Physician

Scott Martin Andes, D.O.

According to 2025 Medicare claims, Scott Andes, D.O. (NPI: 1891803037) practices internal medicine in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Kings, NY. This provider's primary affiliated billing organization is VANTAGE MEDICAL ASSOCIATES PC (NPI: 1538642996; TIN: 831750325) and primary practice location at 11691-4001. Andes is affiliated with the Sunflower ACO LLC (ACO ID: A5499) and Complete Care Collaborative of the Midwest (ACO ID: D0334), participating under both the MSSP and REACH models.

Andes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 10,499 traditional Medicare patients, billed 44,956 HCPCS/CPT codes, and received $2,996,707 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 22,569 prescription claims across 1,041 beneficiaries totaling $5,756,293 in drug costs, led by Diclofenac Sodium (Diclofenac Sodium). DME data shows 1,062 claims. Open Payments data shows 106 records totaling $2,092. 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 moved sharply higher in recent years, from $75,924 to $2,996,707. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $11,347 and ending at $67,158.

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$1.5M$3.0M2015 Medicare payment: $75,924 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $84,096 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $80,987 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $84,648 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $94,200 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $84,887 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $69,376 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $26,446 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $72,001 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,996,707 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015241901$75,924
20162571,299$84,096
20172561,286$80,987
20182391,366$84,648
20192451,448$94,200
20202011,461$84,887
20212201,043$69,376
2022118424$26,446
20234551,184$72,001
202410,49944,956$2,996,707

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$2.9M$5.8M2015 Drug cost: $646,564 (USD; Tot_Drug_Cst)2016 Drug cost: $787,338 (USD; Tot_Drug_Cst)2017 Drug cost: $893,630 (USD; Tot_Drug_Cst)2018 Drug cost: $890,185 (USD; Tot_Drug_Cst)2019 Drug cost: $732,983 (USD; Tot_Drug_Cst)2020 Drug cost: $655,934 (USD; Tot_Drug_Cst)2021 Drug cost: $881,967 (USD; Tot_Drug_Cst)2022 Drug cost: $878,208 (USD; Tot_Drug_Cst)2023 Drug cost: $1,170,407 (USD; Tot_Drug_Cst)2024 Drug cost: $5,756,293 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154527,275$646,564
20165287,327$787,338
20176428,300$893,630
20186068,652$890,185
20194877,079$732,983
20204056,597$655,934
20214876,673$881,967
20225345,770$878,208
20235667,459$1,170,407
20241,04122,569$5,756,293

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$55K$109K2015 Medicare payment: $14,200 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $6,533 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $12,482 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $16,077 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $9,336 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,244 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,542 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $6,177 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $38,243 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $109,311 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201514245$14,200
201618183$6,533
201733419$12,482
201837380$16,077
201935328$9,336
202018220$6,244
202114149$3,542
2022N/R150$6,177
2023156289$38,243
20245251,062$109,311

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1,8911,891$115
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2,2604,051$95
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month2,0625,340$76
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more5,8815,883$65
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2,7744,496$57

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Diclofenac SodiumDiclofenac Sodium1,11438,241$653,261
MounjaroTirzepatide48015,968$567,716
CreonLipase/Protease/Amylase2729,224$412,909
OzempicSemaglutide2277,662$245,528
LinzessLinaclotide35311,730$197,227

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN21142$33,265
L0627Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseN5757$21,096
L1820Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertiseN5757$14,155
L1831Knee orthosis, locking knee joint(s), positional orthosis, prefabricated, includes fitting and adjustmentN1515$7,685
L3809Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any typeN1212$4,082

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.106$2,092ABBVIE 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 Scott Martin Andes, D.O.?

Tedicare shows public-source Medicare data for Scott Martin Andes, D.O. (NPI 1891803037), 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 Scott Martin Andes, D.O. have ACO affiliation data?

Scott Martin Andes, D.O. is shown with ACO affiliation data for Sunflower ACO LLC (MSSP, ACO ID A5499) and Complete Care Collaborative of the Midwest (REACH, ACO ID D0334).

What billing organization is linked to Scott Martin Andes, D.O.?

Scott Martin Andes, D.O. is linked to VANTAGE MEDICAL ASSOCIATES PC (billing NPI 1538642996) in the available physician profile data.

Does Scott Martin Andes, D.O. have Open Payments data?

Scott Martin Andes, D.O. has 106 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.