Physician

Luiz C Pantalena Filho, MD, PHD

According to 2025 Medicare claims, Luiz Filho, MD, PHD (NPI: 1225321722) practices micrographic dermatologic surgery in the South Bend-Mishawaka, IN-MI market, with the plurality of this provider's patient population coming from St. Joseph, IN. This provider's primary affiliated billing organization is CARDINAL DERMATOLOGY LLC (NPI: 1174390926; TIN: 931585829) and primary practice location at 46614-2518. Filho is affiliated with the CHA ACO, LLC (ACO ID: A2207), participating under the MSSP model.

Filho's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 450 traditional Medicare patients, billed 1,242 HCPCS/CPT codes, and received $302,560 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 40 prescription claims across 34 beneficiaries totaling $446 in drug costs, led by Mupirocin (Mupirocin). Open Payments data shows 9 records totaling $215. 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 $61,249 and ending at $302,560. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $1,446 to $446. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$250K$500K2015 Medicare payment: $61,249 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $261,952 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $411,263 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $500,375 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $408,040 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $302,215 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $394,002 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $354,212 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $341,168 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $302,560 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015119498$61,249
20163812,060$261,952
20174542,834$411,263
20184082,462$500,375
20193881,596$408,040
20203791,176$302,215
20214241,432$394,002
20224331,368$354,212
20234451,311$341,168
20244501,242$302,560

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$30K$61K2015 Drug cost: $1,446 (USD; Tot_Drug_Cst)2016 Drug cost: $60,540 (USD; Tot_Drug_Cst)2017 Drug cost: $11,572 (USD; Tot_Drug_Cst)2018 Drug cost: $1,784 (USD; Tot_Drug_Cst)2019 Drug cost: $1,171 (USD; Tot_Drug_Cst)2020 Drug cost: $720 (USD; Tot_Drug_Cst)2021 Drug cost: $1,158 (USD; Tot_Drug_Cst)2022 Drug cost: $574 (USD; Tot_Drug_Cst)2023 Drug cost: $247 (USD; Tot_Drug_Cst)2024 Drug cost: $446 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152039$1,446
201698171$60,540
2017157270$11,572
201867115$1,784
201978112$1,171
20203542$720
20213976$1,158
20223948$574
20232934$247
20243440$446

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
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks214265$437
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks98130$414
12032Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm176195$156
12052Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm6670$119
11602Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm6366$84

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MupirocinMupirocin33544$418

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.9$215Incyte Corporation
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 Luiz C. Pantalena Filho, MD, PHD?

Tedicare shows public-source Medicare data for Luiz C. Pantalena Filho, MD, PHD (NPI 1225321722), 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 Luiz C. Pantalena Filho, MD, PHD have ACO affiliation data?

Luiz C. Pantalena Filho, MD, PHD is shown with ACO affiliation data for CHA ACO, LLC (MSSP, ACO ID A2207).

What billing organization is linked to Luiz C. Pantalena Filho, MD, PHD?

Luiz C. Pantalena Filho, MD, PHD is linked to CARDINAL DERMATOLOGY LLC (billing NPI 1174390926) in the available physician profile data.

Does Luiz C. Pantalena Filho, MD, PHD have Open Payments data?

Luiz C. Pantalena Filho, MD, PHD has 9 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.