Physician

Michael J Hushion, MD

According to 2025 Medicare claims, Michael Hushion, MD (NPI: 1578887063) practices cardiac electrophysiology in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from St. Clair, IL. This provider's primary affiliated billing organization is PRAIRIE CARDIOVASCULAR CONSULTANTS LTD (NPI: 1982714218; TIN: 371071858) and primary practice location at 62269-1099. Hushion is affiliated with the IRCCO (ACO ID: A2619), HSHS ACO, L.L.C. (ACO ID: A2783), SSM IL ACO, LLC (ACO ID: A4832), IHCI ACO Midwest LLC (ACO ID: A5516), and Quality Health Partners, LLC (ACO ID: A5553), participating under the MSSP model.

Hushion's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,216 traditional Medicare patients, billed 4,198 HCPCS/CPT codes, and received $308,630 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 2,109 prescription claims across 424 beneficiaries totaling $579,809 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 59 records totaling $1,864. 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 risen steadily, from $39,646 to $308,630. Similarly, Part D prescription costs have moved sharply higher in recent years, from $7,524 to $579,809. 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$154K$309K2018 Medicare payment: $39,646 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $159,919 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $170,770 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $213,455 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $245,016 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $250,680 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $308,630 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018110311$39,646
20197702,268$159,919
20208482,376$170,770
20219682,737$213,455
20221,0193,206$245,016
20231,0903,369$250,680
20241,2164,198$308,630

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$290K$580K2015 Drug cost: $7,524 (USD; Tot_Drug_Cst)2016 Drug cost: $13,151 (USD; Tot_Drug_Cst)2017 Drug cost: $52,510 (USD; Tot_Drug_Cst)2018 Drug cost: $55,672 (USD; Tot_Drug_Cst)2019 Drug cost: $117,085 (USD; Tot_Drug_Cst)2020 Drug cost: $205,394 (USD; Tot_Drug_Cst)2021 Drug cost: $286,945 (USD; Tot_Drug_Cst)2022 Drug cost: $391,086 (USD; Tot_Drug_Cst)2023 Drug cost: $494,009 (USD; Tot_Drug_Cst)2024 Drug cost: $579,809 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R128$7,524
201656158$13,151
201797315$52,510
201879249$55,672
2019107545$117,085
2020170915$205,394
20212041,070$286,945
20222631,364$391,086
20233171,694$494,009
20244242,109$579,809

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more298342$96
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days207478$15
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's180196$13
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only727884$6
93005Routine electrocardiogram (ecg) using at least 12 leads with tracing246281$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban42118,411$356,638
XareltoRivaroxaban1056,083$111,663
MultaqDronedarone Hcl522,340$60,307
JardianceEmpagliflozin14720$14,073
DofetilideDofetilide312,326$5,901

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.59$1,864Biosense Webster, 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 Michael J. Hushion, MD?

Tedicare shows public-source Medicare data for Michael J. Hushion, MD (NPI 1578887063), 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. Hushion, MD have ACO affiliation data?

Michael J. Hushion, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), HSHS ACO, L.L.C. (MSSP, ACO ID A2783), SSM IL ACO, LLC (MSSP, ACO ID A4832), IHCI ACO Midwest LLC (MSSP, ACO ID A5516), and Quality Health Partners, LLC (MSSP, ACO ID A5553).

What billing organization is linked to Michael J. Hushion, MD?

Michael J. Hushion, MD is linked to PRAIRIE CARDIOVASCULAR CONSULTANTS LTD (billing NPI 1982714218) in the available physician profile data.

Does Michael J. Hushion, MD have Open Payments data?

Michael J. Hushion, MD has 59 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.