Physician

Jeffrey A Skiles, MD

According to 2025 Medicare claims, Jeffrey Skiles, MD (NPI: 1114906542) practices cardiology in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is VALLEY PHYSICIAN ENTERPRISE, INC. (NPI: 1366944670; TIN: 26-2767279) and primary practice location at 22601-2808. Skiles is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Skiles' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,472 traditional Medicare patients, billed 4,334 HCPCS/CPT codes, and received $178,867 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 6,060 prescription claims across 881 beneficiaries totaling $933,002 in drug costs, led by Eliquis (Apixaban). DME data shows 24 claims. Open Payments data shows 21 records totaling $58,337. 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 declined steadily, from $402,057 to $178,867. In contrast, Part D prescription costs have risen steadily, from $307,374 to $933,002. For DME billing, this smaller-volume category moved up and down with repeated peaks and valleys, starting at $9,949 and ending at $900.

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$201K$402K2015 Medicare payment: $402,057 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $316,054 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $323,952 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $328,683 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $325,589 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $282,715 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $257,284 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $274,621 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $260,528 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $178,867 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,2766,360$402,057
20162,2895,578$316,054
20172,9096,294$323,952
20182,5116,082$328,683
20192,2615,466$325,589
20202,0394,394$282,715
20211,9654,121$257,284
20221,9924,170$274,621
20232,0254,118$260,528
20242,4724,334$178,867

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$467K$933K2015 Drug cost: $307,374 (USD; Tot_Drug_Cst)2016 Drug cost: $450,879 (USD; Tot_Drug_Cst)2017 Drug cost: $503,163 (USD; Tot_Drug_Cst)2018 Drug cost: $572,560 (USD; Tot_Drug_Cst)2019 Drug cost: $639,843 (USD; Tot_Drug_Cst)2020 Drug cost: $696,263 (USD; Tot_Drug_Cst)2021 Drug cost: $765,815 (USD; Tot_Drug_Cst)2022 Drug cost: $716,538 (USD; Tot_Drug_Cst)2023 Drug cost: $653,903 (USD; Tot_Drug_Cst)2024 Drug cost: $933,002 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154554,371$307,374
20165155,139$450,879
20176115,281$503,163
20186185,289$572,560
20196084,495$639,843
20206254,302$696,263
20216684,626$765,815
20226624,427$716,538
20237044,219$653,903
20248816,060$933,002

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$12K$25K2017 Medicare payment: $1,468 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $24,999 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $900 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R41$1,468
2018N/R12$24,999
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R24$900

* / # = 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 more480642$82
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes142334$60
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function595598$57
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report384456$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only8781,044$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban43127,435$519,854
XareltoRivaroxaban1368,414$153,643
MultaqDronedarone Hcl382,520$59,210
EntrestoSacubitril/Valsartan382,235$45,887
Repatha SureclickEvolocumab361,630$30,895

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R12$743
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R12$157

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$889Edwards Lifesciences Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.7$57,448CSL Behring
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jeffrey A. Skiles, MD?

Tedicare shows public-source Medicare data for Jeffrey A. Skiles, MD (NPI 1114906542), 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 Jeffrey A. Skiles, MD have ACO affiliation data?

Jeffrey A. Skiles, MD 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 Jeffrey A. Skiles, MD?

Jeffrey A. Skiles, MD is linked to VALLEY PHYSICIAN ENTERPRISE, INC. (billing NPI 1366944670) in the available physician profile data.

Does Jeffrey A. Skiles, MD have Open Payments data?

Jeffrey A. Skiles, MD has 21 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.