Physician

Shandra Wilson, MD

According to 2025 Medicare claims, Shandra Wilson, MD (NPI: 1275557043) practices urology in the Pueblo, CO market, with the plurality of this provider's patient population coming from Pueblo, CO. This provider's primary affiliated billing organization is PORTERCARE ADVENTIST HEALTH SYSTEM (NPI: 1053920538; TIN: 840438224) and primary practice location at 80111-2882.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 430 traditional Medicare patients, billed 2,386 HCPCS/CPT codes, and received $241,319 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 977 prescription claims across 391 beneficiaries totaling $164,914 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 310 claims. Open Payments data shows 2 records totaling $118. 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 risen steadily, from $108,525 to $241,319. Similarly, Part D prescription costs have moved sharply higher in recent years, from $13,350 to $164,914. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $5,695 and ending at $2,767.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	243	625	$108,525
2016	280	679	$126,631
2017	301	696	$146,337
2018	279	563	$114,294
2019	238	745	$123,592
2020	310	1,661	$136,649
2021	294	1,906	$128,824
2022	309	2,258	$141,062
2023	356	3,366	$143,372
2024	430	2,386	$241,319

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	90	242	$13,350
2016	83	226	$9,408
2017	97	237	$11,803
2018	101	229	$8,539
2019	124	340	$23,368
2020	191	584	$32,107
2021	233	709	$52,892
2022	259	777	$160,420
2023	332	988	$230,582
2024	391	977	$164,914

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	13	243	$36,548
2016	12	334	$47,286
2017	55	349	$58,248
2018	46	425	$54,321
2019	100	262	$18,908
2020	53	212	$19,227
2021	13	135	$11,724
2022	13	162	$12,267
2023	N/R	275	$34,352
2024	11	310	$49,425

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	74	104	$172
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	98	98	$124
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	132	194	$67
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	84	$43
81003	Automated urinalysis test	168	239	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	121	7,870	$118,170
Gemtesa	Vibegron	22	1,530	$24,150
Testosterone	Testosterone	21	1,093	$7,214
Tamsulosin Hcl	Tamsulosin Hcl	246	19,970	$2,920
Methenamine Hippurate	Methenamine Hippurate	16	915	$1,181

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	34	$21,641
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	67	$16,341
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	24	$3,719
A4432	Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each	N	N/R	18	$2,170
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	22	$2,071

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$118	PROCEPT BioRobotics Corporation
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

Explore More Providers

FAQ

What Medicare data is available for Shandra Wilson, MD?

Tedicare shows public-source Medicare data for Shandra Wilson, MD (NPI 1275557043), 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 Shandra Wilson, MD have ACO affiliation data?

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

What billing organization is linked to Shandra Wilson, MD?

Shandra Wilson, MD is linked to PORTERCARE ADVENTIST HEALTH SYSTEM (billing NPI 1053920538) in the available physician profile data.

Does Shandra Wilson, MD have Open Payments data?

Shandra Wilson, 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.