Physician

Malik T Bandealy, MD

According to 2025 Medicare claims, Malik Bandealy, MD (NPI: 1568453298) practices hematology/oncology in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is AURORA HEALTH CARE METRO, INC. (NPI: 1861447179; TIN: 390806181) and primary practice location at 53142-8420. Bandealy is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Bandealy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 736 traditional Medicare patients, billed 2,595 HCPCS/CPT codes, and received $162,665 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 3,297 prescription claims across 530 beneficiaries totaling $1,248,992 in drug costs, led by Abiraterone Acetate (Abiraterone Acetate). DME data shows 24 claims. Open Payments data shows 1 records totaling $10,000. 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 moved up and down with repeated peaks and valleys, starting at $1,499,411 and ending at $1,248,992. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $13,019 to $1,597.

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$90K$179K2015 Medicare payment: $136,175 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $142,625 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $122,969 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $145,443 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $156,387 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $134,050 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $179,277 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $162,074 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $162,207 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $162,665 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157232,465$136,175
20167452,534$142,625
20176892,039$122,969
20187542,200$145,443
20197462,288$156,387
20206832,060$134,050
20217492,128$179,277
20227062,037$162,074
20237222,035$162,207
20247362,595$162,665

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$1.4M$2.8M2015 Drug cost: $1,499,411 (USD; Tot_Drug_Cst)2016 Drug cost: $1,608,942 (USD; Tot_Drug_Cst)2017 Drug cost: $1,994,718 (USD; Tot_Drug_Cst)2018 Drug cost: $2,437,317 (USD; Tot_Drug_Cst)2019 Drug cost: $2,820,271 (USD; Tot_Drug_Cst)2020 Drug cost: $1,213,947 (USD; Tot_Drug_Cst)2021 Drug cost: $968,746 (USD; Tot_Drug_Cst)2022 Drug cost: $940,663 (USD; Tot_Drug_Cst)2023 Drug cost: $1,216,495 (USD; Tot_Drug_Cst)2024 Drug cost: $1,248,992 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153132,390$1,499,411
20163432,543$1,608,942
20173452,431$1,994,718
20183412,398$2,437,317
20193682,394$2,820,271
20203722,256$1,213,947
20214072,333$968,746
20224472,491$940,663
20234922,768$1,216,495
20245303,297$1,248,992

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$25K$50K2015 Medicare payment: $50,458 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $47,892 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $15,877 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $972 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,501 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $666 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,811 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $987 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $1,107 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R250$50,458
2016N/R161$47,892
2017N/R91$15,877
2018N/R11$972
2019N/R18$1,501
2020N/R11$666
2021N/R40$2,811
2022N/RN/RN/R
2023N/R22$987
2024N/R24$1,107

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more123729$101
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more108108$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more400748$66
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more272359$45
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's353555$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Abiraterone AcetateAbiraterone Acetate1675,249$369,739
XareltoRivaroxaban1035,013$91,557
EliquisApixaban452,290$42,042
DeferasiroxDeferasirox16432$7,189
AnastrozoleAnastrozole37828,634$6,270

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R12$908
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R12$200

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.1$10,000PFIZER INC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Malik T. Bandealy, MD?

Tedicare shows public-source Medicare data for Malik T. Bandealy, MD (NPI 1568453298), 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 Malik T. Bandealy, MD have ACO affiliation data?

Malik T. Bandealy, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Malik T. Bandealy, MD?

Malik T. Bandealy, MD is linked to AURORA HEALTH CARE METRO, INC. (billing NPI 1861447179) in the available physician profile data.

Does Malik T. Bandealy, MD have Open Payments data?

Malik T. Bandealy, 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.