$65,623

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$4.2K$8.5K2015 Drug cost: $8,459 (USD; Tot_Drug_Cst)2016 Drug cost: $6,558 (USD; Tot_Drug_Cst)2017 Drug cost: $4,952 (USD; Tot_Drug_Cst)2018 Drug cost: $6,115 (USD; Tot_Drug_Cst)2019 Drug cost: $3,926 (USD; Tot_Drug_Cst)2020 Drug cost: $4,610 (USD; Tot_Drug_Cst)2021 Drug cost: $2,113 (USD; Tot_Drug_Cst)2022 Drug cost: $753 (USD; Tot_Drug_Cst)2023 Drug cost: $884 (USD; Tot_Drug_Cst)2024 Drug cost: $295 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015147269$8,459
2016178345$6,558
2017170374$4,952
2018147275$6,115
2019182318$3,926
2020162294$4,610
2021120171$2,113
20226883$753
20234454$884
20242833$295

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$372$7442015 Medicare payment: $744 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $660 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R32$744
2016N/RN/RN/R
2017N/RN/RN/R
20181113$660
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5661$91
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4350$61
20610Aspiration and/or injection of fluid from large joint4560$44
73562X-ray of knee, 3 views4350$32
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg51296$1

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.4$215Zimmer Biomet Holdings, 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 Patrick Gregory Hall, M.D.?

Tedicare shows public-source Medicare data for Patrick Gregory Hall, M.D. (NPI 1861497364), 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 Patrick Gregory Hall, M.D. have ACO affiliation data?

Patrick Gregory Hall, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and Essentia Health ACO, Inc. (MSSP, ACO ID A5617).

What billing organization is linked to Patrick Gregory Hall, M.D.?

Patrick Gregory Hall, M.D. is linked to ORTHOPEDIC ASSOCIATES OF DULUTH, P.A. (billing NPI 1225033715) in the available physician profile data.

Does Patrick Gregory Hall, M.D. have Open Payments data?

Patrick Gregory Hall, M.D. has 4 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.