Physician

Lily Kristine Sunio, M.D,

According to 2025 Medicare claims, Lily Sunio, M.D, (NPI: 1467683904) practices nephrology in the Elkhart-Goshen, IN market, with the plurality of this provider's patient population coming from Elkhart, IN. This provider's primary affiliated billing organization is NEPHROLOGY PHYSICIANS LLC (NPI: 1518996719; TIN: 352082018) and primary practice location at 46526-3800. Sunio is affiliated with the CHA ACO, LLC (ACO ID: A2207), Caravan Health ACO 43 LLC (ACO ID: A4974), and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Sunio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 524 traditional Medicare patients, billed 1,641 HCPCS/CPT codes, and received $163,388 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 3,550 prescription claims across 522 beneficiaries totaling $443,883 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 87 claims. Open Payments data shows 26 records totaling $567. 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 $278,068 to $163,388. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $91,389 and ending at $443,883. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	841	13,774	$278,068
2016	820	19,159	$346,150
2017	874	22,683	$370,956
2018	664	11,076	$277,693
2019	729	15,643	$361,289
2020	702	13,424	$321,897
2021	633	4,520	$286,603
2022	599	2,206	$218,464
2023	554	1,811	$189,531
2024	524	1,641	$163,388

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	226	839	$91,389
2016	329	2,656	$393,707
2017	380	3,146	$567,551
2018	350	2,895	$368,055
2019	339	2,681	$310,066
2020	348	2,544	$281,216
2021	374	2,497	$179,560
2022	394	2,626	$232,787
2023	467	3,195	$270,098
2024	522	3,550	$443,883

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	101	$4,450
2017	N/R	191	$10,418
2018	N/R	134	$6,221
2019	N/R	157	$5,424
2020	N/R	156	$5,557
2021	N/R	173	$6,840
2022	N/R	183	$3,181
2023	N/R	116	$2,435
2024	N/R	87	$2,003

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	88	96	$123
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	56	94	$87
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	269	467	$60
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	152	413	$57
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	49	51	$55

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Farxiga	Dapagliflozin Propanediol	107	5,245	$98,677
Jardiance	Empagliflozin	63	2,594	$49,485
Kerendia	Finerenone	55	2,474	$49,164
Lokelma	Sodium Zirconium Cyclosilicate	22	566	$11,544
Midodrine Hcl	Midodrine Hcl	79	4,396	$8,859

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
J7515	Cyclosporine, oral, 25 mg	N	N/R	11	$889
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	38	$541
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	13	$207
J7507	Tacrolimus, immediate release, oral, 1 mg	N	N/R	13	$197
J7517	Mycophenolate mofetil, oral, 250 mg	N	N/R	12	$169

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	26	$567	Otsuka America Pharmaceutical, Inc.
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

Explore More Providers

FAQ

What Medicare data is available for Lily Kristine Sunio, M.D, ?

Tedicare shows public-source Medicare data for Lily Kristine Sunio, M.D, (NPI 1467683904), 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 Lily Kristine Sunio, M.D, have ACO affiliation data?

Lily Kristine Sunio, M.D, is shown with ACO affiliation data for CHA ACO, LLC (MSSP, ACO ID A2207), Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Lily Kristine Sunio, M.D, ?

Lily Kristine Sunio, M.D, is linked to NEPHROLOGY PHYSICIANS LLC (billing NPI 1518996719) in the available physician profile data.

Does Lily Kristine Sunio, M.D, have Open Payments data?

Lily Kristine Sunio, M.D, has 26 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.