Physician

Kathryn B Alguire, M.D.

According to 2025 Medicare claims, Kathryn Alguire, M.D. (NPI: 1568468882) practices medical oncology in the Muskegon-Norton Shores, MI market, with the plurality of this provider's patient population coming from Muskegon, MI. This provider's primary affiliated billing organization is CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. (NPI: 1528018389; TIN: 382777354) and primary practice location at 49444-9739. Alguire is affiliated with the Trinity Health Integrated Care (ACO ID: A3454) and West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Alguire's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 535 traditional Medicare patients, billed 121,660 HCPCS/CPT codes, and received $1,850,778 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 3,672 prescription claims across 747 beneficiaries totaling $9,736,730 in drug costs, led by Ibrance (Palbociclib). DME data shows 68 claims. Open Payments data shows 43 records totaling $930. 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 $3,377,421 to $9,736,730. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $4,117 to $7,991.

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$1.7M$3.4M2015 Medicare payment: $2,537,218 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $2,450,531 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $3,167,994 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,217,538 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,436,901 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $3,393,390 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,996,190 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,926,007 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,333,608 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,850,778 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015710234,440$2,537,218
2016659194,156$2,450,531
2017839209,458$3,167,994
2018752202,777$3,217,538
2019787195,296$3,436,901
2020722172,683$3,393,390
2021588184,584$2,996,190
2022572151,470$2,926,007
2023536158,782$2,333,608
2024535121,660$1,850,778

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$4.9M$9.7M2015 Drug cost: $3,377,421 (USD; Tot_Drug_Cst)2016 Drug cost: $3,739,174 (USD; Tot_Drug_Cst)2017 Drug cost: $6,106,152 (USD; Tot_Drug_Cst)2018 Drug cost: $7,031,614 (USD; Tot_Drug_Cst)2019 Drug cost: $8,280,667 (USD; Tot_Drug_Cst)2020 Drug cost: $9,257,376 (USD; Tot_Drug_Cst)2021 Drug cost: $7,863,496 (USD; Tot_Drug_Cst)2022 Drug cost: $9,347,812 (USD; Tot_Drug_Cst)2023 Drug cost: $7,645,813 (USD; Tot_Drug_Cst)2024 Drug cost: $9,736,730 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154402,564$3,377,421
20164492,714$3,739,174
20175403,442$6,106,152
20185523,628$7,031,614
20195353,351$8,280,667
20205663,290$9,257,376
20216273,100$7,863,496
20226823,324$9,347,812
20237153,290$7,645,813
20247473,672$9,736,730

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$18K$35K2015 Medicare payment: $26,361 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $35,363 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $25,262 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $871 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $7,520 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,143 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,286 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $884 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $11,110 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,572 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R72$26,361
2016N/R86$35,363
2017N/R72$25,262
2018N/R13$871
2019N/R80$7,520
2020N/R13$2,143
2021N/R11$1,286
2022N/R11$884
2023N/R14$11,110
2024N/R68$2,572

* / # = 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 more101220$93
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more267416$57
80053Blood test, comprehensive group of blood chemicals150604$10
36415Insertion of needle into vein for collection of blood sample197740$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count157693$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
IbrancePalbociclib1243,458$1,859,453
LenalidomideLenalidomide651,820$982,157
ImbruvicaIbrutinib722,070$954,093
VerzenioAbemaciclib621,736$855,245
RevlimidLenalidomide381,015$619,729

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0656Segmental pneumatic appliance for use with pneumatic compressor, trunkYN/R21$989
E0657Segmental pneumatic appliance for use with pneumatic compressor, chestYN/R21$929
J8521Capecitabine, oral, 500 mgNN/R14$491
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R12$163

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.43$930Gilead Sciences, Inc.
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 Kathryn B. Alguire, M.D.?

Tedicare shows public-source Medicare data for Kathryn B. Alguire, M.D. (NPI 1568468882), 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 Kathryn B. Alguire, M.D. have ACO affiliation data?

Kathryn B. Alguire, M.D. is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454) and West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Kathryn B. Alguire, M.D.?

Kathryn B. Alguire, M.D. is linked to CANCER & HEMATOLOGY CENTERS OF WESTERN MI, P.C. (billing NPI 1528018389) in the available physician profile data.

Does Kathryn B. Alguire, M.D. have Open Payments data?

Kathryn B. Alguire, M.D. has 43 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.