Physician

James Peter Caralis, D.O.

According to 2025 Medicare claims, James Caralis, D.O. (NPI: 1902829930) practices cardiac surgery in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Macomb, MI. This provider's primary affiliated billing organization is SILVER PINE MEDICAL GROUP PLC (NPI: 1639105695; TIN: 38-3621355) and primary practice location at 48044-2165. Caralis is affiliated with the The Accountable Care Organization, Ltd. (ACO ID: A2098), participating under the MSSP model.

Caralis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 48 traditional Medicare patients, billed 155 HCPCS/CPT codes, and received $24,228 in Medicare payments. The top billing code was 93970 (Ultrasound study of arm or leg veins with compression and maneuvers). Part D data shows 16 prescription claims totaling $611 in drug costs. Open Payments data shows 2 records totaling $53. 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 from a higher plateau to a lower plateau, from $122,239 to $24,228. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $236 and ending at $611. 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	330	565	$122,239
2016	313	633	$143,846
2017	338	683	$156,577
2018	288	624	$140,142
2019	228	414	$90,776
2020	24	90	$19,572
2021	31	92	$15,925
2022	41	114	$18,346
2023	40	129	$21,180
2024	48	155	$24,228

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	22	37	$236
2016	29	59	$1,316
2017	18	48	$993
2018	25	35	$922
2019	23	41	$894
2020	N/R	22	$367
2021	N/R	42	$690
2022	N/R	25	$783
2023	N/R	25	$1,633
2024	N/R	16	$611

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
93970	Ultrasound study of arm or leg veins with compression and maneuvers	23	23	$143
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$86
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	58	$43

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

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$53	Ethicon 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 James Peter Caralis, D.O.?

Tedicare shows public-source Medicare data for James Peter Caralis, D.O. (NPI 1902829930), 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 James Peter Caralis, D.O. have ACO affiliation data?

James Peter Caralis, D.O. is shown with ACO affiliation data for The Accountable Care Organization, Ltd. (MSSP, ACO ID A2098).

What billing organization is linked to James Peter Caralis, D.O.?

James Peter Caralis, D.O. is linked to SILVER PINE MEDICAL GROUP PLC (billing NPI 1639105695) in the available physician profile data.

Does James Peter Caralis, D.O. have Open Payments data?

James Peter Caralis, D.O. has 2 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.