Physician

John Blamoun, MD

According to 2025 Medicare claims, John Blamoun, MD (NPI: 1053490177) practices pulmonary disease in the Midland, MI market, with the plurality of this provider's patient population coming from Midland, MI. This provider's primary affiliated billing organization is MYMICHIGAN MEDICAL CENTER MIDLAND (NPI: 1205889490; TIN: 380833014) and primary practice location at 48670-2000. Blamoun is affiliated with the POM ACO (ACO ID: A1297), UnityPoint Accountable Care, L.C. (ACO ID: A5170), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Blamoun's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 655 traditional Medicare patients, billed 1,664 HCPCS/CPT codes, and received $120,244 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 2,576 prescription claims across 313 beneficiaries totaling $967,662 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 739 claims. Open Payments data shows 27 records totaling $45,763. 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 up and down with repeated peaks and valleys, starting at $181,468 and ending at $120,244. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $629,202 and ending at $967,662. For DME billing, reported payments moved from a higher plateau to a lower plateau, from $110,432 to $59,796.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	900	2,946	$181,468
2016	885	2,582	$179,581
2017	896	2,749	$190,219
2018	769	1,707	$151,314
2019	858	2,090	$191,722
2020	815	2,459	$220,250
2021	837	2,402	$199,959
2022	751	1,989	$157,272
2023	703	1,664	$118,360
2024	655	1,664	$120,244

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	294	1,474	$629,202
2016	278	1,647	$779,471
2017	253	1,790	$723,773
2018	163	778	$383,590
2019	83	305	$103,206
2020	135	777	$219,346
2021	208	1,659	$610,028
2022	230	1,984	$644,977
2023	236	1,894	$662,790
2024	313	2,576	$967,662

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	428	1,897	$167,927
2016	548	2,311	$142,702
2017	503	1,823	$100,389
2018	509	1,899	$107,011
2019	457	1,232	$96,877
2020	285	938	$67,130
2021	154	674	$54,510
2022	122	631	$45,843
2023	77	590	$46,317
2024	170	739	$56,978

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	112	113	$129
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	112	113	$98
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	94	97	$90
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	229	$68
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	350	$58

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	538	19,530	$421,655
Ofev	Nintedanib Esylate	18	540	$232,343
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	107	3,810	$57,685
Spiriva Respimat	Tiotropium Bromide	68	2,280	$40,161
Symbicort	Budesonide/Formoterol Fumarate	146	5,160	$39,910

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	15	$14,973
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	29	183	$13,768
E0483	High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each	Y	N/R	11	$10,235
A7030	Full face mask used with positive airway pressure device, each	N	15	31	$3,046
A7031	Face mask interface, replacement for full face mask, each	N	15	32	$3,044

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$76	GENZYME CORPORATION
Research Payments	Reported research-related payment or transfer-of-value amount.	25	$45,688	Dompe Farmaceutici S.p.A.
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 John Blamoun, MD?

Tedicare shows public-source Medicare data for John Blamoun, MD (NPI 1053490177), 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 John Blamoun, MD have ACO affiliation data?

John Blamoun, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297), UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to John Blamoun, MD?

John Blamoun, MD is linked to MYMICHIGAN MEDICAL CENTER MIDLAND (billing NPI 1205889490) in the available physician profile data.

Does John Blamoun, MD have Open Payments data?

John Blamoun, MD has 27 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.