Physician

John E Nix, MD

According to 2025 Medicare claims, John Nix, MD (NPI: 1972598837) practices family practice in the Texarkana, TX-AR market, with the plurality of this provider's patient population coming from Bowie, TX. This provider's primary affiliated billing organization is FAMILY MEDICAL GROUP OF TEXARKANA (NPI: 1831233766; TIN: 200365313) and primary practice location at 75503-4625. Nix is affiliated with the Prime Care Managers, LLC (ACO ID: A3280), participating under the MSSP model.

Nix's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 733 traditional Medicare patients, billed 14,256 HCPCS/CPT codes, and received $249,697 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 13,985 prescription claims across 935 beneficiaries totaling $996,977 in drug costs, led by Ozempic (Semaglutide). DME data shows 441 claims. Open Payments data shows 33 records totaling $486. 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 risen steadily, from $158,306 to $249,697. Similarly, Part D prescription costs have risen steadily, from $609,572 to $996,977. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $22,753 to $33,690.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	630	18,331	$158,306
2016	555	16,330	$156,651
2017	558	19,314	$146,511
2018	599	21,967	$166,659
2019	564	17,216	$178,218
2020	552	17,636	$200,436
2021	578	17,954	$210,441
2022	588	19,323	$237,170
2023	646	20,500	$259,359
2024	733	14,256	$249,697

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	665	13,392	$609,572
2016	642	13,142	$576,742
2017	648	12,601	$524,574
2018	673	12,596	$539,200
2019	691	11,725	$590,711
2020	634	11,561	$636,103
2021	611	10,830	$586,485
2022	675	10,961	$656,610
2023	671	10,985	$798,755
2024	935	13,985	$996,977

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	212	734	$19,471
2016	141	624	$10,367
2017	88	353	$6,469
2018	114	458	$10,330
2019	104	455	$10,783
2020	106	600	$27,898
2021	157	700	$37,851
2022	98	522	$28,785
2023	74	647	$34,920
2024	95	441	$31,017

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	326	537	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	414	776	$52
84443	Blood test, thyroid stimulating hormone (tsh)	317	351	$16
80053	Blood test, comprehensive group of blood chemicals	381	478	$10
36415	Insertion of needle into vein for collection of blood sample	451	788	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	208	7,540	$217,367
Eliquis	Apixaban	156	7,073	$131,852
Mounjaro	Tirzepatide	84	2,594	$93,488
Jardiance	Empagliflozin	45	2,510	$47,451
Farxiga	Dapagliflozin Propanediol	74	2,880	$44,999

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	N/R	46	$17,674
A7031	Face mask interface, replacement for full face mask, each	N	12	25	$2,061
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	29	$2,049
A7030	Full face mask used with positive airway pressure device, each	N	11	21	$1,937
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	21	$1,736

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	33	$486	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 John E. Nix, MD?

Tedicare shows public-source Medicare data for John E. Nix, MD (NPI 1972598837), 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 John E. Nix, MD have ACO affiliation data?

John E. Nix, MD is shown with ACO affiliation data for Prime Care Managers, LLC (MSSP, ACO ID A3280).

What billing organization is linked to John E. Nix, MD?

John E. Nix, MD is linked to FAMILY MEDICAL GROUP OF TEXARKANA (billing NPI 1831233766) in the available physician profile data.

Does John E. Nix, MD have Open Payments data?

John E. Nix, MD has 33 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.