Physician

Andrew R Higgins, M.D.

According to 2025 Medicare claims, Andrew Higgins, M.D. (NPI: 1962760819) practices advanced heart failure and transplant cardiology in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44195-0001. Higgins is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Higgins' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 347 traditional Medicare patients, billed 709 HCPCS/CPT codes, and received $66,453 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 1,460 prescription claims across 187 beneficiaries totaling $4,044,843 in drug costs, led by Vyndamax (Tafamidis). Open Payments data shows 10 records totaling $3,837. 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 sharply higher in recent years, from $12,867 to $66,453. Similarly, Part D prescription costs have risen steadily, from $71,799 to $4,044,843. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	45	159	$12,867
2016	118	257	$22,313
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	170	326	$30,208
2022	498	872	$73,029
2023	488	906	$80,350
2024	347	709	$66,453

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	66	1,026	$71,799
2016	30	68	$2,573
2017	31	105	$27,496
2018	13	19	$1,554
2019	N/R	36	$4,201
2020	N/R	N/R	N/R
2021	28	60	$20,916
2022	140	760	$741,375
2023	163	1,147	$2,762,187
2024	187	1,460	$4,044,843

DME Billing Trend

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

No connected DME records

* / # = 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
99291	Critical care, first 30-74 minutes	89	203	$160
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	85	$108
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	54	$76
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	51	51	$44
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	53	57	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Vyndamax	Tafamidis	85	3,270	$2,391,776
Vyndaqel	Tafamidis Meglumine	49	1,470	$1,030,432
Entresto	Sacubitril/Valsartan	188	12,866	$277,614
Jardiance	Empagliflozin	156	11,344	$214,234
Eliquis	Apixaban	45	3,180	$57,210

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$3,837	Abbott Laboratories
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 Andrew R. Higgins, M.D.?

Tedicare shows public-source Medicare data for Andrew R. Higgins, M.D. (NPI 1962760819), 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 Andrew R. Higgins, M.D. have ACO affiliation data?

Andrew R. Higgins, M.D. is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Andrew R. Higgins, M.D.?

Andrew R. Higgins, M.D. is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Andrew R. Higgins, M.D. have Open Payments data?

Andrew R. Higgins, M.D. has 10 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.