Physician

William Hayes Wilson, MD

According to 2025 Medicare claims, William Wilson, MD (NPI: 1063587061) practices rheumatology in the Atlanta-Sandy Springs-Roswell, GA market, with the plurality of this provider's patient population coming from Fulton, GA. This provider's primary affiliated billing organization is PIEDMONT RHEUMATOLOGY CONSULTANTS PC (NPI: 1598891962; TIN: 582032040) and primary practice location at 30309-1476.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 431 traditional Medicare patients, billed 144,401 HCPCS/CPT codes, and received $1,822,360 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 7,951 prescription claims across 779 beneficiaries totaling $5,938,591 in drug costs, led by Acthar (Corticotropin). 2017 DME data shows 11 claims. Open Payments data shows 348 records totaling $45,455. 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 $349,604 to $1,822,360. Concurrently, Part D prescription costs have changed little. 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$985K$2.0M2015 Medicare payment: $349,604 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $207,310 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $430,258 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $802,149 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,427,706 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,767,900 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,969,187 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,643,409 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,564,334 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,822,360 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155078,068$349,604
20165027,423$207,310
201744718,544$430,258
201841431,943$802,149
201947846,818$1,427,706
202045078,812$1,767,900
202153193,086$1,969,187
202246885,303$1,643,409
2023483102,911$1,564,334
2024431144,401$1,822,360

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$3.0M$5.9M2015 Drug cost: $5,159,762 (USD; Tot_Drug_Cst)2016 Drug cost: $3,998,191 (USD; Tot_Drug_Cst)2017 Drug cost: $5,294,683 (USD; Tot_Drug_Cst)2018 Drug cost: $3,967,821 (USD; Tot_Drug_Cst)2019 Drug cost: $4,404,331 (USD; Tot_Drug_Cst)2020 Drug cost: $4,162,339 (USD; Tot_Drug_Cst)2021 Drug cost: $4,088,486 (USD; Tot_Drug_Cst)2022 Drug cost: $4,143,644 (USD; Tot_Drug_Cst)2023 Drug cost: $4,542,641 (USD; Tot_Drug_Cst)2024 Drug cost: $5,938,591 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156096,879$5,159,762
20165826,737$3,998,191
20175566,494$5,294,683
20185196,700$3,967,821
20196166,877$4,404,331
20205926,823$4,162,339
20216306,896$4,088,486
20226837,017$4,143,644
20237427,210$4,542,641
20247797,951$5,938,591

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$41$822017 Medicare payment: $82 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R11$82
2018N/RN/RN/R
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more225390$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more164248$58
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less71400$49
96372Injection of drug or substance under skin or into muscle102293$10
J1010Injection, methylprednisolone acetate, 1 mg8214,381$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ActharCorticotropin11394$1,031,861
RinvoqUpadacitinib1173,810$782,281
Enbrel SureclickEtanercept592,436$623,088
KrystexxaPegloticase18294$513,071
Xeljanz XrTofacitinib Citrate632,550$477,170

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.348$45,455Janssen Biotech, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for William Hayes Wilson, MD?

Tedicare shows public-source Medicare data for William Hayes Wilson, MD (NPI 1063587061), 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 William Hayes Wilson, MD have ACO affiliation data?

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

What billing organization is linked to William Hayes Wilson, MD?

William Hayes Wilson, MD is linked to PIEDMONT RHEUMATOLOGY CONSULTANTS PC (billing NPI 1598891962) in the available physician profile data.

Does William Hayes Wilson, MD have Open Payments data?

William Hayes Wilson, MD has 348 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.