Physician

Scott James Westhouse, D.O.

According to 2025 Medicare claims, Scott Westhouse, D.O. (NPI: 1306016977) practices ophthalmology in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Ottawa, MI. This provider's primary affiliated billing organization is RETINA SPECIALISTS OF MICHIGAN PC (NPI: 1801048699; TIN: 26-3453700) and primary practice location at 49546-3725. Westhouse is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Westhouse's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 492 traditional Medicare patients, billed 8,221 HCPCS/CPT codes, and received $922,438 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 743 prescription claims across 219 beneficiaries totaling $34,929 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 94 records totaling $133,424. 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 have moved up and down with repeated peaks and valleys, starting at $44,744 and ending at $34,929. 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	796	7,997	$1,356,422
2016	744	7,531	$1,207,554
2017	708	6,906	$1,295,553
2018	618	6,606	$1,237,046
2019	594	6,242	$1,193,441
2020	474	5,480	$1,158,665
2021	457	5,119	$1,116,764
2022	510	5,137	$1,025,103
2023	489	6,771	$986,349
2024	492	8,221	$922,438

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	163	574	$44,744
2016	147	608	$50,251
2017	147	599	$41,313
2018	156	537	$56,228
2019	159	539	$55,483
2020	158	484	$34,267
2021	174	533	$42,795
2022	214	588	$41,552
2023	203	610	$45,205
2024	219	743	$34,929

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
J0178	Injection, aflibercept, 1 mg	102	762	$639
67028	Injection of drug into eye	208	756	$89
92014	Established patient complete exam of visual system	315	417	$85
J3590	Unclassified biologics	104	440	$73
92134	Imaging of retina	455	1,149	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	223	7,950	$7,941
Difluprednate	Difluprednate	41	1,559	$5,283
Simbrinza	Brinzolamide/Brimonidine Tart	18	834	$3,460
Bromfenac Sodium	Bromfenac Sodium	26	599	$2,980
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	45	3,324	$1,004

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	62	$25,242	Regeneron Healthcare Solutions, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	31	$108,182	Genentech, Inc.
Ownership / Investment Interests	Reported value of ownership or investment interests.	1	$28,421	US Retina LLC

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FAQ

What Medicare data is available for Scott James Westhouse, D.O.?

Tedicare shows public-source Medicare data for Scott James Westhouse, D.O. (NPI 1306016977), 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 Scott James Westhouse, D.O. have ACO affiliation data?

Scott James Westhouse, D.O. is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Scott James Westhouse, D.O.?

Scott James Westhouse, D.O. is linked to RETINA SPECIALISTS OF MICHIGAN PC (billing NPI 1801048699) in the available physician profile data.

Does Scott James Westhouse, D.O. have Open Payments data?

Scott James Westhouse, D.O. has 94 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.