Physician

Michael R Magoline, M.D.

According to 2025 Medicare claims, Michael Magoline, M.D. (NPI: 1154412302) practices orthopedic surgery in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is AGNESIAN HEALTHCARE INC (NPI: 1730162991; TIN: 390807236) and primary practice location at 54935-4560. Magoline is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Magoline's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 127 traditional Medicare patients, billed 778 HCPCS/CPT codes, and received $40,470 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 205 prescription claims across 102 beneficiaries totaling $1,243 in drug costs, led by Ondansetron Odt (Ondansetron). Open Payments data shows 1 records totaling $115. 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 fallen sharply in recent years, from $58,665 to $40,470. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $7,872 to $1,243. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	207	845	$58,665
2016	249	864	$50,725
2017	232	819	$57,666
2018	242	833	$59,957
2019	252	801	$50,981
2020	243	814	$53,093
2021	36	68	$7,926
2022	14	63	$3,195
2023	81	279	$23,482
2024	127	778	$40,470

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	115	295	$7,872
2016	98	226	$6,306
2017	126	232	$4,477
2018	112	201	$2,584
2019	139	265	$3,709
2020	139	326	$3,925
2021	22	25	$182
2022	N/R	11	$100
2023	59	123	$994
2024	102	205	$1,243

DME Billing Trend

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

No connected DME records

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	75	117	$59
20610	Aspiration and/or injection of fluid from large joint	40	56	$44
73030	X-ray of shoulder, minimum of 2 views	30	38	$25
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	39	99	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ondansetron Odt	Ondansetron	48	339	$423
Oxycodone Hcl	Oxycodone Hcl	65	458	$303
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	31	152	$192
Tramadol Hcl	Tramadol Hcl	12	123	$64

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$115	Smith+Nephew, 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 Michael R. Magoline, M.D.?

Tedicare shows public-source Medicare data for Michael R. Magoline, M.D. (NPI 1154412302), 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 Michael R. Magoline, M.D. have ACO affiliation data?

Michael R. Magoline, M.D. is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Michael R. Magoline, M.D.?

Michael R. Magoline, M.D. is linked to AGNESIAN HEALTHCARE INC (billing NPI 1730162991) in the available physician profile data.

Does Michael R. Magoline, M.D. have Open Payments data?

Michael R. Magoline, M.D. has 1 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.