Physician

Philip Lesueur, MD

According to 2025 Medicare claims, Philip Lesueur, MD (NPI: 1194161505) practices internal medicine in the Sierra Vista-Douglas, AZ market, with the plurality of this provider's patient population coming from Cochise, AZ. This provider's primary affiliated billing organization is GP MEDICINE, PLLC (NPI: 1568001543; TIN: 842726913) and primary practice location at 85635-2756. Lesueur is affiliated with the ABC Network (ACO ID: A5554), participating under the MSSP model.

Lesueur's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 661 traditional Medicare patients, billed 3,348 HCPCS/CPT codes, and received $190,662 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 7,817 prescription claims across 766 beneficiaries totaling $823,184 in drug costs, led by Zemaira (Alpha-1-Proteinase Inhibitor). DME data shows 403 claims. Open Payments data shows 15 records totaling $296. 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 $44,752 to $190,662. Similarly, Part D prescription costs have moved sharply higher in recent years, from $3,119 to $823,184. For DME billing, reported payments moved sharply higher in recent years, from $8,642 to $51,654.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	304	818	$44,752
2018	618	2,475	$127,866
2019	512	2,000	$117,523
2020	472	1,987	$113,854
2021	1,252	5,142	$223,541
2022	730	3,269	$175,277
2023	594	3,012	$170,926
2024	661	3,348	$190,662

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	26	92	$3,119
2016	19	83	$1,682
2017	169	594	$42,002
2018	377	3,927	$402,258
2019	442	4,854	$398,141
2020	452	5,326	$409,575
2021	482	5,869	$495,700
2022	546	5,950	$642,595
2023	581	6,360	$747,294
2024	766	7,817	$823,184

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	11	106	$2,706
2019	15	253	$6,456
2020	N/R	274	$8,914
2021	51	371	$20,211
2022	88	531	$27,669
2023	73	514	$36,454
2024	60	403	$48,186

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	230	230	$127
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	486	1,215	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	192	233	$60
G0008	Administration of influenza virus vaccine	118	120	$29
G0444	Annual depression screening, 5 to 15 minutes	226	226	$19

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Zemaira	Alpha-1-Proteinase Inhibitor	11	308	$97,588
Eliquis	Apixaban	93	5,078	$94,202
Ozempic	Semaglutide	51	1,966	$63,201
Jardiance	Empagliflozin	41	2,816	$50,633
Repatha Sureclick	Evolocumab	28	1,759	$34,126

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	12	40	$22,425
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	11	$11,232
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	71	$4,663
A7031	Face mask interface, replacement for full face mask, each	N	N/R	27	$2,125
A7030	Full face mask used with positive airway pressure device, each	N	N/R	28	$2,000

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$296	ABBVIE INC.
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 Philip Lesueur, MD?

Tedicare shows public-source Medicare data for Philip Lesueur, MD (NPI 1194161505), 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 Lesueur, MD have ACO affiliation data?

Philip Lesueur, MD is shown with ACO affiliation data for ABC Network (MSSP, ACO ID A5554).

What billing organization is linked to Philip Lesueur, MD?

Philip Lesueur, MD is linked to GP MEDICINE, PLLC (billing NPI 1568001543) in the available physician profile data.

Does Philip Lesueur, MD have Open Payments data?

Philip Lesueur, MD has 15 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.