Physician

Ali Michelle Durino, APN

According to 2025 Medicare claims, Ali Durino, APN (NPI: 1003390766) practices nurse practitioner in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Warren, NJ. This provider's primary affiliated billing organization is ID CARE LLC (NPI: 1639146277; TIN: 223089117) and primary practice location at 07840-1799. Durino is affiliated with the VBLTC (ACO ID: A5330), participating under the MSSP model.

Durino's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 631 traditional Medicare patients, billed 1,243 HCPCS/CPT codes, and received $80,427 in Medicare payments. The top billing code was 99305 (Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes). Part D data shows 118 prescription claims across 26 beneficiaries totaling $13,976 in drug costs. 2023 DME data shows 38 claims. Open Payments data shows 7 records totaling $142. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $20,647 to $13,976. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $7,310 to $3,651.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	74	260	$18,491
2019	263	1,369	$80,687
2020	486	1,818	$78,155
2021	713	2,051	$123,202
2022	650	1,857	$112,230
2023	644	1,646	$110,761
2024	631	1,243	$80,427

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	46	271	$20,647
2020	13	22	$4,715
2021	42	68	$12,175
2022	46	114	$23,152
2023	43	85	$23,510
2024	26	118	$13,976

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	13	$839
2021	102	218	$33,215
2022	20	83	$5,818
2023	23	38	$4,562
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	39	40	$97
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	127	205	$85
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	54	83	$73
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	72	88	$70
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	375	657	$57

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$142	Urgo Medical North America, LLC
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 Ali Michelle Durino, APN?

Tedicare shows public-source Medicare data for Ali Michelle Durino, APN (NPI 1003390766), 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 Ali Michelle Durino, APN have ACO affiliation data?

Ali Michelle Durino, APN is shown with ACO affiliation data for VBLTC (MSSP, ACO ID A5330).

What billing organization is linked to Ali Michelle Durino, APN?

Ali Michelle Durino, APN is linked to ID CARE LLC (billing NPI 1639146277) in the available physician profile data.

Does Ali Michelle Durino, APN have Open Payments data?

Ali Michelle Durino, APN has 7 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.