Physician

William C. Willmott, MD

According to 2025 Medicare claims, William Willmott, MD (NPI: 1447286455) practices pulmonary disease in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Kenton, KY. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP, INC (NPI: 1750343216; TIN: 611300608) and primary practice location at 41017-3407. Willmott is affiliated with the Healthcare Solutions Network (ACO ID: A3283), participating under the MSSP model.

Willmott's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 873 traditional Medicare patients, billed 3,597 HCPCS/CPT codes, and received $269,372 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 2,255 prescription claims across 438 beneficiaries totaling $664,158 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 6,261 claims. Open Payments data shows 78 records totaling $1,732. 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 $379,927 to $269,372. Concurrently, Part D prescription costs have changed little. For DME billing, reported payments rose steadily, from $193,815 to $379,131.

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$190K$380K2015 Medicare payment: $379,927 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $345,992 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $363,353 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $271,977 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $263,119 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $297,438 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $245,176 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $230,467 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $266,411 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $269,372 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,1825,346$379,927
20161,1224,628$345,992
20171,1264,913$363,353
20181,0883,882$271,977
20191,1873,736$263,119
20201,1693,976$297,438
20219783,100$245,176
20229823,108$230,467
20239443,459$266,411
20248733,597$269,372

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$482K$965K2015 Drug cost: $705,583 (USD; Tot_Drug_Cst)2016 Drug cost: $781,788 (USD; Tot_Drug_Cst)2017 Drug cost: $604,157 (USD; Tot_Drug_Cst)2018 Drug cost: $797,059 (USD; Tot_Drug_Cst)2019 Drug cost: $894,280 (USD; Tot_Drug_Cst)2020 Drug cost: $964,764 (USD; Tot_Drug_Cst)2021 Drug cost: $850,589 (USD; Tot_Drug_Cst)2022 Drug cost: $837,023 (USD; Tot_Drug_Cst)2023 Drug cost: $871,687 (USD; Tot_Drug_Cst)2024 Drug cost: $664,158 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153131,847$705,583
20163251,947$781,788
20173232,169$604,157
20183232,148$797,059
20193432,115$894,280
20203252,102$964,764
20213221,964$850,589
20223081,649$837,023
20233561,962$871,687
20244382,255$664,158

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$188K$375K2015 Medicare payment: $198,088 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $165,167 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $166,739 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $192,778 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $263,130 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $310,544 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $270,090 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $281,872 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $341,502 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $375,327 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151,2383,467$198,088
20161,3223,444$165,167
20171,6233,993$166,739
20181,8024,328$192,778
20192,4185,874$263,130
20202,4156,193$310,544
20212,5615,832$270,090
20222,2565,341$281,872
20232,3375,557$341,502
20242,6806,261$375,327

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes180208$133
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more209209$112
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more267328$86
95810Sleep study in sleep lab (6 years or older)214226$79
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3181,803$60

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter2009,570$201,878
GlassiaAlpha-1-Proteinase Inhibitor13364$189,185
Breztri AerosphereBudesonide/Glycopyr/Formoterol562,340$47,461
Dupixent PenDupilumab11308$36,999
Breo ElliptaFluticasone/Vilanterol542,160$28,565

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R71$72,107
E0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)Y150786$64,875
A7031Face mask interface, replacement for full face mask, eachN173359$28,028
E0601Continuous positive airway pressure (cpap) deviceY149880$27,592
A7030Full face mask used with positive airway pressure device, eachN183330$25,736

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.78$1,732Inspire Medical Systems, Inc.
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 William C. Willmott, MD?

Tedicare shows public-source Medicare data for William C. Willmott, MD (NPI 1447286455), 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 William C. Willmott, MD have ACO affiliation data?

William C. Willmott, MD is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283).

What billing organization is linked to William C. Willmott, MD?

William C. Willmott, MD is linked to SUMMIT MEDICAL GROUP, INC (billing NPI 1750343216) in the available physician profile data.

Does William C. Willmott, MD have Open Payments data?

William C. Willmott, MD has 78 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.