Physician

Yamil M Arbaje, MD

According to 2025 Medicare claims, Yamil Arbaje, MD (NPI: 1033162904) practices hematology/oncology in the Madison, WI market, with the plurality of this provider's patient population coming from Dane, WI. This provider's primary affiliated billing organization is DEAN HEALTH SYSTEMS, INC (NPI: 1053358846; TIN: 391128616) and primary practice location at 53533-1956. Arbaje is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Arbaje's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 313 traditional Medicare patients, billed 59,888 HCPCS/CPT codes, and received $955,333 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 1,223 prescription claims across 287 beneficiaries totaling $892,651 in drug costs, led by Verzenio (Abemaciclib). 2018 DME data shows 12 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's Medicare Part B carrier billing has moved from a lower plateau to a higher plateau, from $749,428 to $955,333. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,161,098 and ending at $892,651. 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$478K$955K2015 Medicare payment: $749,428 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $448,383 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $502,531 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $818,686 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $894,960 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $929,411 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $937,777 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $471,596 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $365,197 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $955,333 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201543649,350$749,428
201637827,247$448,383
201735527,505$502,531
201845137,508$818,686
201935041,605$894,960
202035345,472$929,411
202136660,130$937,777
202237628,292$471,596
202329230,093$365,197
202431359,888$955,333

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$970K$1.9M2015 Drug cost: $1,161,098 (USD; Tot_Drug_Cst)2016 Drug cost: $1,392,336 (USD; Tot_Drug_Cst)2017 Drug cost: $997,234 (USD; Tot_Drug_Cst)2018 Drug cost: $1,940,510 (USD; Tot_Drug_Cst)2019 Drug cost: $1,509,303 (USD; Tot_Drug_Cst)2020 Drug cost: $1,835,021 (USD; Tot_Drug_Cst)2021 Drug cost: $1,265,302 (USD; Tot_Drug_Cst)2022 Drug cost: $857,525 (USD; Tot_Drug_Cst)2023 Drug cost: $1,049,333 (USD; Tot_Drug_Cst)2024 Drug cost: $892,651 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015186916$1,161,098
2016192860$1,392,336
2017192806$997,234
2018196952$1,940,510
2019215936$1,509,303
2020233995$1,835,021
20212611,070$1,265,302
20222851,098$857,525
20232901,160$1,049,333
20242871,223$892,651

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$5.0K$10K2015 Medicare payment: $1,263 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $10,038 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $4,514 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R86$1,263
2016N/R35$10,038
2017N/R11$4,514
2018N/R12$2
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3333$159
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more69232$126
96413Administration of chemotherapy into vein, 1 hour or less42168$94
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more137209$78
36415Insertion of needle into vein for collection of blood sample91153$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VerzenioAbemaciclib531,484$796,192
AnastrozoleAnastrozole76461,275$14,374
ExemestaneExemestane805,746$8,865
Abiraterone AcetateAbiraterone Acetate12360$2,660
LetrozoleLetrozole473,145$994

Top 5 DME services in 2024

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

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 Yamil M. Arbaje, MD?

Tedicare shows public-source Medicare data for Yamil M. Arbaje, MD (NPI 1033162904), 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 Yamil M. Arbaje, MD have ACO affiliation data?

Yamil M. Arbaje, MD is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Yamil M. Arbaje, MD?

Yamil M. Arbaje, MD is linked to DEAN HEALTH SYSTEMS, INC (billing NPI 1053358846) in the available physician profile data.

Does Yamil M. Arbaje, 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.