Physician

Yancey R. Holmes, M.D.

According to 2025 Medicare claims, Yancey Holmes, M.D. (NPI: 1932177235) practices endocrinology in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Dearborn, IN. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP, INC (NPI: 1750343216; TIN: 611300608) and primary practice location at 41011-0801. Holmes is affiliated with the Healthcare Solutions Network (ACO ID: A3283) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Holmes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 409 traditional Medicare patients, billed 2,095 HCPCS/CPT codes, and received $84,220 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 7,531 prescription claims across 737 beneficiaries totaling $3,749,945 in drug costs, led by Ozempic (Semaglutide). DME data shows 800 claims. Open Payments data shows 46 records totaling $890. 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 declined steadily, from $113,538 to $84,220. In contrast, Part D prescription costs have moved sharply higher in recent years, from $1,462,236 to $3,749,945. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $92,209 to $237,865.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	387	2,796	$113,538
2016	428	3,257	$125,087
2017	430	3,200	$124,732
2018	462	3,302	$130,045
2019	471	3,310	$124,425
2020	398	1,633	$58,689
2021	333	1,080	$68,988
2022	436	1,442	$85,433
2023	444	1,549	$81,964
2024	409	2,095	$84,220

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	489	6,187	$1,462,236
2016	482	6,138	$1,587,804
2017	511	6,559	$1,877,741
2018	514	6,492	$2,135,014
2019	534	5,737	$2,438,677
2020	520	5,070	$2,404,349
2021	461	3,481	$1,853,597
2022	586	4,898	$2,944,113
2023	679	6,345	$3,920,392
2024	737	7,531	$3,749,945

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	445	1,423	$117,234
2016	503	1,646	$153,322
2017	469	1,363	$197,862
2018	393	1,328	$202,791
2019	426	1,541	$318,082
2020	297	1,331	$316,779
2021	193	912	$204,707
2022	187	967	$216,254
2023	212	1,086	$238,736
2024	217	800	$259,330

* / # = 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	56	56	$97
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	366	737	$82
95251	Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	117	275	$24
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	345	675	$12
83036	Hemoglobin a1c level	165	303	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	691	26,278	$860,809
Farxiga	Dapagliflozin Propanediol	383	22,312	$412,287
Mounjaro	Tirzepatide	262	9,582	$351,366
Jardiance	Empagliflozin	291	16,408	$322,435
Trulicity	Dulaglutide	139	7,410	$239,573

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	95	424	$185,589
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	13	57	$22,830
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	20	66	$15,216
E0784	External ambulatory infusion pump, insulin	Y	N/R	42	$14,426
A4238	Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	20	$10,347

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	46	$890	Dexcom, 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 Yancey R. Holmes, M.D.?

Tedicare shows public-source Medicare data for Yancey R. Holmes, M.D. (NPI 1932177235), 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 Yancey R. Holmes, M.D. have ACO affiliation data?

Yancey R. Holmes, M.D. is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Yancey R. Holmes, M.D.?

Yancey R. Holmes, M.D. is linked to SUMMIT MEDICAL GROUP, INC (billing NPI 1750343216) in the available physician profile data.

Does Yancey R. Holmes, M.D. have Open Payments data?

Yancey R. Holmes, M.D. has 46 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.