Physician

Alfred Elon Denio, M.D.

According to 2025 Medicare claims, Alfred Denio, M.D. (NPI: 1972584001) practices rheumatology, with the plurality of this provider's patient population coming from Northumberlnd, PA. This provider's primary affiliated billing organization is GEISINGER CLINIC (NPI: 1255382784; TIN: 236291113) and primary practice location at 17822-9800. Denio is affiliated with the Keystone ACO (ACO ID: A1552), participating under the MSSP model.

Denio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 657 traditional Medicare patients, billed 1,334 HCPCS/CPT codes, and received $44,545 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,159 prescription claims across 340 beneficiaries totaling $2,076,879 in drug costs, led by Humira Pen (Adalimumab). 2018 DME data shows 11 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $683,756 to $2,076,879. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$27K$54K2015 Medicare payment: $53,697 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $41,027 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $45,146 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $43,936 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $42,772 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $35,166 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $40,540 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $33,774 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $33,966 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $44,545 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158451,072$53,697
2016638834$41,027
2017749962$45,146
2018830999$43,936
20199111,089$42,772
2020572747$35,166
2021417668$40,540
2022369507$33,774
2023476630$33,966
20246571,334$44,545

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.0M$2.1M2015 Drug cost: $683,756 (USD; Tot_Drug_Cst)2016 Drug cost: $988,555 (USD; Tot_Drug_Cst)2017 Drug cost: $1,310,096 (USD; Tot_Drug_Cst)2018 Drug cost: $1,169,808 (USD; Tot_Drug_Cst)2019 Drug cost: $1,408,900 (USD; Tot_Drug_Cst)2020 Drug cost: $1,074,116 (USD; Tot_Drug_Cst)2021 Drug cost: $1,498,766 (USD; Tot_Drug_Cst)2022 Drug cost: $2,054,236 (USD; Tot_Drug_Cst)2023 Drug cost: $1,982,559 (USD; Tot_Drug_Cst)2024 Drug cost: $2,076,879 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153051,715$683,756
20163021,953$988,555
20173192,134$1,310,096
20183582,079$1,169,808
20193472,051$1,408,900
20203321,843$1,074,116
20212971,904$1,498,766
20223011,885$2,054,236
20232691,762$1,982,559
20243402,159$2,076,879

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$79$1582018 Medicare payment: $158 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R11$158
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3737$127
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more204327$68
G2211Visit 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's185277$12
77080Dxa bone density measurement of hip, pelvis, spine375375$11
77092Interpretation of trabecular bone score (tbs) and report on fracture risk196196$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira PenAdalimumab1002,870$720,161
Enbrel SureclickEtanercept401,120$288,425
XeljanzTofacitinib Citrate28840$159,096
RinvoqUpadacitinib23690$142,035
EnbrelEtanercept16674$116,409

Top 5 DME services in 2024

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

Open Payments Summary

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

FAQ

What Medicare data is available for Alfred Elon Denio, M.D.?

Tedicare shows public-source Medicare data for Alfred Elon Denio, M.D. (NPI 1972584001), 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 Alfred Elon Denio, M.D. have ACO affiliation data?

Alfred Elon Denio, M.D. is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552).

What billing organization is linked to Alfred Elon Denio, M.D.?

Alfred Elon Denio, M.D. is linked to GEISINGER CLINIC (billing NPI 1255382784) in the available physician profile data.

Does Alfred Elon Denio, M.D. 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.