Physician

John A Hoelscher, MD

According to 2025 Medicare claims, John Hoelscher, MD (NPI: 1447267810) practices internal medicine in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from Madison, IL. This provider's primary affiliated billing organization is FAIRVIEW HEIGHTS MEDICAL GROUP SC (NPI: 1679503668; TIN: 364147189) and primary practice location at 62002-6723. Hoelscher is affiliated with the BJC HealthCare ACO, LLC (ACO ID: A1204) and IRCCO (ACO ID: A2619), participating under the MSSP model.

Hoelscher's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 625 traditional Medicare patients, billed 5,744 HCPCS/CPT codes, and received $235,192 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 25,280 prescription claims across 1,155 beneficiaries totaling $1,620,941 in drug costs, led by Eliquis (Apixaban). DME data shows 584 claims. Open Payments data shows 67 records totaling $1,288. 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 declined steadily, from $411,213 to $235,192. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $38,461 and ending at $48,041.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,134	13,073	$411,213
2016	1,149	9,381	$358,082
2017	1,034	8,830	$316,331
2018	940	7,805	$279,758
2019	912	6,865	$269,053
2020	826	6,439	$240,198
2021	775	10,542	$259,020
2022	733	8,712	$231,659
2023	677	7,277	$225,903
2024	625	5,744	$235,192

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	1,411	28,557	$1,446,239
2016	1,436	27,788	$1,515,113
2017	1,401	27,845	$1,609,096
2018	1,406	27,726	$1,619,013
2019	1,327	26,432	$1,500,266
2020	1,257	26,300	$1,556,390
2021	1,252	25,043	$1,569,872
2022	1,220	25,024	$1,567,642
2023	1,165	24,355	$1,589,923
2024	1,155	25,280	$1,620,941

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	270	810	$18,883
2016	286	1,035	$43,149
2017	255	983	$26,509
2018	274	1,079	$29,499
2019	256	1,104	$57,067
2020	249	924	$32,750
2021	216	840	$25,663
2022	192	744	$26,511
2023	164	663	$36,094
2024	152	584	$41,106

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	495	495	$126
90662	Influenza vaccine split virus, preservative free	122	122	$81
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	298	432	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	230	266	$52
G0008	Administration of influenza virus vaccine	133	133	$32

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	339	16,540	$319,439
Jardiance	Empagliflozin	139	7,665	$153,039
Ozempic	Semaglutide	137	4,480	$143,304
Glassia	Alpha-1-Proteinase Inhibitor	11	254	$114,657
Farxiga	Dapagliflozin Propanediol	106	3,527	$65,861

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,158
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	29	$11,086
A7030	Full face mask used with positive airway pressure device, each	N	18	43	$3,459
A7031	Face mask interface, replacement for full face mask, each	N	16	42	$3,204
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	20	$1,446

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	67	$1,288	Lilly USA, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for John A. Hoelscher, MD?

Tedicare shows public-source Medicare data for John A. Hoelscher, MD (NPI 1447267810), 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 A. Hoelscher, MD have ACO affiliation data?

John A. Hoelscher, MD is shown with ACO affiliation data for BJC HealthCare ACO, LLC (MSSP, ACO ID A1204) and IRCCO (MSSP, ACO ID A2619).

What billing organization is linked to John A. Hoelscher, MD?

John A. Hoelscher, MD is linked to FAIRVIEW HEIGHTS MEDICAL GROUP SC (billing NPI 1679503668) in the available physician profile data.

Does John A. Hoelscher, MD have Open Payments data?

John A. Hoelscher, MD has 67 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.