Physician

Anthony E Defelice, D.O.

According to 2025 Medicare claims, Anthony Defelice, D.O. (NPI: 1902831043) practices orthopedic surgery in the Pittsfield, MA market, with the plurality of this provider's patient population coming from Berkshire, MA. This provider's primary affiliated billing organization is BERKSHIRE ORTHOPAEDIC ASSOCIATES, INC. (NPI: 1720117047; TIN: 043017240) and primary practice location at 01201-9998. Defelice is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Defelice's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 875 traditional Medicare patients, billed 12,720 HCPCS/CPT codes, and received $316,943 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 54 prescription claims across 31 beneficiaries totaling $295 in drug costs. DME data shows 23 claims. Open Payments data shows 8 records totaling $1,909. 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 started with an early spike, then settled into a lower baseline, moving from $4,253 to $295. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $9,334 and ending at $4,238.

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$184K$369K2015 Medicare payment: $327,924 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $339,949 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $362,023 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $368,892 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $317,250 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $271,200 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $303,359 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $342,360 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $313,761 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $316,943 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157747,212$327,924
20168516,458$339,949
20179235,508$362,023
20189125,665$368,892
20197315,373$317,250
20206624,859$271,200
20217647,076$303,359
202278610,109$342,360
202384313,160$313,761
202487512,720$316,943

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$2.1K$4.3K2015 Drug cost: $4,253 (USD; Tot_Drug_Cst)2016 Drug cost: $1,919 (USD; Tot_Drug_Cst)2017 Drug cost: $1,608 (USD; Tot_Drug_Cst)2018 Drug cost: $1,463 (USD; Tot_Drug_Cst)2019 Drug cost: $891 (USD; Tot_Drug_Cst)2020 Drug cost: $1,469 (USD; Tot_Drug_Cst)2021 Drug cost: $1,358 (USD; Tot_Drug_Cst)2022 Drug cost: $669 (USD; Tot_Drug_Cst)2023 Drug cost: $478 (USD; Tot_Drug_Cst)2024 Drug cost: $295 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015100235$4,253
201691192$1,919
201788158$1,608
201871131$1,463
201969103$891
202057112$1,469
20215274$1,358
20223755$669
20233344$478
20243154$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$631$1.3K2015 Medicare payment: $1,263 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $153 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $271 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,223 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $530 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151414$1,263
2016N/RN/RN/R
2017N/R13$153
2018N/R21$271
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20221425$1,223
2023N/RN/RN/R
20241123$530

* / # = 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 more287332$99
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more517821$69
20610Aspiration and/or injection of fluid from large joint339482$56
73562X-ray of knee, 3 views248309$31
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg2841,653$5

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

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0143Walker, folding, wheeled, adjustable or fixed heightN1111$453
E0149Walker, heavy duty, wheeled, rigid or folding, any typeYN/R12$78

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.8$1,909Smith+Nephew, 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 Anthony E. Defelice, D.O.?

Tedicare shows public-source Medicare data for Anthony E. Defelice, D.O. (NPI 1902831043), 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 Anthony E. Defelice, D.O. have ACO affiliation data?

Anthony E. Defelice, D.O. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Anthony E. Defelice, D.O.?

Anthony E. Defelice, D.O. is linked to BERKSHIRE ORTHOPAEDIC ASSOCIATES, INC. (billing NPI 1720117047) in the available physician profile data.

Does Anthony E. Defelice, D.O. have Open Payments data?

Anthony E. Defelice, D.O. has 8 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.