Physician

Shon George Michael, MD

According to 2025 Medicare claims, Shon Michael, MD (NPI: 1609182898) practices neurology in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Clermont, OH. This provider's primary affiliated billing organization is RIVERHILLS HEALTHCARE INC (NPI: 1205943651; TIN: 311412447) and primary practice location at 45212-2280. Michael is affiliated with the Healthcare Solutions Network (ACO ID: A3283) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Michael's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 549 traditional Medicare patients, billed 25,155 HCPCS/CPT codes, and received $556,981 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,173 prescription claims across 292 beneficiaries totaling $678,963 in drug costs, led by Gammagard Liquid (Immun Glob G(Igg)/Gly/Iga Ov50). Open Payments data shows 19 records totaling $318. 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 $7,504 to $556,981. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,769 to $678,963. 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$347K$693K2015 Medicare payment: $7,504 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $21,938 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $24,648 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $42,083 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $124,930 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $483,244 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $693,291 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $383,780 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $534,233 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $556,981 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201587104$7,504
2016230334$21,938
2017222382$24,648
2018304870$42,083
201939410,878$124,930
202036723,158$483,244
202148328,122$693,291
202246318,060$383,780
202349322,749$534,233
202454925,155$556,981

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$413K$825K2015 Drug cost: $1,769 (USD; Tot_Drug_Cst)2016 Drug cost: $8,825 (USD; Tot_Drug_Cst)2017 Drug cost: $14,638 (USD; Tot_Drug_Cst)2018 Drug cost: $16,507 (USD; Tot_Drug_Cst)2019 Drug cost: $82,219 (USD; Tot_Drug_Cst)2020 Drug cost: $303,840 (USD; Tot_Drug_Cst)2021 Drug cost: $247,679 (USD; Tot_Drug_Cst)2022 Drug cost: $435,835 (USD; Tot_Drug_Cst)2023 Drug cost: $825,145 (USD; Tot_Drug_Cst)2024 Drug cost: $678,963 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151126$1,769
201628109$8,825
201738160$14,638
201853184$16,507
2019126563$82,219
2020171899$303,840
2021182776$247,679
2022199713$435,835
2023225981$825,145
20242921,173$678,963

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more195195$114
95909Nerve conduction, 5-6 studies4747$100
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6063$91
95886Needle measurement of electrical activity in arm or leg muscles, complete study112210$70
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more225350$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Gammagard LiquidImmun Glob G(Igg)/Gly/Iga Ov5024672$400,386
OctagamImmun Globg(Igg)/Malt/Iga Ov5012336$134,204
IngrezzaValbenazine Tosylate12360$97,179
Pyridostigmine BromidePyridostigmine Bromide281,776$4,717
Memantine HclMemantine Hcl773,891$4,372

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.19$318ABBVIE 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 Shon George Michael, MD?

Tedicare shows public-source Medicare data for Shon George Michael, MD (NPI 1609182898), 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 Shon George Michael, MD have ACO affiliation data?

Shon George Michael, MD is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Shon George Michael, MD?

Shon George Michael, MD is linked to RIVERHILLS HEALTHCARE INC (billing NPI 1205943651) in the available physician profile data.

Does Shon George Michael, MD have Open Payments data?

Shon George Michael, MD has 19 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.