Physician

Philip Glenn Midgley, DO

According to 2025 Medicare claims, Philip Midgley, DO (NPI: 1164687448) practices family practice in the Brownsville-Harlingen, TX market, with the plurality of this provider's patient population coming from Cameron, TX. This provider's primary affiliated billing organization is VOHRA POST ACUTE CARE PHYSICIANS OF TEXAS, PLLC (NPI: 1821424789; TIN: 901017049) and primary practice location at 78520-9102. Midgley is affiliated with the American Choice Healthcare, LLC (ACO ID: D0086), participating under the REACH model.

Midgley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 273 traditional Medicare patients, billed 4,463 HCPCS/CPT codes, and received $544,642 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 1,997 prescription claims across 272 beneficiaries totaling $122,312 in drug costs, led by Santyl (Collagenase Clostridium Hist.). DME data shows 419 claims. 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 changed little. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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	818	6,669	$433,675
2016	672	5,693	$381,019
2017	555	6,053	$414,580
2018	556	5,561	$400,281
2019	437	5,999	$448,621
2020	373	6,461	$476,814
2021	286	6,047	$497,515
2022	216	4,412	$354,066
2023	227	4,585	$480,591
2024	273	4,463	$544,642

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	314	1,514	$164,263
2016	268	1,381	$181,684
2017	274	1,481	$181,870
2018	282	1,656	$175,257
2019	290	2,190	$248,284
2020	281	2,097	$329,218
2021	223	1,534	$159,234
2022	197	1,279	$109,389
2023	238	1,758	$141,292
2024	272	1,997	$122,312

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	365	707	$107,118
2016	362	842	$134,442
2017	367	824	$157,456
2018	449	939	$235,816
2019	570	1,595	$311,510
2020	574	1,395	$243,711
2021	302	815	$142,573
2022	146	424	$96,443
2023	134	435	$119,302
2024	188	419	$57,472

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	114	114	$136
99310	Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	214	813	$116
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	166	549	$81
11042	Removal of skin and tissue, 20.0 sq cm or less	125	479	$72
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	215	862	$56

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Santyl	Collagenase Clostridium Hist.	121	1,624	$49,728
Betamethasone Dipropionate	Betamethasone Dipropionate	229	2,802	$13,902
Gentamicin Sulfate	Gentamicin Sulfate	82	949	$5,470
Ketoconazole	Ketoconazole	161	2,552	$4,996
Permethrin	Permethrin	55	372	$3,555

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	N	27	52	$39,731
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	19	27	$6,924
A4452	Tape, waterproof, per 18 square inches	N	46	112	$3,069
A6222	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	N	12	25	$2,676
A6223	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing	N	14	21	$1,889

Open Payments Summary

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

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FAQ

What Medicare data is available for Philip Glenn Midgley, DO?

Tedicare shows public-source Medicare data for Philip Glenn Midgley, DO (NPI 1164687448), 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 Philip Glenn Midgley, DO have ACO affiliation data?

Philip Glenn Midgley, DO is shown with ACO affiliation data for American Choice Healthcare, LLC (REACH, ACO ID D0086).

What billing organization is linked to Philip Glenn Midgley, DO?

Philip Glenn Midgley, DO is linked to VOHRA POST ACUTE CARE PHYSICIANS OF TEXAS, PLLC (billing NPI 1821424789) in the available physician profile data.

Does Philip Glenn Midgley, DO 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.