Physician

Alexis Engle Pilato, M.D.

According to 2025 Medicare claims, Alexis Pilato, M.D. (NPI: 1316389513) practices hand surgery in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Beaver, PA. This provider's primary affiliated billing organization is HERITAGE VALLEY MULTISPECIALTY GROUP, INC (NPI: 1073089918; TIN: 251775949) and primary practice location at 15009-9723. Pilato is affiliated with the Heritage Valley Healthcare Network ACO, LLC (ACO ID: A3730), participating under the MSSP model.

Pilato's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 198 traditional Medicare patients, billed 5,073 HCPCS/CPT codes, and received $54,884 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 53 prescription claims across 47 beneficiaries totaling $6,495 in drug costs, led by Prednisone (Prednisone). 2021 DME data shows 11 claims. Open Payments data shows 17 records totaling $1,412. 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 $6,520 to $54,884. Similarly, Part D prescription costs have risen steadily, from $700 to $6,495. 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$27K$55K2019 Medicare payment: $6,520 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $35,376 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $41,804 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $41,836 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $47,504 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $54,884 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20192365$6,520
2020111505$35,376
2021163863$41,804
2022166938$41,836
2023178684$47,504
20241985,073$54,884

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$12K$24K2015 Drug cost: $700 (USD; Tot_Drug_Cst)2016 Drug cost: $1,376 (USD; Tot_Drug_Cst)2017 Drug cost: $425 (USD; Tot_Drug_Cst)2018 Drug cost: $248 (USD; Tot_Drug_Cst)2020 Drug cost: $5,795 (USD; Tot_Drug_Cst)2021 Drug cost: $16,941 (USD; Tot_Drug_Cst)2022 Drug cost: $23,657 (USD; Tot_Drug_Cst)2023 Drug cost: $19,023 (USD; Tot_Drug_Cst)2024 Drug cost: $6,495 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152431$700
20161933$1,376
20172125$425
20182831$248
2019N/RN/RN/R
20205890$5,795
20212834$16,941
20222628$23,657
20234457$19,023
20244753$6,495

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$273$5472021 Medicare payment: $547 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211111$547
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more5252$67
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more106143$57
73140X-ray of finger, minimum of 2 views3559$25
73030X-ray of shoulder, minimum of 2 views3250$23
J1010Injection, methylprednisolone acetate, 1 mg654,361$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
PrednisonePrednisone28420$148

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.17$1,412Stryker Corporation
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 Alexis Engle Pilato, M.D.?

Tedicare shows public-source Medicare data for Alexis Engle Pilato, M.D. (NPI 1316389513), 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 Alexis Engle Pilato, M.D. have ACO affiliation data?

Alexis Engle Pilato, M.D. is shown with ACO affiliation data for Heritage Valley Healthcare Network ACO, LLC (MSSP, ACO ID A3730).

What billing organization is linked to Alexis Engle Pilato, M.D.?

Alexis Engle Pilato, M.D. is linked to HERITAGE VALLEY MULTISPECIALTY GROUP, INC (billing NPI 1073089918) in the available physician profile data.

Does Alexis Engle Pilato, M.D. have Open Payments data?

Alexis Engle Pilato, M.D. has 17 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.