Physician

Philip John Margiotta, MD

According to 2025 Medicare claims, Philip Margiotta, MD (NPI: 1427582915) practices hematology/oncology in the Dover, DE market, with the plurality of this provider's patient population coming from Kent, DE. This provider's primary affiliated billing organization is MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA (NPI: 1235199316; TIN: 510384913) and primary practice location at 19709-6404. Margiotta is affiliated with the eBrightHealth ACO (ACO ID: A3053), participating under the MSSP model.

Margiotta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 225 traditional Medicare patients, billed 706 HCPCS/CPT codes, and received $69,084 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 803 prescription claims across 165 beneficiaries totaling $689,536 in drug costs, led by Eliquis (Apixaban). DME data shows 17 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,858 and ending at $689,536. 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$35K$69K2023 Medicare payment: $19,222 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $69,084 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
202372189$19,222
2024225706$69,084

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$345K$690K2017 Drug cost: $1,858 (USD; Tot_Drug_Cst)2018 Drug cost: $29,457 (USD; Tot_Drug_Cst)2019 Drug cost: $40,803 (USD; Tot_Drug_Cst)2020 Drug cost: $32,456 (USD; Tot_Drug_Cst)2021 Drug cost: $47,487 (USD; Tot_Drug_Cst)2022 Drug cost: $174 (USD; Tot_Drug_Cst)2023 Drug cost: $53,902 (USD; Tot_Drug_Cst)2024 Drug cost: $689,536 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172165$1,858
201852253$29,457
201978349$40,803
202064298$32,456
20212778$47,487
2022N/R13$174
202359175$53,902
2024165803$689,536

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$160$3202024 Medicare payment: $320 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R17$320

* / # = 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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more5050$135
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more102379$109
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3536$98
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more89166$69
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2129$61

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban321,230$23,326
ZenpepLipase/Protease/Amylase12205$19,271
XareltoRivaroxaban15690$12,449
Ondansetron HclOndansetron Hcl841,468$1,351
Prochlorperazine MaleateProchlorperazine Maleate821,164$1,207

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodNN/R17$320

Open Payments Summary

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

FAQ

What Medicare data is available for Philip John Margiotta, MD?

Tedicare shows public-source Medicare data for Philip John Margiotta, MD (NPI 1427582915), 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 Philip John Margiotta, MD have ACO affiliation data?

Philip John Margiotta, MD is shown with ACO affiliation data for eBrightHealth ACO (MSSP, ACO ID A3053).

What billing organization is linked to Philip John Margiotta, MD?

Philip John Margiotta, MD is linked to MEDICAL ONCOLOGY HEMATOLOGY CONSULTANTS PA (billing NPI 1235199316) in the available physician profile data.

Does Philip John Margiotta, 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.