Physician

Michelle Cavanaugh

According to 2025 Medicare claims, Michelle Cavanaugh (NPI: 1023082351) practices family practice in the Williamsport, PA market, with the plurality of this provider's patient population coming from Lycoming, PA. This provider's primary affiliated billing organization is SUSQUEHANNA PHYSICIAN SERVICES (NPI: 1780631226; TIN: 232449454) and primary practice location at 17701-6549. Cavanaugh is affiliated with the Keystone ACO (ACO ID: A1552), participating under the MSSP model.

Cavanaugh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 464 traditional Medicare patients, billed 4,882 HCPCS/CPT codes, and received $169,750 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 11,077 prescription claims across 843 beneficiaries totaling $987,894 in drug costs, led by Eliquis (Apixaban). DME data shows 285 claims. Open Payments data shows 2 records totaling $34. 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 changed little. In contrast, DME billing represents a smaller volume and rose steadily, from $16,396 to $22,006.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	695	3,019	$179,531
2016	650	3,185	$180,458
2017	448	2,250	$113,011
2018	483	2,013	$94,951
2019	543	3,681	$136,110
2020	506	3,493	$113,940
2021	521	4,343	$152,187
2022	457	4,800	$167,282
2023	438	4,018	$156,780
2024	464	4,882	$169,750

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	922	12,771	$718,115
2016	775	13,743	$763,507
2017	782	13,484	$763,265
2018	774	12,174	$768,750
2019	819	11,455	$887,424
2020	849	11,359	$987,036
2021	796	10,793	$1,015,353
2022	872	10,968	$1,045,502
2023	921	10,868	$1,079,059
2024	843	11,077	$987,894

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	102	400	$14,787
2016	74	420	$9,646
2017	50	283	$5,098
2018	50	341	$6,626
2019	89	308	$8,292
2020	97	375	$11,476
2021	52	373	$12,968
2022	68	332	$14,380
2023	61	312	$15,892
2024	30	285	$17,809

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	270	270	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	419	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	250	265	$48
G0008	Administration of influenza virus vaccine	80	81	$20
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	117	133	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	211	11,466	$211,684
Ozempic	Semaglutide	130	6,030	$167,668
Jardiance	Empagliflozin	48	2,985	$56,431
Januvia	Sitagliptin Phosphate	51	3,278	$47,674
Xarelto	Rivaroxaban	40	2,134	$37,474

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	37	$12,329
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	36	$2,500
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	18	58	$729
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	13	$603
K0738	Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$396

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$34	Novo Nordisk 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 Michelle Cavanaugh?

Tedicare shows public-source Medicare data for Michelle Cavanaugh (NPI 1023082351), 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 Michelle Cavanaugh have ACO affiliation data?

Michelle Cavanaugh is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552).

What billing organization is linked to Michelle Cavanaugh?

Michelle Cavanaugh is linked to SUSQUEHANNA PHYSICIAN SERVICES (billing NPI 1780631226) in the available physician profile data.

Does Michelle Cavanaugh have Open Payments data?

Michelle Cavanaugh has 2 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.