Physician

Carl Hinshaw

According to 2025 Medicare claims, Carl Hinshaw (NPI: 1407085129) practices pain management in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Kent, MI. This provider's primary affiliated billing organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI: 1235188673; TIN: 381358164) and primary practice location at 49506-2969. Hinshaw is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Hinshaw's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 171 traditional Medicare patients, billed 26,447 HCPCS/CPT codes, and received $107,641 in Medicare payments. The top billing code was 62323 (Injection of substance into lower spine canal using imaging guidance). Part D data shows 136 prescription claims across 74 beneficiaries totaling $4,019 in drug costs, led by Lidocaine-Prilocaine (Lidocaine/Prilocaine). Open Payments data shows 16 records totaling $268. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $56,676 to $4,019. 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$86K$172K2015 Medicare payment: $78,317 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $107,680 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $168,700 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $172,465 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $140,715 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $118,501 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $134,480 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $142,523 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $99,738 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $107,641 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152054,274$78,317
20162105,595$107,680
20172668,713$168,700
201828910,466$172,465
201924112,410$140,715
202023514,618$118,501
202122626,070$134,480
202219528,484$142,523
202317821,203$99,738
202417126,447$107,641

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$48K$96K2015 Drug cost: $56,676 (USD; Tot_Drug_Cst)2016 Drug cost: $96,235 (USD; Tot_Drug_Cst)2017 Drug cost: $57,962 (USD; Tot_Drug_Cst)2018 Drug cost: $38,881 (USD; Tot_Drug_Cst)2019 Drug cost: $20,081 (USD; Tot_Drug_Cst)2020 Drug cost: $15,060 (USD; Tot_Drug_Cst)2021 Drug cost: $35,662 (USD; Tot_Drug_Cst)2022 Drug cost: $23,494 (USD; Tot_Drug_Cst)2023 Drug cost: $18,987 (USD; Tot_Drug_Cst)2024 Drug cost: $4,019 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015197818$56,676
20162041,237$96,235
20172511,261$57,962
2018224816$38,881
2019199535$20,081
2020154413$15,060
2021160424$35,662
2022148380$23,494
2023109241$18,987
202474136$4,019

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
62323Injection of substance into lower spine canal using imaging guidance6094$186
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1051,000$1
J2250Injection, midazolam hydrochloride, per 1 mg53278$0
J1100Injection, dexamethasone sodium phosphate, 1 mg731,240$0
J2795Injection, ropivacaine hydrochloride, 1 mg9323,086$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Lidocaine-PrilocaineLidocaine/Prilocaine26615$2,420
GabapentinGabapentin28970$299
TopiramateTopiramate15966$256
MethylprednisoloneMethylprednisolone1272$77

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.16$268Abbott Laboratories
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 Carl Hinshaw?

Tedicare shows public-source Medicare data for Carl Hinshaw (NPI 1407085129), 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 Carl Hinshaw have ACO affiliation data?

Carl Hinshaw is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Carl Hinshaw?

Carl Hinshaw is linked to SPECTRUM HEALTH PRIMARY CARE PARTNERS (billing NPI 1235188673) in the available physician profile data.

Does Carl Hinshaw have Open Payments data?

Carl Hinshaw has 16 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.