Physician

Michael F Lupinacci, MD

According to 2025 Medicare claims, Michael Lupinacci, MD (NPI: 1265409684) practices physical medicine and rehabilitation in the Harrisburg-Carlisle, PA market, with the plurality of this provider's patient population coming from Cumberland, PA. This provider's primary affiliated billing organization is POST-ACUTE PHYSICIANS OF PENNSYLVANIA PLLC (NPI: 1255729489; TIN: 472537608) and primary practice location at 17055-3562. Lupinacci is affiliated with the American Choice Healthcare, LLC (ACO ID: D0086), participating under the REACH model.

Lupinacci's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 640 traditional Medicare patients, billed 4,783 HCPCS/CPT codes, and received $419,332 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 172 prescription claims totaling $15,402 in drug costs, led by Januvia (Sitagliptin Phosphate). DME data shows 1,535 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 $137,746 to $15,402. For DME billing, reported payments moved sharply higher in recent years, from $51,985 to $59,057.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,192	12,582	$463,005
2016	951	6,034	$319,533
2017	839	4,097	$275,086
2018	954	5,072	$377,286
2019	965	5,776	$436,490
2020	592	4,976	$371,243
2021	547	4,430	$329,080
2022	616	4,851	$351,041
2023	640	5,045	$422,960
2024	640	4,783	$419,332

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	197	3,424	$137,746
2016	118	4,392	$128,984
2017	55	2,819	$67,919
2018	44	322	$11,718
2019	11	52	$2,295
2020	N/R	46	$9,841
2021	N/R	115	$1,256
2022	15	119	$4,596
2023	N/R	122	$7,136
2024	N/R	172	$15,402

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	239	947	$40,309
2016	222	917	$25,299
2017	117	495	$7,379
2018	136	422	$8,914
2019	164	777	$9,876
2020	205	782	$15,855
2021	243	983	$21,044
2022	365	1,500	$36,206
2023	475	1,952	$50,524
2024	520	1,535	$46,682

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	18	18	$128
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	603	4,214	$89
99239	Hospital discharge day management, more than 30 minutes	338	387	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	95	$57
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	31	52	$55

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Januvia	Sitagliptin Phosphate	12	355	$6,981
Solifenacin Succinate	Solifenacin Succinate	12	355	$2,377
Nadolol	Nadolol	12	355	$2,077
Gabapentin	Gabapentin	50	377	$218
Clopidogrel	Clopidogrel Bisulfate	13	361	$53

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
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	43	171	$7,706
E2611	General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware	N	51	51	$7,147
E2201	Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches	N	22	22	$5,402
K0003	Lightweight wheelchair	Y	39	197	$4,052
E0973	Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each	N	40	40	$3,825

Open Payments Summary

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

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FAQ

What Medicare data is available for Michael F. Lupinacci, MD?

Tedicare shows public-source Medicare data for Michael F. Lupinacci, MD (NPI 1265409684), 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 F. Lupinacci, MD have ACO affiliation data?

Michael F. Lupinacci, MD is shown with ACO affiliation data for American Choice Healthcare, LLC (REACH, ACO ID D0086).

What billing organization is linked to Michael F. Lupinacci, MD?

Michael F. Lupinacci, MD is linked to POST-ACUTE PHYSICIANS OF PENNSYLVANIA PLLC (billing NPI 1255729489) in the available physician profile data.

Does Michael F. Lupinacci, MD 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.