Physician

Karla M Arce, M.D.

According to 2025 Medicare claims, Karla Arce, M.D. (NPI: 1922319110) practices endocrinology in the St. Petersburg-Clearwater-Largo, FL market, with the plurality of this provider's patient population coming from Pinellas, FL. This provider's primary affiliated billing organization is BENIMAR MEDICAL CENTER INC (NPI: 1558097576) and primary practice location at 33132-9998. Arce is affiliated with the Mission Health Partners, LLC (ACO ID: A2591), Cleveland Clinic Florida Integrated Health (ACO ID: A3588), and NeueHealth Collaborative Care LLC (ACO ID: A5513), participating under the MSSP model.

Arce's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 347 traditional Medicare patients, billed 3,402 HCPCS/CPT codes, and received $106,289 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 3,090 prescription claims across 544 beneficiaries totaling $1,970,787 in drug costs, led by Ozempic (Semaglutide). DME data shows 380 claims. Open Payments data shows 16 records totaling $416. 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 $3,580 to $106,289. Similarly, Part D prescription costs have risen steadily, from $59,368 to $1,970,787. For DME billing, reported payments moved sharply higher in recent years, from $1,133 to $115,767.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	24	51	$3,580
2016	90	500	$21,783
2017	263	922	$45,396
2018	332	2,865	$75,456
2019	293	3,301	$57,134
2020	290	3,048	$56,978
2021	345	4,344	$87,863
2022	316	3,286	$72,673
2023	316	2,883	$78,635
2024	347	3,402	$106,289

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	50	223	$59,368
2016	158	1,140	$259,677
2017	373	2,219	$583,721
2018	459	3,312	$1,212,423
2019	466	3,104	$1,273,044
2020	442	2,401	$1,028,716
2021	499	3,052	$1,421,542
2022	517	3,074	$1,594,418
2023	518	3,271	$1,957,762
2024	544	3,090	$1,970,787

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	31	83	$1,103
2017	66	135	$2,515
2018	146	338	$20,293
2019	133	429	$44,972
2020	101	386	$43,505
2021	126	501	$71,397
2022	112	584	$83,706
2023	105	548	$80,203
2024	120	380	$111,472

* / # = 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	70	70	$128
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	333	$92
76536	Ultrasound scan of head and neck soft tissue	101	110	$81
95251	Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	52	74	$26
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	185	216	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	289	13,554	$434,483
Mounjaro	Tirzepatide	126	3,898	$143,441
Jardiance	Empagliflozin	114	6,930	$136,408
Rybelsus	Semaglutide	62	3,060	$91,899
Trulicity	Dulaglutide	53	2,740	$90,503

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	60	262	$103,667
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	N/R	17	$4,276
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	N	11	11	$2,299
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	28	56	$1,159
A4259	Lancets, per box of 100	N	21	34	$71

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	16	$416	Novo Nordisk 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 Karla M. Arce, M.D.?

Tedicare shows public-source Medicare data for Karla M. Arce, M.D. (NPI 1922319110), 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 Karla M. Arce, M.D. have ACO affiliation data?

Karla M. Arce, M.D. is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591), Cleveland Clinic Florida Integrated Health (MSSP, ACO ID A3588), and NeueHealth Collaborative Care LLC (MSSP, ACO ID A5513).

What billing organization is linked to Karla M. Arce, M.D.?

Karla M. Arce, M.D. is linked to BENIMAR MEDICAL CENTER INC (billing NPI 1558097576) in the available physician profile data.

Does Karla M. Arce, M.D. have Open Payments data?

Karla M. Arce, M.D. has 16 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.