Physician

Richard Michael Cousino, D.O.

According to 2025 Medicare claims, Richard Cousino, D.O. (NPI: 1164601316) practices emergency medicine in the Monroe, MI market, with the plurality of this provider's patient population coming from Monroe, MI. This provider's primary affiliated billing organization is EMERGENCY PHYSICIANS OF NORTHWEST OHIO INC. (NPI: 1043274418; TIN: 810547599) and primary practice location at 48162-7815.

Cousino's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 470 traditional Medicare patients, billed 893 HCPCS/CPT codes, and received $68,580 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 122 prescription claims across 90 beneficiaries totaling $1,203 in drug costs, led by Cephalexin (Cephalexin). 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 declined steadily, from $101,668 to $68,580. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $1,624 to $1,203. 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$74K$147K2015 Medicare payment: $101,668 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $147,024 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $142,461 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $118,670 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $110,451 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $88,823 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $105,067 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $80,581 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $79,332 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $68,580 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157421,339$101,668
20169401,776$147,024
20179501,664$142,461
20188291,435$118,670
20197421,350$110,451
20205591,143$88,823
20216231,231$105,067
20225281,028$80,581
2023512869$79,332
2024470893$68,580

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$812$1.6K2015 Drug cost: $1,624 (USD; Tot_Drug_Cst)2016 Drug cost: $1,390 (USD; Tot_Drug_Cst)2017 Drug cost: $1,368 (USD; Tot_Drug_Cst)2018 Drug cost: $896 (USD; Tot_Drug_Cst)2019 Drug cost: $291 (USD; Tot_Drug_Cst)2020 Drug cost: $341 (USD; Tot_Drug_Cst)2021 Drug cost: $218 (USD; Tot_Drug_Cst)2022 Drug cost: $254 (USD; Tot_Drug_Cst)2023 Drug cost: $189 (USD; Tot_Drug_Cst)2024 Drug cost: $1,203 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015104132$1,624
2016114141$1,390
20176175$1,368
20184961$896
20193037$291
20201520$341
20212225$218
20222328$254
20233644$189
202490122$1,203

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes117125$146
99285Emergency department visit with high level of medical decision making266298$119
99284Emergency department visit with moderate level of medical decision making121131$77
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only249283$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CephalexinCephalexin20172$90
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen2049$38

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Richard Michael Cousino, D.O.?

Tedicare shows public-source Medicare data for Richard Michael Cousino, D.O. (NPI 1164601316), 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 Richard Michael Cousino, D.O. have ACO affiliation data?

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

What billing organization is linked to Richard Michael Cousino, D.O.?

Richard Michael Cousino, D.O. is linked to EMERGENCY PHYSICIANS OF NORTHWEST OHIO INC. (billing NPI 1043274418) in the available physician profile data.

Does Richard Michael Cousino, 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.