Physician

John Figel, M.D.

According to 2025 Medicare claims, John Figel, M.D. (NPI: 1336146448) practices family practice in the Weirton-Steubenville, WV-OH market, with the plurality of this provider's patient population coming from Jefferson, OH. This provider's primary affiliated billing organization is TRINITY WEST (NPI: 1043234677; TIN: 34-0875691) and primary practice location at 43952-2846. Figel is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Figel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 338 traditional Medicare patients, billed 889 HCPCS/CPT codes, and received $42,740 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 16,280 prescription claims across 1,006 beneficiaries totaling $985,920 in drug costs, led by Eliquis (Apixaban). DME data shows 611 claims. Open Payments data shows 32 records totaling $590. 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 moved from a higher plateau to a lower plateau, from $138,509 to $42,740. In contrast, Part D prescription costs have risen steadily, from $711,230 to $985,920. For DME billing, reported payments moved sharply higher in recent years, from $45,288 to $64,786.

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$69K$139K2015 Medicare payment: $138,509 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $122,756 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $118,659 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $86,911 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $71,633 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $55,748 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $89,438 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $66,165 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $50,206 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $42,740 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155542,482$138,509
20166122,427$122,756
20175402,146$118,659
20184551,660$86,911
20194711,401$71,633
20204611,227$55,748
20215641,504$89,438
20224851,186$66,165
2023371880$50,206
2024338889$42,740

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$598K$1.2M2015 Drug cost: $711,230 (USD; Tot_Drug_Cst)2016 Drug cost: $715,342 (USD; Tot_Drug_Cst)2017 Drug cost: $824,016 (USD; Tot_Drug_Cst)2018 Drug cost: $802,152 (USD; Tot_Drug_Cst)2019 Drug cost: $976,763 (USD; Tot_Drug_Cst)2020 Drug cost: $1,106,928 (USD; Tot_Drug_Cst)2021 Drug cost: $1,196,905 (USD; Tot_Drug_Cst)2022 Drug cost: $1,158,225 (USD; Tot_Drug_Cst)2023 Drug cost: $1,092,165 (USD; Tot_Drug_Cst)2024 Drug cost: $985,920 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201561714,579$711,230
201667315,643$715,342
201770416,351$824,016
201869915,053$802,152
201978216,289$976,763
202079517,168$1,106,928
202192017,266$1,196,905
202293916,800$1,158,225
202394415,924$1,092,165
20241,00616,280$985,920

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$30K$59K2015 Medicare payment: $46,753 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $40,785 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $25,070 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $15,004 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $16,971 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $24,227 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $32,943 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $30,321 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $46,212 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $59,046 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015109727$46,753
2016155775$40,785
201798602$25,070
2018120638$15,004
201996631$16,971
202099672$24,227
2021176946$32,943
2022103779$30,321
202379783$46,212
202467611$59,046

* / # = 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
99306Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more5156$136
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2632$81
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3542$75
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more227417$53
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2730$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban3366,226$122,821
OzempicSemaglutide933,540$116,049
JardianceEmpagliflozin993,283$63,898
JanuviaSitagliptin Phosphate802,288$43,067
MounjaroTirzepatide291,036$38,399

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R31$31,653
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R15$7,983
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY1174$5,776
A7031Face mask interface, replacement for full face mask, eachNN/R19$1,651
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R34$1,645

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.32$590AstraZeneca Pharmaceuticals LP
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 John Figel, M.D.?

Tedicare shows public-source Medicare data for John Figel, M.D. (NPI 1336146448), 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 John Figel, M.D. have ACO affiliation data?

John Figel, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to John Figel, M.D.?

John Figel, M.D. is linked to TRINITY WEST (billing NPI 1043234677) in the available physician profile data.

Does John Figel, M.D. have Open Payments data?

John Figel, M.D. has 32 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.