Physician

Charles Thomas Alexander Semelka, MD

According to 2025 Medicare claims, Charles Semelka, MD (NPI: 1992238828) practices geriatric medicine in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is WAKE FOREST UNIVERSITY HEALTH SCIENCES (NPI: 1003803032; TIN: 223849199) and primary practice location at 27006-7867. Semelka is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), participating under the MSSP model.

Semelka's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 114 traditional Medicare patients, billed 330 HCPCS/CPT codes, and received $30,690 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 2,243 prescription claims across 162 beneficiaries totaling $140,839 in drug costs, led by Eliquis (Apixaban). DME data shows 32 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $388 to $140,839. 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$19K$37K2021 Medicare payment: $3,392 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $23,873 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $37,170 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $30,690 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20212131$3,392
202297254$23,873
2023111376$37,170
2024114330$30,690

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$70K$141K2018 Drug cost: $388 (USD; Tot_Drug_Cst)2019 Drug cost: $2,747 (USD; Tot_Drug_Cst)2020 Drug cost: $57,966 (USD; Tot_Drug_Cst)2021 Drug cost: $35,978 (USD; Tot_Drug_Cst)2022 Drug cost: $17,720 (USD; Tot_Drug_Cst)2023 Drug cost: $96,860 (USD; Tot_Drug_Cst)2024 Drug cost: $140,839 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R13$388
2019N/R34$2,747
202094468$57,966
202162427$35,978
202252294$17,720
20231301,591$96,860
20241622,243$140,839

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$1.4K$2.9K2022 Medicare payment: $675 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $2,888 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $363 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R36$675
2023N/R182$2,888
2024N/R32$363

* / # = 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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more6172$131
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes2134$111
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more2338$101
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4489$72
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1821$62

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban711,681$36,072
MirtazapineMirtazapine562,190$2,091
Amlodipine BesylateAmlodipine Besylate1104,594$1,649
TorsemideTorsemide571,895$1,599
Losartan PotassiumLosartan Potassium944,326$1,454

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
K0001Standard wheelchairYN/R17$265
K0195Elevating leg rests, pair (for use with capped rental wheelchair base)YN/R15$98

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 Charles Thomas Alexander Semelka, MD?

Tedicare shows public-source Medicare data for Charles Thomas Alexander Semelka, MD (NPI 1992238828), 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 Charles Thomas Alexander Semelka, MD have ACO affiliation data?

Charles Thomas Alexander Semelka, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033).

What billing organization is linked to Charles Thomas Alexander Semelka, MD?

Charles Thomas Alexander Semelka, MD is linked to WAKE FOREST UNIVERSITY HEALTH SCIENCES (billing NPI 1003803032) in the available physician profile data.

Does Charles Thomas Alexander Semelka, MD 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.