Physician

Albert John Folgueras, MD

According to 2025 Medicare claims, Albert Folgueras, MD (NPI: 1164611034) practices orthopedic surgery in the York-Hanover, PA market, with the plurality of this provider's patient population coming from York, PA. This provider's primary affiliated billing organization is WELLSPAN MEDICAL GROUP (NPI: 1346650124; TIN: 23-2730785) and primary practice location at 17403-5023. Folgueras is affiliated with the WellSpan Population Health Services (ACO ID: A2500), participating under the MSSP model.

Folgueras' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 303 traditional Medicare patients, billed 1,305 HCPCS/CPT codes, and received $130,216 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 333 prescription claims across 159 beneficiaries totaling $2,199 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). 2019 DME data shows 15 claims. Open Payments data shows 4 records totaling $468. 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 $239,698 to $130,216. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,830 and ending at $2,199. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $819 to $458.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	661	3,858	$239,698
2016	613	3,102	$235,780
2017	661	3,735	$222,508
2018	644	3,739	$232,411
2019	577	3,686	$252,381
2020	498	2,921	$192,369
2021	543	3,742	$203,836
2022	387	3,252	$132,243
2023	281	1,025	$151,239
2024	303	1,305	$130,216

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	120	248	$3,830
2016	105	170	$2,409
2017	94	149	$1,841
2018	94	170	$1,806
2019	112	233	$2,384
2020	91	150	$2,648
2021	111	197	$2,440
2022	81	164	$3,252
2023	120	236	$3,683
2024	159	333	$2,199

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	15	15	$538
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
27447	Replacement of knee joint, both sides of knee	44	46	$956
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	403	$83
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	49	49	$71
20610	Aspiration and/or injection of fluid from large joint	44	59	$49
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	44	584	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone Hcl	Oxycodone Hcl	73	990	$325
Meloxicam	Meloxicam	43	1,985	$109
Doxycycline Hyclate	Doxycycline Hyclate	12	207	$100
Amoxicillin	Amoxicillin	75	147	$86
Prednisone	Prednisone	19	221	$78

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.	4	$468	PolyNovo North America LLC
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 Albert John Folgueras, MD?

Tedicare shows public-source Medicare data for Albert John Folgueras, MD (NPI 1164611034), 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 Albert John Folgueras, MD have ACO affiliation data?

Albert John Folgueras, MD is shown with ACO affiliation data for WellSpan Population Health Services (MSSP, ACO ID A2500).

What billing organization is linked to Albert John Folgueras, MD?

Albert John Folgueras, MD is linked to WELLSPAN MEDICAL GROUP (billing NPI 1346650124) in the available physician profile data.

Does Albert John Folgueras, MD have Open Payments data?

Albert John Folgueras, MD has 4 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.