Physician

Michael Edgar Highhouse, MD

According to 2025 Medicare claims, Michael Highhouse, MD (NPI: 1447229430) practices orthopedic surgery in the Lafayette-West Lafayette, IN market, with the plurality of this provider's patient population coming from Tippecanoe, IN. This provider's primary affiliated billing organization is ORTHOPAEDICS-INDIANAPOLIS, INC (NPI: 1336252451; TIN: 351090576) and primary practice location at 47905-4972. Highhouse is affiliated with the Franciscan ACO, Inc. (ACO ID: A2550), Imperium Clinical Partners (ACO ID: A4945), and Main Street Rural Health Cedar ACO LLC (ACO ID: A5502), participating under the MSSP model.

Highhouse's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 443 traditional Medicare patients, billed 22,614 HCPCS/CPT codes, and received $161,116 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 364 prescription claims across 165 beneficiaries totaling $3,841 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2023 DME data shows 11 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 moved from a higher plateau to a lower plateau, from $8,325 to $3,841. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $5,418 to $1,490.

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$97K$193K2015 Medicare payment: $176,487 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $185,572 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $157,652 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $146,440 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $193,270 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $166,601 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $171,823 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $178,340 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $186,955 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $161,116 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154832,302$176,487
20164562,395$185,572
20174792,518$157,652
20184242,239$146,440
20195102,571$193,270
20204201,835$166,601
20214321,845$171,823
20224662,070$178,340
20234852,112$186,955
202444322,614$161,116

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$4.4K$8.8K2015 Drug cost: $8,325 (USD; Tot_Drug_Cst)2016 Drug cost: $8,785 (USD; Tot_Drug_Cst)2017 Drug cost: $4,438 (USD; Tot_Drug_Cst)2018 Drug cost: $3,021 (USD; Tot_Drug_Cst)2019 Drug cost: $3,546 (USD; Tot_Drug_Cst)2020 Drug cost: $3,118 (USD; Tot_Drug_Cst)2021 Drug cost: $4,119 (USD; Tot_Drug_Cst)2022 Drug cost: $5,102 (USD; Tot_Drug_Cst)2023 Drug cost: $5,784 (USD; Tot_Drug_Cst)2024 Drug cost: $3,841 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015143357$8,325
2016160395$8,785
2017127284$4,438
2018109200$3,021
2019145301$3,546
2020143296$3,118
2021160328$4,119
2022170416$5,102
2023193432$5,784
2024165364$3,841

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$1.5K$3.0K2015 Medicare payment: $1,247 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $615 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,827 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,024 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $495 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151234$1,247
20161111$615
20172738$2,827
2018N/RN/RN/R
20194141$3,024
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
20231111$495
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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more195243$59
20610Aspiration and/or injection of fluid from large joint200318$47
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more122142$38
73562X-ray of knee, 3 views121239$23
J1010Injection, methylprednisolone acetate, 1 mg14820,898$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen2031,598$2,472
CephalexinCephalexin44457$217
Cyclobenzaprine HclCyclobenzaprine Hcl14350$124
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1290$91
MethylprednisoloneMethylprednisolone1590$87

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Michael Edgar Highhouse, MD?

Tedicare shows public-source Medicare data for Michael Edgar Highhouse, MD (NPI 1447229430), 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 Michael Edgar Highhouse, MD have ACO affiliation data?

Michael Edgar Highhouse, MD is shown with ACO affiliation data for Franciscan ACO, Inc. (MSSP, ACO ID A2550), Imperium Clinical Partners (MSSP, ACO ID A4945), and Main Street Rural Health Cedar ACO LLC (MSSP, ACO ID A5502).

What billing organization is linked to Michael Edgar Highhouse, MD?

Michael Edgar Highhouse, MD is linked to ORTHOPAEDICS-INDIANAPOLIS, INC (billing NPI 1336252451) in the available physician profile data.

Does Michael Edgar Highhouse, 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.