Physician

John Joseph Wallbillich, M.D.

According to 2025 Medicare claims, John Wallbillich, M.D. (NPI: 1396094744) practices gynecologist/oncologist in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Macomb, MI. This provider's primary affiliated billing organization is UNIVERSITY PHYSICIAN GROUP (NPI: 1447299797; TIN: 383474766) and primary practice location at 48201-2013. Wallbillich is affiliated with the WellStar Clinical Partners Medicare ACO, LLC (ACO ID: A4803), Aledade 155 National MSSP (ACO ID: A5358), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Wallbillich's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 56 traditional Medicare patients, billed 209 HCPCS/CPT codes, and received $19,367 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 48 prescription claims across 20 beneficiaries totaling $3,529 in drug costs. 2018 DME data shows 41 claims. Open Payments data shows 22 records totaling $343. 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 fallen sharply in recent years, from $15,908 to $19,367. In contrast, Part D prescription costs have risen steadily, from $378 to $3,529. 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$42K$85K2016 Medicare payment: $15,908 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $36,383 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $39,463 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $84,856 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $19,645 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $25,118 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $13,811 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $17,088 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $19,367 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
201641119$15,908
201799351$36,383
20181423,787$39,463
201912413,698$84,856
202037162$19,645
202164250$25,118
202246169$13,811
202370180$17,088
202456209$19,367

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$107K$215K2015 Drug cost: $378 (USD; Tot_Drug_Cst)2016 Drug cost: $390 (USD; Tot_Drug_Cst)2017 Drug cost: $994 (USD; Tot_Drug_Cst)2018 Drug cost: $18,547 (USD; Tot_Drug_Cst)2019 Drug cost: $11,297 (USD; Tot_Drug_Cst)2021 Drug cost: $138,035 (USD; Tot_Drug_Cst)2022 Drug cost: $214,687 (USD; Tot_Drug_Cst)2023 Drug cost: $35,805 (USD; Tot_Drug_Cst)2024 Drug cost: $3,529 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151218$378
20161116$390
20172850$994
201842131$18,547
201940121$11,297
2020N/RN/RN/R
2021N/R28$138,035
20222678$214,687
20232557$35,805
20242048$3,529

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$3.6K$7.3K2018 Medicare payment: $7,264 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R41$7,264
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2643$68
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1621$48
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1542$47
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's1219$13

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.22$343GlaxoSmithKline, LLC.
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 Joseph Wallbillich, M.D.?

Tedicare shows public-source Medicare data for John Joseph Wallbillich, M.D. (NPI 1396094744), 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 Joseph Wallbillich, M.D. have ACO affiliation data?

John Joseph Wallbillich, M.D. is shown with ACO affiliation data for WellStar Clinical Partners Medicare ACO, LLC (MSSP, ACO ID A4803), Aledade 155 National MSSP (MSSP, ACO ID A5358), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

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

John Joseph Wallbillich, M.D. is linked to UNIVERSITY PHYSICIAN GROUP (billing NPI 1447299797) in the available physician profile data.

Does John Joseph Wallbillich, M.D. have Open Payments data?

John Joseph Wallbillich, M.D. has 22 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.