Physician

Donna M O'Neill, MD

According to 2025 Medicare claims, Donna O'Neill, MD (NPI: 1174534994) practices infectious disease in the Jackson, MI market, with the plurality of this provider's patient population coming from Jackson, MI. This provider's primary affiliated billing organization is DONNA M O'NEILL M.D. P.C. (NPI: 1770796567; TIN: 383146175) and primary practice location at 49202-3504. O'Neill is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

O'Neill's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 267 traditional Medicare patients, billed 356,329 HCPCS/CPT codes, and received $1,157,367 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 979 prescription claims across 247 beneficiaries totaling $742,848 in drug costs, led by Genvoya (Elviteg/Cob/Emtri/Tenof Alafen). 2021 DME data shows 40 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 moved up and down with repeated peaks and valleys, starting at $419,970 and ending at $1,157,367. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $213,647 and ending at $742,848. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $913 and ending at $2,248.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	466	156,421	$419,970
2016	523	397,939	$1,271,536
2017	502	386,007	$1,511,554
2018	500	355,201	$1,604,430
2019	455	325,230	$1,742,298
2020	343	314,111	$1,508,498
2021	787	556,176	$1,675,491
2022	365	248,736	$1,057,428
2023	241	268,765	$798,275
2024	267	356,329	$1,157,367

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	111	409	$213,647
2016	224	760	$1,476,017
2017	291	1,074	$1,824,047
2018	283	1,027	$1,322,317
2019	295	1,133	$903,300
2020	237	1,170	$1,089,220
2021	343	1,123	$779,683
2022	259	1,017	$1,047,542
2023	221	878	$850,751
2024	247	979	$742,848

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	39	$41,333
2016	N/R	36	$54,962
2017	N/R	46	$40,933
2018	N/R	51	$44,051
2019	N/R	39	$32,741
2020	N/R	39	$21,617
2021	N/R	40	$22,278
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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	421	$94
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	136	377	$68
96365	Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	147	1,277	$44
96367	Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less	68	418	$20
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	64	120	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Genvoya	Elviteg/Cob/Emtri/Tenof Alafen	40	1,200	$173,012
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	27	810	$106,612
Juluca	Dolutegravir/Rilpivirine	29	870	$93,206
Xolair	Omalizumab	26	728	$90,022
Symtuza	Darunavir/Cob/Emtri/Tenof Alaf	13	390	$58,310

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.

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FAQ

What Medicare data is available for Donna M. O'Neill, MD?

Tedicare shows public-source Medicare data for Donna M. O'Neill, MD (NPI 1174534994), 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 Donna M. O'Neill, MD have ACO affiliation data?

Donna M. O'Neill, MD is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Donna M. O'Neill, MD?

Donna M. O'Neill, MD is linked to DONNA M O'NEILL M.D. P.C. (billing NPI 1770796567) in the available physician profile data.

Does Donna M. O'Neill, MD 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.