Physician

Gregory A Carico, MD

According to 2025 Medicare claims, Gregory Carico, MD (NPI: 1962439885) practices family practice in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Lawrence, OH. This provider's primary affiliated billing organization is ST. MARY'S HIMG, LLC (NPI: 1184233454; TIN: 85-2017234) and primary practice location at 25702-1241. Carico is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Carico's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 148 traditional Medicare patients, billed 242 HCPCS/CPT codes, and received $10,440 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 7,572 prescription claims across 688 beneficiaries totaling $658,747 in drug costs, led by Eliquis (Apixaban). DME data shows 268 claims. Open Payments data shows 26 records totaling $493. 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 moved up and down with repeated peaks and valleys, starting at $129,581 and ending at $10,440. Concurrently, Part D prescription costs have fallen sharply in recent years, from $997,744 to $658,747. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $37,792 and ending at $23,656.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	529	9,440	$129,581
2016	477	10,426	$128,593
2017	829	13,403	$209,769
2018	697	27,097	$242,275
2019	623	17,617	$220,280
2020	559	11,705	$161,762
2021	517	3,671	$97,172
2022	572	2,314	$123,894
2023	501	1,961	$101,247
2024	148	242	$10,440

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	632	17,464	$997,744
2016	614	17,904	$1,011,159
2017	1,019	22,296	$1,275,247
2018	989	28,219	$1,688,841
2019	929	26,277	$1,749,038
2020	892	24,908	$1,810,042
2021	894	22,740	$1,758,342
2022	902	21,177	$1,902,013
2023	865	20,148	$2,053,482
2024	688	7,572	$658,747

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	171	985	$30,044
2016	144	804	$23,099
2017	137	685	$18,667
2018	163	801	$23,635
2019	126	854	$22,500
2020	99	753	$16,321
2021	89	682	$15,303
2022	77	513	$20,161
2023	83	508	$22,034
2024	43	268	$8,483

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$127
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	16	$48
99487	Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	14	18	$40
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	65	67	$39
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	54	80	$21

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	96	4,980	$95,531
Ozempic	Semaglutide	53	2,076	$64,655
Jardiance	Empagliflozin	41	2,010	$38,655
Xarelto	Rivaroxaban	24	1,920	$33,968
Januvia	Sitagliptin Phosphate	24	1,440	$25,890

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	54	$3,356
A7033	Pillow for use on nasal cannula type interface, replacement only, pair	N	N/R	12	$1,236
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	17	$889
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	15	$719
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	21	47	$587

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	26	$493	ABBVIE 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 Gregory A. Carico, MD?

Tedicare shows public-source Medicare data for Gregory A. Carico, MD (NPI 1962439885), 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 Gregory A. Carico, MD have ACO affiliation data?

Gregory A. Carico, MD is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Gregory A. Carico, MD?

Gregory A. Carico, MD is linked to ST. MARY'S HIMG, LLC (billing NPI 1184233454) in the available physician profile data.

Does Gregory A. Carico, MD have Open Payments data?

Gregory A. Carico, MD has 26 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.