Physician

Michael Jay Naylor, M.D.

According to 2025 Medicare claims, Michael Naylor, M.D. (NPI: 1992720601) practices vascular surgery 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 PRISMA HEALTH MEDICAL GROUP-MIDLANDS (NPI: 1871080283; TIN: 471345819) and primary practice location at 29150-4949. Naylor is affiliated with the Southcoast Accountable Care Organization, LLC (ACO ID: A1522), WellSpan Population Health Services (ACO ID: A2500), Mercy Health ACO, LLC (ACO ID: A2616), Southeastern Health Partners (ACO ID: A3325), CVS ACO (ACO ID: A5407), and ilumed, LLC (ACO ID: D0005), participating under both the MSSP and REACH models.

Naylor's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 901 traditional Medicare patients, billed 2,497 HCPCS/CPT codes, and received $132,250 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 126 prescription claims across 54 beneficiaries totaling $19,166 in drug costs, led by Santyl (Collagenase Clostridium Hist.). DME data shows 39 claims. Open Payments data shows 35 records totaling $1,103. 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 risen steadily, from $13,033 to $19,166. For DME billing, reported payments moved from a higher plateau to a lower plateau, from $45,142 to $23,512.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	738	2,486	$187,496
2016	798	2,500	$177,431
2017	644	2,065	$176,334
2018	653	2,058	$169,925
2019	680	2,395	$168,992
2020	547	2,279	$168,231
2021	557	2,406	$164,353
2022	900	2,829	$171,164
2023	1,240	3,421	$146,712
2024	901	2,497	$132,250

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	69	173	$13,033
2016	49	92	$7,026
2017	43	97	$5,244
2018	34	101	$8,811
2019	35	67	$5,243
2020	50	119	$16,753
2021	53	143	$25,099
2022	75	172	$35,130
2023	65	153	$41,216
2024	54	126	$19,166

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	93	225	$12,619
2016	75	121	$10,260
2017	42	79	$6,441
2018	77	118	$5,786
2019	86	115	$9,309
2020	55	86	$13,528
2021	12	12	$95
2022	71	90	$3,330
2023	45	62	$1,250
2024	32	39	$874

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	174	244	$53
93925	Ultrasound of leg arteries or artery grafts	187	208	$25
93880	Ultrasound of both sides of head and neck blood flow	183	194	$24
93978	Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	134	140	$21
93922	Ultrasound study of arm and leg arteries	310	344	$7

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Santyl	Collagenase Clostridium Hist.	16	457	$9,893
Eliquis	Apixaban	12	420	$7,869
Clopidogrel	Clopidogrel Bisulfate	46	2,760	$657
Cilostazol	Cilostazol	24	1,320	$355

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
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	N	14	19	$749
A6402	Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	N	18	20	$125

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	35	$1,103	Kerecis Limited
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 Michael Jay Naylor, M.D.?

Tedicare shows public-source Medicare data for Michael Jay Naylor, M.D. (NPI 1992720601), 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 Michael Jay Naylor, M.D. have ACO affiliation data?

Michael Jay Naylor, M.D. is shown with ACO affiliation data for Southcoast Accountable Care Organization, LLC (MSSP, ACO ID A1522), WellSpan Population Health Services (MSSP, ACO ID A2500), Mercy Health ACO, LLC (MSSP, ACO ID A2616), Southeastern Health Partners (MSSP, ACO ID A3325), CVS ACO (MSSP, ACO ID A5407), and ilumed, LLC (REACH, ACO ID D0005).

What billing organization is linked to Michael Jay Naylor, M.D.?

Michael Jay Naylor, M.D. is linked to PRISMA HEALTH MEDICAL GROUP-MIDLANDS (billing NPI 1871080283) in the available physician profile data.

Does Michael Jay Naylor, M.D. have Open Payments data?

Michael Jay Naylor, M.D. has 35 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.