Physician

Alfred L Garfall, MD

According to 2025 Medicare claims, Alfred Garfall, MD (NPI: 1902064629) practices hematology/oncology in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Montgomery, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PENN-MEDICAL GROUP (NPI: 1679677975; TIN: 232743545) and primary practice location at 19104-5127.

Garfall's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 211 traditional Medicare patients, billed 925 HCPCS/CPT codes, and received $50,161 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 476 prescription claims across 73 beneficiaries totaling $4,290,491 in drug costs, led by Lenalidomide (Lenalidomide). Open Payments data shows 54 records totaling $499,234. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $383,467 to $4,290,491. 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	53	278	$23,904
2016	100	287	$24,975
2017	201	761	$66,899
2018	178	543	$46,659
2019	186	584	$49,704
2020	164	541	$45,296
2021	186	515	$46,978
2022	200	575	$48,459
2023	191	528	$43,023
2024	211	925	$50,161

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	19	170	$383,467
2016	27	307	$766,369
2017	47	457	$1,412,354
2018	66	478	$2,387,048
2019	63	456	$3,020,973
2020	58	273	$2,121,440
2021	51	251	$2,262,748
2022	67	447	$4,682,135
2023	68	488	$4,146,139
2024	73	476	$4,290,491

DME Billing Trend

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

No connected DME records

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	84	$112
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	244	$72
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	38	116	$63
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	21	24	$44
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	188	317	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lenalidomide	Lenalidomide	119	3,332	$1,770,949
Pomalyst	Pomalidomide	60	1,680	$1,410,608
Revlimid	Lenalidomide	69	1,932	$1,036,133
Gammagard Liquid	Immun Glob G(Igg)/Gly/Iga Ov50	16	448	$33,455
Eliquis	Apixaban	12	480	$9,171

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.	8	$7,278	Janssen Global Services, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	46	$491,956	Hospital Of The Univ Of Penna
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 Alfred L. Garfall, MD?

Tedicare shows public-source Medicare data for Alfred L. Garfall, MD (NPI 1902064629), 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 Alfred L. Garfall, MD have ACO affiliation data?

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

What billing organization is linked to Alfred L. Garfall, MD?

Alfred L. Garfall, MD is linked to UNIVERSITY OF PENN-MEDICAL GROUP (billing NPI 1679677975) in the available physician profile data.

Does Alfred L. Garfall, MD have Open Payments data?

Alfred L. Garfall, MD has 54 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.