Physician

Mark Vincent Wilson, MD

According to 2025 Medicare claims, Mark Wilson, MD (NPI: 1215951579) practices orthopedic surgery in the Binghamton, NY market, with the plurality of this provider's patient population coming from Broome, NY. This provider's primary affiliated billing organization is OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. (NPI: 1063557189; TIN: 150532221) and primary practice location at 13905-4246. Wilson is affiliated with the Humana Direct Contracting Entity, Inc. (ACO ID: D0203), participating under the REACH model.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 291 traditional Medicare patients, billed 702 HCPCS/CPT codes, and received $93,091 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 760 prescription claims across 309 beneficiaries totaling $7,619 in drug costs, led by Celecoxib (Celecoxib). Open Payments data shows 14 records totaling $362. 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 $148,173 to $93,091. Similarly, Part D prescription costs have fallen sharply in recent years, from $18,019 to $7,619. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $1,787 to $266.

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$93K$186K2015 Medicare payment: $148,173 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $186,489 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $152,650 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $120,493 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $112,405 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $124,062 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $110,874 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $117,811 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $121,940 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $93,091 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154703,407$148,173
20165003,546$186,489
20174712,253$152,650
20184331,061$120,493
20194171,036$112,405
2020405965$124,062
2021375877$110,874
2022369809$117,811
2023320733$121,940
2024291702$93,091

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$13K$26K2015 Drug cost: $18,019 (USD; Tot_Drug_Cst)2016 Drug cost: $21,786 (USD; Tot_Drug_Cst)2017 Drug cost: $23,815 (USD; Tot_Drug_Cst)2018 Drug cost: $21,101 (USD; Tot_Drug_Cst)2019 Drug cost: $26,079 (USD; Tot_Drug_Cst)2020 Drug cost: $25,680 (USD; Tot_Drug_Cst)2021 Drug cost: $13,168 (USD; Tot_Drug_Cst)2022 Drug cost: $11,703 (USD; Tot_Drug_Cst)2023 Drug cost: $14,568 (USD; Tot_Drug_Cst)2024 Drug cost: $7,619 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015173482$18,019
2016194600$21,786
2017196595$23,815
2018196534$21,101
2019223546$26,079
2020224532$25,680
2021252645$13,168
2022264704$11,703
2023297790$14,568
2024309760$7,619

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
27447Replacement of knee joint, both sides of knee3940$961
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7486$63
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more202276$45
20610Aspiration and/or injection of fluid from large joint117213$34

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib864,920$2,494
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen961,011$842
Diclofenac SodiumDiclofenac Sodium16510$636
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen58452$395
AmoxicillinAmoxicillin166797$344

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.14$362Baxter Healthcare
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark Vincent Wilson, MD?

Tedicare shows public-source Medicare data for Mark Vincent Wilson, MD (NPI 1215951579), 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 Mark Vincent Wilson, MD have ACO affiliation data?

Mark Vincent Wilson, MD is shown with ACO affiliation data for Humana Direct Contracting Entity, Inc. (REACH, ACO ID D0203).

What billing organization is linked to Mark Vincent Wilson, MD?

Mark Vincent Wilson, MD is linked to OUR LADY OF LOURDES MEMORIAL HOSPITAL, INC. (billing NPI 1063557189) in the available physician profile data.

Does Mark Vincent Wilson, MD have Open Payments data?

Mark Vincent Wilson, MD has 14 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.