Physician

Luigi F Bertoli, MD

According to 2025 Medicare claims, Luigi Bertoli, MD (NPI: 1164514386) practices hematology/oncology in the Birmingham, AL market, with the plurality of this provider's patient population coming from Jefferson, AL. This provider's primary affiliated billing organization is SOUTHERN HEMATOLOGY ONCOLOGY PC (NPI: 1194920447; TIN: 631055248) and primary practice location at 35209-6807.

Bertoli's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 235 traditional Medicare patients, billed 128,768 HCPCS/CPT codes, and received $3,511,710 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 1,354 prescription claims across 187 beneficiaries totaling $2,791,399 in drug costs, led by Jakafi (Ruxolitinib Phosphate). DME data shows 457 claims. Open Payments data shows 46 records totaling $923. 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 risen steadily, from $2,691,029 to $3,511,710. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $1,048,021 to $2,791,399. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $10,720 to $4,318.

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$1.8M$3.5M2015 Medicare payment: $2,691,029 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $3,072,207 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,170,830 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,214,174 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,097,413 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,914,107 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,870,746 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,241,909 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,413,049 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,511,710 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015400133,364$2,691,029
2016383152,327$3,072,207
2017287112,982$2,170,830
2018277114,274$2,214,174
2019316100,992$2,097,413
2020260118,953$2,914,107
2021241103,780$2,870,746
2022241125,008$3,241,909
2023246130,113$3,413,049
2024235128,768$3,511,710

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$1.4M$2.8M2015 Drug cost: $1,048,021 (USD; Tot_Drug_Cst)2016 Drug cost: $1,005,421 (USD; Tot_Drug_Cst)2017 Drug cost: $1,180,839 (USD; Tot_Drug_Cst)2018 Drug cost: $1,130,005 (USD; Tot_Drug_Cst)2019 Drug cost: $1,703,217 (USD; Tot_Drug_Cst)2020 Drug cost: $2,215,211 (USD; Tot_Drug_Cst)2021 Drug cost: $2,060,235 (USD; Tot_Drug_Cst)2022 Drug cost: $2,106,645 (USD; Tot_Drug_Cst)2023 Drug cost: $2,651,229 (USD; Tot_Drug_Cst)2024 Drug cost: $2,791,399 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152041,509$1,048,021
20161751,349$1,005,421
20171781,282$1,180,839
20181701,315$1,130,005
20191681,236$1,703,217
20201711,398$2,215,211
20211831,206$2,060,235
20221651,137$2,106,645
20231821,192$2,651,229
20241871,354$2,791,399

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$401K$802K2015 Medicare payment: $212,469 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $255,611 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $267,935 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $221,992 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $317,453 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $482,539 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $513,005 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $607,488 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $614,025 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $802,118 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R225$212,469
2016N/R197$255,611
2017N/R264$267,935
2018N/R203$221,992
2019N/R266$317,453
2020N/R408$482,539
2021N/R357$513,005
2022N/R388$607,488
2023N/R366$614,025
202414457$802,118

* / # = 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 more132225$81
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less1201,080$39
36415Insertion of needle into vein for collection of blood sample1641,252$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2261,451$8
J7050Infusion, normal saline solution, 250 cc1191,740$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JakafiRuxolitinib Phosphate22660$439,544
HizentraImmun Glob G(Igg)/Pro/Iga 0-5018504$290,777
OctagamImmun Globg(Igg)/Malt/Iga Ov5028698$270,689
LynparzaOlaparib11330$212,405
VenclextaVenetoclax13390$191,730

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J1561Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mgNN/R79$257,316
J1559Injection, immune globulin (hizentra), 100 mgNN/R46$193,608
J1568Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mgNN/R37$133,960
J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mgNN/R35$85,618
J1576Injection, immune globulin (panzyga), intravenous, non-lyophilized (e.g., liquid), 500 mgNN/R14$76,222

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.46$923Novartis Pharmaceuticals Corporation
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 Luigi F. Bertoli, MD?

Tedicare shows public-source Medicare data for Luigi F. Bertoli, MD (NPI 1164514386), 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 Luigi F. Bertoli, 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 Luigi F. Bertoli, MD?

Luigi F. Bertoli, MD is linked to SOUTHERN HEMATOLOGY ONCOLOGY PC (billing NPI 1194920447) in the available physician profile data.

Does Luigi F. Bertoli, MD have Open Payments data?

Luigi F. Bertoli, MD has 46 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.