Physician

Michael H Hsia, MD

According to 2025 Medicare claims, Michael Hsia, MD (NPI: 1487879151) practices urology in the Florence, SC market, with the plurality of this provider's patient population coming from Florence, SC. This provider's primary affiliated billing organization is MUSC COMMUNITY PHYSICIANS (NPI: 1841878006; TIN: 853861695) and primary practice location at 29505-6047. Hsia is affiliated with the MUSC Health Alliance, LLC (ACO ID: A5535), participating under the MSSP model.

Hsia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 779 traditional Medicare patients, billed 4,683 HCPCS/CPT codes, and received $243,558 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 3,478 prescription claims across 861 beneficiaries totaling $1,454,843 in drug costs, led by Lupron Depot (Leuprolide Acetate). DME data shows 42 claims. Open Payments data shows 6 records totaling $184. 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 $334,321 to $243,558. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $594,692 to $1,454,843. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$199K$397K2015 Medicare payment: $334,321 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $352,577 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $346,964 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $393,633 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $397,147 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $358,250 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $286,273 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $251,571 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $228,285 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $243,558 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157755,804$334,321
20168036,154$352,577
20178556,060$346,964
20181,0536,587$393,633
20191,0279,307$397,147
20209516,188$358,250
20218376,182$286,273
20227794,960$251,571
20237715,466$228,285
20247794,683$243,558

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$727K$1.5M2015 Drug cost: $594,692 (USD; Tot_Drug_Cst)2016 Drug cost: $613,119 (USD; Tot_Drug_Cst)2017 Drug cost: $758,646 (USD; Tot_Drug_Cst)2018 Drug cost: $967,673 (USD; Tot_Drug_Cst)2019 Drug cost: $900,903 (USD; Tot_Drug_Cst)2020 Drug cost: $954,484 (USD; Tot_Drug_Cst)2021 Drug cost: $1,110,933 (USD; Tot_Drug_Cst)2022 Drug cost: $1,084,407 (USD; Tot_Drug_Cst)2023 Drug cost: $1,161,939 (USD; Tot_Drug_Cst)2024 Drug cost: $1,454,843 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155272,772$594,692
20165713,244$613,119
20176873,618$758,646
20188083,886$967,673
20198304,063$900,903
20208473,939$954,484
20218483,281$1,110,933
20227683,005$1,084,407
20238493,068$1,161,939
20248613,478$1,454,843

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$2.9K$5.8K2015 Medicare payment: $222 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $353 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $441 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $226 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,377 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,467 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $4,080 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $5,230 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $5,786 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R14$222
2016N/R21$353
2017N/R25$441
2018N/R16$226
2019N/RN/RN/R
2020N/R26$4,377
2021N/R24$4,467
2022N/R15$4,080
2023N/R16$5,230
2024N/R42$5,786

* / # = 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 more443554$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more204210$57
74420Imaging of urinary tract following injection of a contrast agent134154$18
51798Ultrasound measurement of bladder capacity after voiding649876$7
81001Manual urinalysis test with examination using microscope, automated641870$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Lupron DepotLeuprolide Acetate13110,166$693,404
XtandiEnzalutamide20600$278,609
GemtesaVibegron16611,145$176,386
MyrbetriqMirabegron1005,224$78,676
EligardLeuprolide Acetate343,042$42,114

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R12$4,069
A4430Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity, with faucet-type tap with valve (1 piece), eachNN/R12$1,093
A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachNN/R18$623

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$184Boston Scientific Corporation
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 Michael H. Hsia, MD?

Tedicare shows public-source Medicare data for Michael H. Hsia, MD (NPI 1487879151), 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 H. Hsia, MD have ACO affiliation data?

Michael H. Hsia, MD is shown with ACO affiliation data for MUSC Health Alliance, LLC (MSSP, ACO ID A5535).

What billing organization is linked to Michael H. Hsia, MD?

Michael H. Hsia, MD is linked to MUSC COMMUNITY PHYSICIANS (billing NPI 1841878006) in the available physician profile data.

Does Michael H. Hsia, MD have Open Payments data?

Michael H. Hsia, MD has 6 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.