Physician

Amanda Gail Michael, D.O.

According to 2025 Medicare claims, Amanda Michael, D.O. (NPI: 1053540781) practices family practice in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Morgan, WV. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 25411-4696. Michael is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Michael's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 240 traditional Medicare patients, billed 1,261 HCPCS/CPT codes, and received $71,558 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 6,068 prescription claims across 382 beneficiaries totaling $808,185 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 290 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $304,790 to $808,185. In contrast, DME billing represents a smaller volume and declined steadily, from $14,124 to $11,355.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	255	1,877	$76,404
2016	306	2,319	$98,741
2017	307	2,554	$104,519
2018	289	2,344	$94,606
2019	306	2,409	$98,260
2020	294	2,157	$98,067
2021	312	2,185	$104,952
2022	254	1,523	$80,365
2023	231	1,511	$86,164
2024	240	1,261	$71,558

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	219	3,989	$304,790
2016	265	4,125	$297,264
2017	286	3,573	$289,462
2018	290	5,185	$484,816
2019	310	5,566	$520,566
2020	379	5,802	$528,616
2021	433	6,000	$498,946
2022	426	5,242	$467,920
2023	369	5,731	$650,446
2024	382	6,068	$808,185

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	52	297	$16,581
2016	108	423	$9,358
2017	82	534	$9,428
2018	88	391	$9,169
2019	42	377	$8,642
2020	22	491	$22,518
2021	16	390	$16,872
2022	14	234	$10,338
2023	N/R	247	$7,599
2024	11	290	$9,264

* / # = 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	145	145	$127
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	210	454	$63
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	120	221	$46
G0008	Administration of influenza virus vaccine	21	21	$30
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	86	96	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	133	5,072	$185,719
Trulicity	Dulaglutide	81	3,223	$104,006
Jardiance	Empagliflozin	69	4,650	$83,890
Eliquis	Apixaban	55	3,817	$74,489
Xarelto	Rivaroxaban	38	2,415	$45,150

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
A7031	Face mask interface, replacement for full face mask, each	N	N/R	22	$1,954
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	21	$1,919
A7030	Full face mask used with positive airway pressure device, each	N	N/R	23	$1,694
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	24	$636
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	13	$521

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 Amanda Gail Michael, D.O.?

Tedicare shows public-source Medicare data for Amanda Gail Michael, D.O. (NPI 1053540781), 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 Amanda Gail Michael, D.O. have ACO affiliation data?

Amanda Gail Michael, D.O. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Amanda Gail Michael, D.O.?

Amanda Gail Michael, D.O. is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does Amanda Gail Michael, D.O. 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.