Physician

Paul Andrew Evangelisti, MD

According to 2025 Medicare claims, Paul Evangelisti, MD (NPI: 1982625745) practices otolaryngology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is SUMTER EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, LLC (NPI: 1285679290; TIN: 562198477) and primary practice location at 29150-4975. Evangelisti is affiliated with the CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under the REACH model.

Evangelisti's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 866 traditional Medicare patients, billed 4,092 HCPCS/CPT codes, and received $203,223 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,010 prescription claims across 273 beneficiaries totaling $38,558 in drug costs, led by Azelastine Hcl (Azelastine Hcl). DME data shows 893 claims. Open Payments data shows 8 records totaling $216. 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. Similarly, Part D prescription costs have changed little. For DME billing, reported payments rose steadily, from $18,222 to $43,542.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	739	3,555	$192,003
2016	864	4,259	$220,679
2017	910	4,848	$226,238
2018	917	4,665	$235,315
2019	972	4,728	$225,639
2020	824	3,978	$176,574
2021	802	3,956	$192,562
2022	873	4,609	$203,191
2023	863	4,596	$204,720
2024	866	4,092	$203,223

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	219	823	$51,280
2016	227	764	$44,009
2017	216	730	$34,647
2018	211	809	$38,507
2019	216	827	$34,472
2020	225	850	$45,849
2021	223	938	$37,999
2022	247	895	$42,310
2023	270	905	$44,999
2024	273	1,010	$38,558

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	128	241	$12,772
2016	109	261	$10,603
2017	131	317	$8,522
2018	205	352	$10,527
2019	208	428	$11,321
2020	198	488	$17,598
2021	190	328	$12,570
2022	287	585	$26,821
2023	331	701	$38,098
2024	425	893	$43,432

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	228	228	$111
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	482	836	$89
92557	Comprehensive hearing and speech recognition test	196	227	$26
92504	Exam of ear using a microscope	193	332	$20
92567	Test to assess middle ear function	196	229	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Azelastine Hcl	Azelastine Hcl	216	9,614	$5,465
Mometasone Furoate	Mometasone Furoate	36	2,100	$5,197
Epinephrine	Epinephrine	17	423	$3,781
Fluticasone Propionate	Fluticasone Propionate	220	11,745	$3,685
Esomeprazole Magnesium	Esomeprazole Magnesium	43	1,650	$1,033

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
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	13	67	$7,449
E0601	Continuous positive airway pressure (cpap) device	Y	26	164	$5,961
A7030	Full face mask used with positive airway pressure device, each	N	32	62	$5,533
A7031	Face mask interface, replacement for full face mask, each	N	26	53	$4,335
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	33	61	$3,575

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	8	$216	Regeneron Healthcare Solutions, 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 Paul Andrew Evangelisti, MD?

Tedicare shows public-source Medicare data for Paul Andrew Evangelisti, MD (NPI 1982625745), 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 Paul Andrew Evangelisti, MD have ACO affiliation data?

Paul Andrew Evangelisti, MD is shown with ACO affiliation data for CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to Paul Andrew Evangelisti, MD?

Paul Andrew Evangelisti, MD is linked to SUMTER EAR, NOSE, THROAT & FACIAL PLASTIC SURGERY, LLC (billing NPI 1285679290) in the available physician profile data.

Does Paul Andrew Evangelisti, MD have Open Payments data?

Paul Andrew Evangelisti, MD has 8 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.