Physician

Charles Wilkins, MD

According to 2025 Medicare claims, Charles Wilkins, MD (NPI: 1427134345) practices geriatric medicine in the Youngstown-Warren, OH market, with the plurality of this provider's patient population coming from Mahoning, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC (NPI: 1649892225; TIN: 851040784) and primary practice location at 44505-2401. Wilkins is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Wilkins' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 301 traditional Medicare patients, billed 777 HCPCS/CPT codes, and received $37,188 in Medicare payments. The top billing code was 99238 (Hospital discharge day management, 30 minutes or less). Part D data shows 6,753 prescription claims across 646 beneficiaries totaling $452,902 in drug costs, led by Eliquis (Apixaban). DME data shows 51 claims. No Open Payments records. 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 changed little. Concurrently, Part D prescription costs have declined steadily, from $734,178 to $452,902. For DME billing, reported payments rose steadily, from $8,518 to $21,028.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	356	1,230	$38,665
2016	368	1,230	$40,443
2017	412	1,426	$44,945
2018	418	1,304	$38,781
2019	394	1,293	$41,517
2020	396	1,247	$37,120
2021	379	1,175	$38,228
2022	324	956	$33,575
2023	302	912	$40,050
2024	301	777	$37,188

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	538	10,357	$734,178
2016	562	10,160	$700,689
2017	579	9,375	$698,222
2018	592	9,327	$667,490
2019	603	8,375	$637,174
2020	606	7,704	$597,715
2021	621	7,275	$438,547
2022	633	6,870	$456,067
2023	636	6,829	$499,282
2024	646	6,753	$452,902

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	32	246	$7,142
2016	13	153	$2,670
2017	13	122	$3,105
2018	11	67	$1,499
2019	N/R	165	$5,608
2020	N/R	64	$1,247
2021	N/R	108	$4,556
2022	N/R	204	$22,811
2023	N/R	196	$12,463
2024	N/R	51	$3,694

* / # = 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
99238	Hospital discharge day management, 30 minutes or less	23	32	$61
99221	Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	24	28	$56
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	248	461	$56
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	42	157	$36
36415	Insertion of needle into vein for collection of blood sample	13	14	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	84	4,266	$83,477
Rexulti	Brexpiprazole	18	815	$39,265
Jardiance	Empagliflozin	28	1,500	$29,011
Memantine Hcl	Memantine Hcl	1,060	62,287	$20,153
Xarelto	Rivaroxaban	17	625	$11,836

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
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	12	$1,814
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	16	$955
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	12	$614
B4088	Gastrostomy/jejunostomy tube, low-profile, any material, any type, each	N	N/R	11	$311

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Charles Wilkins, MD?

Tedicare shows public-source Medicare data for Charles Wilkins, MD (NPI 1427134345), 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 Charles Wilkins, MD have ACO affiliation data?

Charles Wilkins, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Charles Wilkins, MD?

Charles Wilkins, MD is linked to MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC (billing NPI 1649892225) in the available physician profile data.

Does Charles Wilkins, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.