Physician

Shawn C Wilker, MD

According to 2025 Medicare claims, Shawn Wilker, MD (NPI: 1578691515) practices ophthalmology in the Cleveland, OH market, with the plurality of this provider's patient population coming from Lake, OH. This provider's primary affiliated billing organization is RETINA ASSOCIATES OF CLEVELAND, INC. (NPI: 1912991225; TIN: 34-1411937) and primary practice location at 44060-8725. Wilker is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Wilker's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 445 traditional Medicare patients, billed 18,295 HCPCS/CPT codes, and received $1,380,524 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 331 prescription claims across 124 beneficiaries totaling $13,607 in drug costs, led by Brimonidine Tartrate-Timolol (Brimonidine Tartrate/Timolol). Open Payments data shows 16 records totaling $592. 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 moved up and down with repeated peaks and valleys, starting at $920,839 and ending at $1,380,524. Concurrently, Part D prescription costs have fallen sharply in recent years, from $82,848 to $13,607. 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$1.2M$2.5M2015 Medicare payment: $920,839 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,234,826 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,649,737 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,721,400 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,077,496 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,476,842 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,280,053 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,013,800 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $938,328 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,380,524 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,1036,596$920,839
20161,1838,343$1,234,826
20171,44610,112$1,649,737
20181,33210,446$1,721,400
20191,42811,656$2,077,496
20201,53412,475$2,476,842
20211,51211,556$2,280,053
20229695,105$1,013,800
20234269,408$938,328
202444518,295$1,380,524

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$182K$363K2015 Drug cost: $82,848 (USD; Tot_Drug_Cst)2016 Drug cost: $76,890 (USD; Tot_Drug_Cst)2017 Drug cost: $90,321 (USD; Tot_Drug_Cst)2018 Drug cost: $124,362 (USD; Tot_Drug_Cst)2019 Drug cost: $192,773 (USD; Tot_Drug_Cst)2020 Drug cost: $322,369 (USD; Tot_Drug_Cst)2021 Drug cost: $363,191 (USD; Tot_Drug_Cst)2022 Drug cost: $243,492 (USD; Tot_Drug_Cst)2023 Drug cost: $24,307 (USD; Tot_Drug_Cst)2024 Drug cost: $13,607 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015254805$82,848
2016261809$76,890
2017305857$90,321
2018321949$124,362
20193911,064$192,773
20205321,676$322,369
20215632,109$363,191
20224121,293$243,492
2023155304$24,307
2024124331$13,607

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
92004New patient complete exam of visual system9393$99
67028Injection of drug into eye180678$87
92014Established patient complete exam of visual system294447$79
92134Imaging of retina344928$27
92250Photography of the retina109123$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol15694$4,228
Prednisolone AcetatePrednisolone Acetate872,919$3,621
Ketorolac TromethamineKetorolac Tromethamine743,510$1,204
OfloxacinOfloxacin52904$640
LatanoprostLatanoprost361,805$278

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.16$592Genentech USA, 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 Shawn C. Wilker, MD?

Tedicare shows public-source Medicare data for Shawn C. Wilker, MD (NPI 1578691515), 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 Shawn C. Wilker, MD have ACO affiliation data?

Shawn C. Wilker, MD is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Shawn C. Wilker, MD?

Shawn C. Wilker, MD is linked to RETINA ASSOCIATES OF CLEVELAND, INC. (billing NPI 1912991225) in the available physician profile data.

Does Shawn C. Wilker, MD have Open Payments data?

Shawn C. Wilker, MD has 16 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.