Physician

Michael J Speca, D.O.

According to 2025 Medicare claims, Michael Speca, D.O. (NPI: 1548227762) practices family practice in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is PREFERRED PRIMARY CARE PHYSICIANS, INC. (NPI: 1407826019; TIN: 251742085) and primary practice location at 15143-8322. Speca is affiliated with the agilon health Pennsylvania ACO, Inc. (DBA: Senior Health Connect ACO 4) (ACO ID: D0113), participating under the REACH model.

Speca's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 730 traditional Medicare patients, billed 7,668 HCPCS/CPT codes, and received $373,298 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 3,056 prescription claims across 545 beneficiaries totaling $267,148 in drug costs, led by Eliquis (Apixaban). DME data shows 279 claims. No Open Payments records. 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 changed little. Concurrently, Part D prescription costs have declined steadily, from $485,554 to $267,148. In contrast, DME billing represents a smaller volume and rose steadily, from $12,322 to $25,635.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	609	6,589	$341,895
2016	592	6,754	$331,759
2017	703	7,164	$357,860
2018	751	7,067	$344,667
2019	839	8,593	$432,191
2020	752	8,284	$428,413
2021	658	7,272	$336,547
2022	653	6,839	$331,111
2023	670	6,288	$323,125
2024	730	7,668	$373,298

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	612	7,346	$485,554
2016	647	7,521	$485,965
2017	661	6,321	$396,234
2018	739	5,513	$350,123
2019	757	5,264	$354,130
2020	847	6,673	$426,524
2021	769	5,531	$449,631
2022	509	2,512	$204,293
2023	536	2,954	$262,942
2024	545	3,056	$267,148

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	276	$9,326
2016	13	232	$6,002
2017	16	248	$8,395
2018	25	363	$13,147
2019	25	243	$14,967
2020	27	267	$16,107
2021	11	205	$7,261
2022	27	310	$27,990
2023	29	317	$13,526
2024	24	279	$22,319

* / # = 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	279	301	$96
99239	Hospital discharge day management, more than 30 minutes	254	270	$85
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	312	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	493	3,604	$59
36415	Insertion of needle into vein for collection of blood sample	168	332	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	40	2,251	$43,430
Ozempic	Semaglutide	30	1,078	$32,870
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	25	1,470	$30,239
Shingrix	Varicella-Zoster Ge/As01b/Pf	119	1,830	$26,559
Xarelto	Rivaroxaban	24	1,378	$24,792

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,065
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	42	$3,024
E0470	Respiratory 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)	Y	N/R	22	$1,463
A7031	Face mask interface, replacement for full face mask, each	N	N/R	14	$1,100
A7030	Full face mask used with positive airway pressure device, each	N	N/R	13	$1,042

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Michael J. Speca, D.O.?

Tedicare shows public-source Medicare data for Michael J. Speca, D.O. (NPI 1548227762), 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 J. Speca, D.O. have ACO affiliation data?

Michael J. Speca, D.O. is shown with ACO affiliation data for agilon health Pennsylvania ACO, Inc. (DBA: Senior Health Connect ACO 4) (REACH, ACO ID D0113).

What billing organization is linked to Michael J. Speca, D.O.?

Michael J. Speca, D.O. is linked to PREFERRED PRIMARY CARE PHYSICIANS, INC. (billing NPI 1407826019) in the available physician profile data.

Does Michael J. Speca, D.O. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.