Physician

Howard William Palay, MD

According to 2025 Medicare claims, Howard Palay, MD (NPI: 1942294301) practices neuropsychiatry, with the plurality of this provider's patient population coming from Haywood, NC. This provider's primary affiliated billing organization is DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC (NPI: 1609281641; TIN: 471049674) and primary practice location at 28721-8046. Palay is affiliated with the Mission Health Partners, LLC (ACO ID: A2591) and AdvantagePoint Health Alliance - Western North Carolina, LLC (ACO ID: A5039), participating under the MSSP model.

Palay's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 473 traditional Medicare patients, billed 700 HCPCS/CPT codes, and received $45,185 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 4,087 prescription claims across 534 beneficiaries totaling $1,459,106 in drug costs, led by Firdapse (Amifampridine Phosphate). DME data shows 449 claims. No Open Payments records. 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 $76,216 to $45,185. In contrast, Part D prescription costs have moved sharply higher in recent years, from $863,375 to $1,459,106. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	656	1,215	$76,216
2016	664	1,263	$78,005
2017	681	1,316	$79,260
2018	687	1,310	$77,734
2019	716	1,309	$77,206
2020	568	967	$58,152
2021	670	1,100	$74,010
2022	638	965	$64,356
2023	647	1,042	$61,772
2024	473	700	$45,185

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	298	2,923	$863,375
2016	310	2,830	$802,321
2017	336	2,930	$897,745
2018	345	3,032	$908,127
2019	366	2,879	$1,111,407
2020	357	2,749	$1,125,841
2021	446	2,923	$901,594
2022	533	3,987	$1,846,202
2023	548	4,667	$1,826,996
2024	534	4,087	$1,459,106

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	135	369	$13,031
2016	175	466	$16,272
2017	305	810	$31,159
2018	314	769	$26,941
2019	398	877	$31,411
2020	405	952	$32,124
2021	269	670	$24,953
2022	219	539	$19,535
2023	244	535	$21,705
2024	189	449	$22,429

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	38	$105
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$89
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	150	$66
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	159	185	$44
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	67	67	$28

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Firdapse	Amifampridine Phosphate	12	360	$528,704
Austedo	Deutetrabenazine	11	330	$118,868
Vumerity	Diroximel Fumarate	12	360	$102,153
Gamunex-C	Immune Globul G/Gly/Iga Avg 46	40	1,120	$101,210
Aimovig Autoinjector	Erenumab-Aooe	67	2,932	$71,638

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
A7031	Face mask interface, replacement for full face mask, each	N	21	47	$3,555
A7030	Full face mask used with positive airway pressure device, each	N	20	39	$3,504
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	12	$2,613
A7032	Cushion for use on nasal mask interface, replacement only, each	N	12	25	$2,363
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	52	$1,880

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Howard William Palay, MD?

Tedicare shows public-source Medicare data for Howard William Palay, MD (NPI 1942294301), 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 Howard William Palay, MD have ACO affiliation data?

Howard William Palay, MD is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591) and AdvantagePoint Health Alliance - Western North Carolina, LLC (MSSP, ACO ID A5039).

What billing organization is linked to Howard William Palay, MD?

Howard William Palay, MD is linked to DLP WESTERN CAROLINA PHYSICIAN PRACTICES LLC (billing NPI 1609281641) in the available physician profile data.

Does Howard William Palay, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.