Physician

Jay R Muller, MD

According to 2025 Medicare claims, Jay Muller, MD (NPI: 1053305961) practices internal medicine in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is AGNESIAN HEALTHCARE INC (NPI: 1730162991; TIN: 390807236) and primary practice location at 54935-4560. Muller is affiliated with the SSM WI ACO LLC (ACO ID: A5124) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Muller's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 238 traditional Medicare patients, billed 799 HCPCS/CPT codes, and received $57,825 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 13,129 prescription claims across 757 beneficiaries totaling $1,004,689 in drug costs, led by Ozempic (Semaglutide). DME data shows 104 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 $42,148 to $57,825. Similarly, Part D prescription costs have risen steadily, from $6,614 to $1,004,689. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	468	913	$42,148
2016	455	882	$38,468
2017	322	702	$40,473
2018	346	1,481	$78,747
2019	346	1,537	$87,319
2020	302	1,135	$71,983
2021	306	1,135	$83,278
2022	307	1,081	$80,890
2023	254	928	$77,696
2024	238	799	$57,825

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	98	147	$6,614
2016	122	187	$6,061
2017	564	2,830	$187,112
2018	804	11,500	$778,323
2019	809	11,633	$911,642
2020	757	11,912	$902,178
2021	719	12,926	$948,667
2022	683	12,246	$903,573
2023	731	11,898	$955,917
2024	757	13,129	$1,004,689

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	25	$158
2018	43	329	$11,833
2019	47	273	$8,607
2020	26	284	$9,392
2021	36	317	$12,679
2022	33	235	$11,993
2023	16	174	$9,519
2024	16	104	$2,320

* / # = 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	194	194	$122
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	50	$102
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	369	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	75	97	$42
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	24	27	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	106	4,462	$137,434
Eliquis	Apixaban	109	6,053	$113,514
Jardiance	Empagliflozin	83	4,318	$83,169
Januvia	Sitagliptin Phosphate	58	3,071	$54,599
Mounjaro	Tirzepatide	39	1,148	$40,520

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	23	$1,325
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	16	49	$764
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	15	$213
A4259	Lancets, per box of 100	N	N/R	17	$18

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Jay R. Muller, MD?

Tedicare shows public-source Medicare data for Jay R. Muller, MD (NPI 1053305961), 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 Jay R. Muller, MD have ACO affiliation data?

Jay R. Muller, MD is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Jay R. Muller, MD?

Jay R. Muller, MD is linked to AGNESIAN HEALTHCARE INC (billing NPI 1730162991) in the available physician profile data.

Does Jay R. Muller, 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.