Physician

Lillian Johanna Theune, D.O.

According to 2025 Medicare claims, Lillian Theune, D.O. (NPI: 1053383869) practices internal medicine 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 ADVANCED CARDIOLOGY, LLC (NPI: 1295871796; TIN: 260005950) and primary practice location at 07840-1722.

Theune's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 363 traditional Medicare patients, billed 3,066 HCPCS/CPT codes, and received $212,431 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 5,772 prescription claims across 535 beneficiaries totaling $932,836 in drug costs, led by Ozempic (Semaglutide). DME data shows 87 claims. Open Payments data shows 121 records totaling $1,839. 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 $83,170 to $212,431. Similarly, Part D prescription costs have moved sharply higher in recent years, from $187,810 to $932,836. In contrast, DME billing represents a smaller volume and rose steadily, from $1,053 to $15,711.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	374	1,347	$83,170
2016	397	1,666	$112,333
2017	297	1,407	$89,885
2018	268	1,415	$87,610
2019	253	1,249	$81,302
2020	195	710	$46,300
2021	218	2,092	$139,850
2022	297	2,997	$194,785
2023	359	3,337	$225,151
2024	363	3,066	$212,431

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	201	2,465	$187,810
2016	211	2,455	$147,319
2017	229	2,540	$128,774
2018	230	2,572	$138,349
2019	266	2,866	$138,916
2020	242	2,237	$153,178
2021	255	2,471	$257,608
2022	378	4,372	$550,767
2023	461	5,276	$916,287
2024	535	5,772	$932,836

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	48	$729
2016	17	64	$966
2017	N/R	32	$272
2018	12	38	$346
2019	11	39	$548
2020	15	54	$538
2021	N/R	11	$126
2022	14	59	$3,808
2023	31	81	$6,000
2024	30	87	$11,248

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	259	608	$94
99497	Advance care planning, first 30 minutes	163	164	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	197	365	$66
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	168	168	$27
G0442	Annual alcohol misuse screening, 5 to 15 minutes	168	168	$21

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	103	4,774	$154,255
Jardiance	Empagliflozin	112	7,900	$147,450
Mounjaro	Tirzepatide	97	3,088	$110,918
Farxiga	Dapagliflozin Propanediol	50	2,565	$48,672
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	45	2,460	$48,334

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	26	$10,667
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	18	38	$549
A4259	Lancets, per box of 100	N	12	23	$33

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	121	$1,839	ABBVIE 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 Lillian Johanna Theune, D.O.?

Tedicare shows public-source Medicare data for Lillian Johanna Theune, D.O. (NPI 1053383869), 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 Lillian Johanna Theune, D.O. have ACO affiliation data?

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

What billing organization is linked to Lillian Johanna Theune, D.O.?

Lillian Johanna Theune, D.O. is linked to ADVANCED CARDIOLOGY, LLC (billing NPI 1295871796) in the available physician profile data.

Does Lillian Johanna Theune, D.O. have Open Payments data?

Lillian Johanna Theune, D.O. has 121 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.