Physician

Andrew Joseph Failla, MD

According to 2025 Medicare claims, Andrew Failla, MD (NPI: 1235699778) practices infectious disease in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Oakland, MI. This provider's primary affiliated billing organization is HENRY FORD HEALTH SYSTEM (NPI: 1992866198; TIN: 38-1357020) and primary practice location at 48322-3013. Failla is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Failla's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 118 traditional Medicare patients, billed 340 HCPCS/CPT codes, and received $30,276 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 49 prescription claims across 23 beneficiaries totaling $101,300 in drug costs. Open Payments data shows 2 records totaling $140. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $17,320 to $101,300. 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$15K$30K2024 Medicare payment: $30,276 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024118340$30,276

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$76K$152K2019 Drug cost: $17,320 (USD; Tot_Drug_Cst)2020 Drug cost: $24,765 (USD; Tot_Drug_Cst)2021 Drug cost: $31,163 (USD; Tot_Drug_Cst)2022 Drug cost: $41,497 (USD; Tot_Drug_Cst)2023 Drug cost: $151,635 (USD; Tot_Drug_Cst)2024 Drug cost: $101,300 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
201939136$17,320
202065313$24,765
202146213$31,163
202264345$41,497
202331175$151,635
20242349$101,300

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5253$139
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more1519$116
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes60130$95
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1939$63
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th2342$24

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.2$140Astellas Pharma US Inc
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 Andrew Joseph Failla, MD?

Tedicare shows public-source Medicare data for Andrew Joseph Failla, MD (NPI 1235699778), 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 Andrew Joseph Failla, MD have ACO affiliation data?

Andrew Joseph Failla, MD is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Andrew Joseph Failla, MD?

Andrew Joseph Failla, MD is linked to HENRY FORD HEALTH SYSTEM (billing NPI 1992866198) in the available physician profile data.

Does Andrew Joseph Failla, MD have Open Payments data?

Andrew Joseph Failla, MD has 2 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.