Physician

Michael James Sullivan, M.D.

According to 2025 Medicare claims, Michael Sullivan, M.D. (NPI: 1255341988) practices orthopedic surgery in the Brunswick-St. Simons, GA market, with the plurality of this provider's patient population coming from Glynn, GA. This provider's primary affiliated billing organization is COOPERATIVE HEALTHCARE SERVICES INC (NPI: 1417979402; TIN: 010594994) and primary practice location at 31520-4786.

Sullivan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 377 traditional Medicare patients, billed 3,357 HCPCS/CPT codes, and received $137,229 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 269 prescription claims across 148 beneficiaries totaling $1,347 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 54 claims. No Open Payments records. 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. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $5,884 to $1,347. 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.

Year	Patients	Clm Lines	Payment
2015	345	2,533	$135,188
2016	337	2,573	$137,773
2017	366	2,760	$149,689
2018	393	2,760	$153,445
2019	399	2,862	$159,428
2020	333	2,412	$131,338
2021	356	2,590	$141,141
2022	350	2,595	$135,993
2023	358	2,572	$131,134
2024	377	3,357	$137,229

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	138	295	$5,884
2016	128	294	$3,756
2017	159	366	$2,937
2018	147	322	$2,560
2019	140	342	$4,231
2020	125	241	$2,246
2021	130	261	$1,528
2022	147	313	$1,947
2023	140	266	$1,926
2024	148	269	$1,347

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	18	19	$942
2017	50	70	$2,596
2018	73	95	$4,448
2019	51	70	$2,942
2020	41	53	$2,246
2021	48	73	$3,162
2022	41	53	$2,339
2023	46	58	$2,871
2024	33	54	$3,117

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	204	285	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	184	289	$62
20550	Injection into tendon or ligament	102	170	$40
73130	X-ray of hand, minimum of 3 views	121	131	$24
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	200	605	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	132	655	$751
Cephalexin	Cephalexin	90	288	$178
Oxycodone Hcl	Oxycodone Hcl	15	84	$75

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
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	33	42	$2,073
L3762	Elbow orthosis, rigid, without joints, includes soft interface material, prefabricated, off-the-shelf	N	N/R	12	$1,044

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

Explore More Providers

FAQ

What Medicare data is available for Michael James Sullivan, M.D.?

Tedicare shows public-source Medicare data for Michael James Sullivan, M.D. (NPI 1255341988), 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 Michael James Sullivan, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael James Sullivan, M.D.?

Michael James Sullivan, M.D. is linked to COOPERATIVE HEALTHCARE SERVICES INC (billing NPI 1417979402) in the available physician profile data.

Does Michael James Sullivan, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.