Physician

Alexis Cirilli Whaley, MD

According to 2025 Medicare claims, Alexis Whaley, MD (NPI: 1366450009) practices pediatric medicine, with the plurality of this provider's patient population coming from Dickinson, MI. This provider's primary affiliated billing organization is DICKINSON COUNTY HEALTHCARE SYSTEM (NPI: 1891751186; TIN: 382780429) and primary practice location at 49801-3637. Whaley is affiliated with the AdvantagePoint Health Alliance - Great Lakes, LLC (ACO ID: A4652) and PeaceHealth Direct Contracting LLC (ACO ID: D0152), participating under both the MSSP and REACH models.

Whaley's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 116 traditional Medicare patients, billed 144 HCPCS/CPT codes, and received $9,723 in Medicare payments. The top billing code was 95811 (Sleep study in sleep lab with continuous airway pressure (6 years or older)). Part D data shows 311 prescription claims across 12 beneficiaries totaling $29,266 in drug costs, led by Symbicort (Budesonide/Formoterol Fumarate). DME data shows 100 claims. Open Payments data shows 1 records totaling $33. 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 up and down with repeated peaks and valleys, starting at $7,272 and ending at $9,723. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $71,757 and ending at $29,266. For DME billing, reported payments declined steadily, from $34,273 to $8,910.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	55	112	$7,272
2016	77	146	$10,321
2017	78	132	$9,604
2018	89	130	$9,607
2019	48	72	$6,234
2020	71	99	$7,367
2021	71	113	$6,824
2022	78	120	$9,895
2023	86	108	$7,988
2024	116	144	$9,723

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	24	110	$71,757
2016	24	130	$7,778
2017	21	159	$60,030
2018	19	137	$108,225
2019	11	73	$28,744
2020	N/R	14	$3,989
2021	15	95	$4,238
2022	19	205	$76,218
2023	N/R	197	$17,948
2024	12	311	$29,266

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	236	632	$32,178
2016	400	926	$27,938
2017	444	1,280	$35,043
2018	482	1,226	$41,870
2019	317	739	$26,971
2020	270	497	$17,726
2021	245	572	$21,028
2022	185	416	$15,687
2023	80	218	$18,489
2024	N/R	100	$4,262

* / # = 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
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	36	37	$89
95810	Sleep study in sleep lab (6 years or older)	51	51	$87
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	37	37	$32

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Symbicort	Budesonide/Formoterol Fumarate	11	330	$2,510
Budesonide-Formoterol Fumarate	Budesonide/Formoterol Fumarate	11	330	$2,402
Nortriptyline Hcl	Nortriptyline Hcl	13	390	$1,880
Modafinil	Modafinil	12	341	$359
Bupropion Xl	Bupropion Hcl	24	900	$302

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
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	14	$1,623
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	24	$1,258
E0562	Humidifier, heated, used with positive airway pressure device	Y	N/R	33	$670
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	N/R	13	$615
A7038	Filter, disposable, used with positive airway pressure device	N	N/R	16	$96

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$33	Supernus Pharmaceuticals, Inc.
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

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FAQ

What Medicare data is available for Alexis Cirilli Whaley, MD?

Tedicare shows public-source Medicare data for Alexis Cirilli Whaley, MD (NPI 1366450009), 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 Cirilli Whaley, MD have ACO affiliation data?

Alexis Cirilli Whaley, MD is shown with ACO affiliation data for AdvantagePoint Health Alliance - Great Lakes, LLC (MSSP, ACO ID A4652) and PeaceHealth Direct Contracting LLC (REACH, ACO ID D0152).

What billing organization is linked to Alexis Cirilli Whaley, MD?

Alexis Cirilli Whaley, MD is linked to DICKINSON COUNTY HEALTHCARE SYSTEM (billing NPI 1891751186) in the available physician profile data.

Does Alexis Cirilli Whaley, MD have Open Payments data?

Alexis Cirilli Whaley, MD has 1 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.