Physician

David R Paolone, MD

According to 2025 Medicare claims, David Paolone, MD (NPI: 1235194846) practices urology in the Madison, WI market, with the plurality of this provider's patient population coming from Dane, WI. This provider's primary affiliated billing organization is UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC (NPI: 1598784555; TIN: 391824445) and primary practice location at 53715-1375. Paolone is affiliated with the UW Health ACO, Inc (ACO ID: A5500), participating under the MSSP model.

Paolone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,289 traditional Medicare patients, billed 5,907 HCPCS/CPT codes, and received $273,941 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 3,624 prescription claims across 823 beneficiaries totaling $271,282 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 138 claims. Open Payments data shows 1 records totaling $107. 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $770 to $304.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,082	4,836	$206,573
2016	1,245	5,001	$227,830
2017	1,341	5,020	$225,419
2018	1,380	4,666	$217,330
2019	1,301	5,501	$232,164
2020	1,111	4,068	$152,331
2021	1,153	6,227	$197,457
2022	1,226	7,003	$246,430
2023	1,254	4,368	$198,847
2024	1,289	5,907	$273,941

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	464	2,789	$232,275
2016	492	2,952	$251,877
2017	556	3,160	$287,002
2018	603	3,278	$291,023
2019	625	3,320	$271,175
2020	600	3,055	$220,227
2021	611	3,029	$217,622
2022	649	3,219	$251,196
2023	698	3,314	$302,011
2024	823	3,624	$271,282

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	64	$22,061
2016	N/R	70	$14,605
2017	N/R	91	$23,425
2018	N/R	112	$35,898
2019	N/R	110	$37,633
2020	N/R	121	$30,359
2021	N/R	134	$46,562
2022	N/R	120	$48,986
2023	N/R	141	$53,301
2024	N/R	138	$59,169

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	608	653	$53
99202	New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more	149	149	$43
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	163	168	$35
36415	Insertion of needle into vein for collection of blood sample	168	198	$9
81001	Manual urinalysis test with examination using microscope, automated	145	206	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	267	10,543	$157,833
Tamsulosin Hcl	Tamsulosin Hcl	987	75,949	$14,182
Finasteride	Finasteride	1,053	81,123	$13,908
Testosterone	Testosterone	62	2,100	$8,156
Oxybutynin Chloride Er	Oxybutynin Chloride	279	20,517	$7,900

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	46	$45,186
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	52	$13,518
A4332	Lubricant, individual sterile packet, each	N	N/R	22	$260
A4402	Lubricant, per ounce	N	N/R	18	$206

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$107	Dendreon Pharmaceuticals LLC
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 David R. Paolone, MD?

Tedicare shows public-source Medicare data for David R. Paolone, MD (NPI 1235194846), 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 David R. Paolone, MD have ACO affiliation data?

David R. Paolone, MD is shown with ACO affiliation data for UW Health ACO, Inc (MSSP, ACO ID A5500).

What billing organization is linked to David R. Paolone, MD?

David R. Paolone, MD is linked to UNIVERSITY OF WISCONSIN MEDICAL FOUNDATION, INC (billing NPI 1598784555) in the available physician profile data.

Does David R. Paolone, MD have Open Payments data?

David R. Paolone, MD has 1 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.