Physician

Gary R Macvicar, MD

According to 2025 Medicare claims, Gary Macvicar, MD (NPI: 1487633251) practices hematology/oncology in the Peoria, IL market, with the plurality of this provider's patient population coming from Peoria, IL. This provider's primary affiliated billing organization is ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C (NPI: 1801896063; TIN: 371331017) and primary practice location at 61615-7822. Macvicar is affiliated with the OSF Healthcare System (ACO ID: A3289), participating under the MSSP model.

Macvicar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,070 traditional Medicare patients, billed 225,991 HCPCS/CPT codes, and received $3,526,248 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,483 prescription claims across 334 beneficiaries totaling $4,487,490 in drug costs, led by Lenalidomide (Lenalidomide). DME data shows 11 claims. Open Payments data shows 38 records totaling $449,844. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,020,070 to $4,487,490. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $11,172 to $617.

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$2.5M$5.0M2015 Medicare payment: $1,795,111 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $3,214,847 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $3,610,160 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $4,035,066 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $5,002,694 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $4,079,975 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,490,702 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,967,620 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,932,335 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,526,248 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015992142,635$1,795,111
20161,349270,790$3,214,847
20171,407303,524$3,610,160
20181,414300,470$4,035,066
20191,589340,331$5,002,694
20201,193238,589$4,079,975
20211,165206,692$3,490,702
20221,099196,698$2,967,620
20231,049222,763$2,932,335
20241,070225,991$3,526,248

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$2.4M$4.8M2015 Drug cost: $1,020,070 (USD; Tot_Drug_Cst)2016 Drug cost: $998,406 (USD; Tot_Drug_Cst)2017 Drug cost: $1,680,067 (USD; Tot_Drug_Cst)2018 Drug cost: $2,676,703 (USD; Tot_Drug_Cst)2019 Drug cost: $2,265,090 (USD; Tot_Drug_Cst)2020 Drug cost: $2,494,361 (USD; Tot_Drug_Cst)2021 Drug cost: $3,494,163 (USD; Tot_Drug_Cst)2022 Drug cost: $4,766,462 (USD; Tot_Drug_Cst)2023 Drug cost: $3,799,100 (USD; Tot_Drug_Cst)2024 Drug cost: $4,487,490 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151611,389$1,020,070
20161731,408$998,406
20172151,665$1,680,067
20182392,244$2,676,703
20192521,981$2,265,090
20202371,958$2,494,361
20212782,184$3,494,163
20222732,459$4,766,462
20232922,362$3,799,100
20243342,483$4,487,490

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$32K$63K2015 Medicare payment: $63,314 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $30,166 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $4,384 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,808 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $5,519 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $673 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $361 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201511243$63,314
2016N/R154$30,166
2017N/RN/RN/R
2018N/R16$4,384
2019N/R38$3,808
2020N/RN/RN/R
2021N/R66$5,519
2022N/RN/RN/R
2023N/R12$673
2024N/R11$361

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more362845$94
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's313600$12
80053Blood test, comprehensive group of blood chemicals233864$10
36415Insertion of needle into vein for collection of blood sample246948$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count245965$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LenalidomideLenalidomide441,127$671,408
XtandiEnzalutamide481,440$637,283
Abiraterone AcetateAbiraterone Acetate32410,045$506,493
NubeqaDarolutamide401,320$471,899
ImbruvicaIbrutinib28784$455,539

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
K0001Standard wheelchairYN/R11$361

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.0$0N/R
Research PaymentsReported research-related payment or transfer-of-value amount.38$449,844Merck Sharp & Dohme LLC
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Gary R. Macvicar, MD?

Tedicare shows public-source Medicare data for Gary R. Macvicar, MD (NPI 1487633251), 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 Gary R. Macvicar, MD have ACO affiliation data?

Gary R. Macvicar, MD is shown with ACO affiliation data for OSF Healthcare System (MSSP, ACO ID A3289).

What billing organization is linked to Gary R. Macvicar, MD?

Gary R. Macvicar, MD is linked to ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C (billing NPI 1801896063) in the available physician profile data.

Does Gary R. Macvicar, MD have Open Payments data?

Gary R. Macvicar, MD has 38 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.