Physician

Michael D Wilson, MD

According to 2025 Medicare claims, Michael Wilson, MD (NPI: 1013000801) practices orthopedic surgery in the Dalton, GA market, with the plurality of this provider's patient population coming from Whitfield, GA. This provider's primary affiliated billing organization is ASSOCIATES IN ORTHOPEDICS & SPORTS MEDICINE PC (NPI: 1871655167; TIN: 581388690) and primary practice location at 30720-2588.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 376 traditional Medicare patients, billed 2,025 HCPCS/CPT codes, and received $140,420 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 520 prescription claims across 177 beneficiaries totaling $17,837 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 17 claims. Open Payments data shows 6 records totaling $135. 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 moved from a lower plateau to a higher plateau, from $31,992 to $17,837. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,763 and ending at $3,674.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	492	3,136	$180,806
2016	479	3,033	$186,112
2017	466	2,799	$155,678
2018	452	2,499	$174,660
2019	459	2,432	$172,014
2020	429	2,137	$154,118
2021	430	2,147	$171,637
2022	401	1,920	$152,399
2023	349	2,607	$157,447
2024	376	2,025	$140,420

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	186	603	$31,992
2016	160	427	$19,914
2017	149	393	$18,708
2018	159	550	$35,219
2019	134	407	$25,175
2020	147	467	$36,983
2021	143	355	$23,683
2022	133	422	$42,010
2023	163	497	$43,953
2024	177	520	$17,837

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	29	44	$3,197
2016	19	58	$2,404
2017	24	24	$2,712
2018	19	31	$1,523
2019	13	25	$1,116
2020	N/R	16	$628
2021	13	33	$1,584
2022	11	46	$1,922
2023	N/R	N/R	N/R
2024	N/R	17	$328

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	76	76	$63
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	242	407	$60
20610	Aspiration and/or injection of fluid from large joint	114	161	$52
73564	X-ray of knee, 4 or more views	93	118	$29
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	102	264	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	97	651	$714
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	32	218	$322
Methylprednisolone	Methylprednisolone	35	210	$239
Meloxicam	Meloxicam	60	2,100	$130
Diclofenac Sodium	Diclofenac Sodium	16	480	$125

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
K0001	Standard wheelchair	Y	N/R	17	$328

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$135	Bioventus 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 Michael D. Wilson, MD?

Tedicare shows public-source Medicare data for Michael D. Wilson, MD (NPI 1013000801), 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 D. Wilson, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael D. Wilson, MD?

Michael D. Wilson, MD is linked to ASSOCIATES IN ORTHOPEDICS & SPORTS MEDICINE PC (billing NPI 1871655167) in the available physician profile data.

Does Michael D. Wilson, MD have Open Payments data?

Michael D. Wilson, MD has 6 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.