Physician

Robert A Lupo, MD

According to 2025 Medicare claims, Robert Lupo, MD (NPI: 1902861321) practices orthopedic surgery in the Erie, PA market, with the plurality of this provider's patient population coming from Erie, PA. This provider's primary affiliated billing organization is ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC (NPI: 1902881477; TIN: 251679140) and primary practice location at 16544-0002. Lupo is affiliated with the Physician Partners of Western PA LLC (ACO ID: A3547), participating under the MSSP model.

Lupo's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 445 traditional Medicare patients, billed 3,326 HCPCS/CPT codes, and received $254,112 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 546 prescription claims across 368 beneficiaries totaling $3,877 in drug costs, led by Diclofenac Sodium (Diclofenac Sodium). 2022 DME data shows 11 claims. Open Payments data shows 4 records totaling $133. 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 risen steadily, from $127,955 to $254,112. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $9,808 and ending at $3,877. For DME billing, reported payments fell sharply in recent years, from $734 to $3,555.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	343	1,628	$127,955
2016	422	1,686	$156,160
2017	418	1,897	$176,292
2018	391	1,565	$158,179
2019	499	2,301	$226,693
2020	393	1,598	$191,379
2021	419	1,969	$208,998
2022	516	3,191	$244,285
2023	487	3,569	$251,233
2024	445	3,326	$254,112

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	165	318	$9,808
2016	184	345	$5,451
2017	197	368	$5,965
2018	157	234	$4,095
2019	142	174	$2,487
2020	164	190	$2,254
2021	220	287	$3,708
2022	310	464	$5,190
2023	336	527	$6,690
2024	368	546	$3,877

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	13	13	$1,216
2018	N/R	29	$534
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	11	11	$587
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	122	122	$111
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	198	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	124	140	$63
73562	X-ray of knee, 3 views	167	244	$28
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	149	1,775	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Diclofenac Sodium	Diclofenac Sodium	28	784	$1,254
Oxycodone Hcl	Oxycodone Hcl	280	1,951	$1,015
Celecoxib	Celecoxib	17	510	$806
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	30	192	$268
Meloxicam	Meloxicam	132	4,362	$216

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.	4	$133	Stryker Corporation
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 Robert A. Lupo, MD?

Tedicare shows public-source Medicare data for Robert A. Lupo, MD (NPI 1902861321), 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 Robert A. Lupo, MD have ACO affiliation data?

Robert A. Lupo, MD is shown with ACO affiliation data for Physician Partners of Western PA LLC (MSSP, ACO ID A3547).

What billing organization is linked to Robert A. Lupo, MD?

Robert A. Lupo, MD is linked to ST VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE INC (billing NPI 1902881477) in the available physician profile data.

Does Robert A. Lupo, MD have Open Payments data?

Robert A. Lupo, MD 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.