Physician

Gerald Joseph Calegan, MD

According to 2025 Medicare claims, Gerald Calegan, MD (NPI: 1902873516) practices neurology in the Baton Rouge, LA market, with the plurality of this provider's patient population coming from E. Baton Rouge, LA. This provider's primary affiliated billing organization is NEUROMEDICAL CENTER (NPI: 1740216399; TIN: 720827144) and primary practice location at 70810-1685.

Calegan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 560 traditional Medicare patients, billed 37,954 HCPCS/CPT codes, and received $279,965 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 6,146 prescription claims across 829 beneficiaries totaling $4,927,184 in drug costs, led by Nuplazid (Pimavanserin Tartrate). DME data shows 50 claims. Open Payments data shows 396 records totaling $57,423. 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 have moved from a lower plateau to a higher plateau, from $1,244,482 to $4,927,184. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $5,831 and ending at $45,822.

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$140K$280K2015 Medicare payment: $226,310 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $234,393 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $211,945 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $266,449 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $227,702 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $214,284 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $216,335 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $230,407 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $239,332 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $279,965 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201575216,695$226,310
201678718,242$234,393
201775217,783$211,945
201880724,330$266,449
201971820,230$227,702
202063221,877$214,284
202155523,592$216,335
202249828,972$230,407
202351030,142$239,332
202456037,954$279,965

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$2.5M$4.9M2015 Drug cost: $1,244,482 (USD; Tot_Drug_Cst)2016 Drug cost: $1,295,250 (USD; Tot_Drug_Cst)2017 Drug cost: $1,244,319 (USD; Tot_Drug_Cst)2018 Drug cost: $1,615,642 (USD; Tot_Drug_Cst)2019 Drug cost: $2,404,983 (USD; Tot_Drug_Cst)2020 Drug cost: $2,893,241 (USD; Tot_Drug_Cst)2021 Drug cost: $3,156,882 (USD; Tot_Drug_Cst)2022 Drug cost: $3,237,354 (USD; Tot_Drug_Cst)2023 Drug cost: $3,631,265 (USD; Tot_Drug_Cst)2024 Drug cost: $4,927,184 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155484,824$1,244,482
20165715,055$1,295,250
20176035,584$1,244,319
20186515,854$1,615,642
20196314,804$2,404,983
20206034,422$2,893,241
20216614,373$3,156,882
20226644,639$3,237,354
20237485,300$3,631,265
20248296,146$4,927,184

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$40K$80K2015 Medicare payment: $4,845 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $5,271 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $900 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,050 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,116 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $78,464 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $75,303 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $75,076 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $78,537 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $80,341 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20152638$4,845
20162537$5,271
2017N/R31$900
2018N/R52$1,050
2019N/R25$1,116
2020N/R122$78,464
2021N/R39$75,303
2022N/R39$75,076
2023N/R50$78,537
2024N/R50$80,341

* / # = 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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more119119$148
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more158190$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more266359$56
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month139282$47
G2211Visit 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's319423$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
NuplazidPimavanserin Tartrate45913,749$2,248,196
RytaryCarbidopa/Levodopa41017,764$449,908
AustedoDeutetrabenazine351,035$426,677
Austedo XrDeutetrabenazine32960$366,168
IngrezzaValbenazine Tosylate381,140$311,550

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7340Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 mlNN/R13$65,943
A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)NN/R13$13,306
A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)NN/R13$1,000
A7038Filter, disposable, used with positive airway pressure deviceNN/R11$91

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.396$57,423ACADIA Pharmaceuticals 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 Gerald Joseph Calegan, MD?

Tedicare shows public-source Medicare data for Gerald Joseph Calegan, MD (NPI 1902873516), 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 Gerald Joseph Calegan, 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 Gerald Joseph Calegan, MD?

Gerald Joseph Calegan, MD is linked to NEUROMEDICAL CENTER (billing NPI 1740216399) in the available physician profile data.

Does Gerald Joseph Calegan, MD have Open Payments data?

Gerald Joseph Calegan, MD has 396 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.