Physician

Milind Sumant Awale, MD

According to 2025 Medicare claims, Milind Awale, MD (NPI: 1528355070) practices family practice in the Wheeling, WV-OH market, with the plurality of this provider's patient population coming from Belmont, OH. This provider's primary affiliated billing organization is WHEELING HOSPITAL INC (NPI: 1548923923; TIN: 55-0357057) and primary practice location at 26003-6379. Awale is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Awale's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 335 traditional Medicare patients, billed 963 HCPCS/CPT codes, and received $71,741 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 749 prescription claims across 338 beneficiaries totaling $44,055 in drug costs, led by Eliquis (Apixaban). DME data shows 76 claims. Open Payments data shows 1 records totaling $20. 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 from a lower plateau to a higher plateau, from $15,360 to $44,055. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $5,547 and ending at $2,916.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	361	969	$81,696
2016	365	984	$83,718
2017	409	1,275	$89,709
2018	529	1,340	$113,958
2019	529	1,682	$137,174
2020	386	1,144	$85,494
2021	392	1,182	$85,816
2022	308	983	$70,103
2023	338	918	$66,852
2024	335	963	$71,741

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	123	328	$15,360
2016	114	320	$9,161
2017	174	496	$25,709
2018	219	479	$15,847
2019	270	569	$21,664
2020	253	541	$27,421
2021	265	543	$32,177
2022	218	446	$24,869
2023	270	641	$46,388
2024	338	749	$44,055

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	51	$2,984
2017	N/R	17	$916
2018	N/R	51	$1,723
2019	11	96	$3,648
2020	N/R	74	$3,885
2021	29	105	$5,775
2022	N/R	86	$4,561
2023	22	120	$5,974
2024	N/R	76	$2,239

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	58	59	$105
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	87	$93
99239	Hospital discharge day management, more than 30 minutes	208	221	$88
99238	Hospital discharge day management, 30 minutes or less	17	17	$65
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	232	555	$62

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	21	687	$13,535
Xarelto	Rivaroxaban	11	441	$8,242
Potassium Chloride	Potassium Chloride	21	630	$1,022
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	56	367	$312
Pantoprazole Sodium	Pantoprazole Sodium	33	1,186	$182

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	27	$1,771
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	23	$318
E0149	Walker, heavy duty, wheeled, rigid or folding, any type	Y	N/R	11	$86
E0570	Nebulizer, with compressor	Y	N/R	15	$64

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$20	Abbott Laboratories
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 Milind Sumant Awale, MD?

Tedicare shows public-source Medicare data for Milind Sumant Awale, MD (NPI 1528355070), 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 Milind Sumant Awale, MD have ACO affiliation data?

Milind Sumant Awale, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Milind Sumant Awale, MD?

Milind Sumant Awale, MD is linked to WHEELING HOSPITAL INC (billing NPI 1548923923) in the available physician profile data.

Does Milind Sumant Awale, MD have Open Payments data?

Milind Sumant Awale, MD has 1 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.