Physician

Matthew Bihlmaier, D.O./M.B.A.

According to 2025 Medicare claims, Matthew Bihlmaier, D.O./M.B.A. (NPI: 1619276979) practices internal medicine in the Lawrence, KS market, with the plurality of this provider's patient population coming from Douglas, KS. This provider's primary affiliated billing organization is LAWRENCE PHYSICIANS LLC (NPI: 1902570021; TIN: 471216616) and primary practice location at 66044-2249. Bihlmaier is affiliated with the Vytalize Health KS 25 LLC (ACO ID: A5671), participating under the MSSP model.

Bihlmaier's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 420 traditional Medicare patients, billed 18,651 HCPCS/CPT codes, and received $235,660 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 11,303 prescription claims across 580 beneficiaries totaling $714,618 in drug costs, led by Eliquis (Apixaban). DME data shows 316 claims. Open Payments data shows 6 records totaling $118. 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 from a lower plateau to a higher plateau, from $28,168 to $235,660. Similarly, Part D prescription costs have moved sharply higher in recent years, from $15,731 to $714,618. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $390 to $23,538.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	153	416	$28,168
2016	326	892	$51,125
2017	391	1,278	$79,298
2018	370	1,358	$88,025
2019	344	1,071	$66,672
2020	285	2,437	$71,586
2021	491	18,409	$185,464
2022	467	21,050	$220,629
2023	450	18,735	$205,449
2024	420	18,651	$235,660

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	68	325	$15,731
2016	94	323	$18,875
2017	118	364	$20,031
2018	103	239	$9,137
2019	148	349	$20,070
2020	269	3,373	$220,455
2021	464	8,267	$568,228
2022	508	9,888	$708,241
2023	552	10,973	$769,282
2024	580	11,303	$714,618

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	76	$2,680
2018	25	193	$8,053
2019	12	152	$9,814
2020	N/R	112	$7,053
2021	35	121	$7,495
2022	41	184	$8,650
2023	33	287	$15,240
2024	58	316	$16,954

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	206	248	$121
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	340	689	$79
G2211	Visit 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's	306	436	$12
36415	Insertion of needle into vein for collection of blood sample	328	540	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	133	6,997	$136,265
Ozempic	Semaglutide	74	2,114	$66,003
Jardiance	Empagliflozin	65	2,790	$52,911
Mounjaro	Tirzepatide	37	1,316	$49,371
Trulicity	Dulaglutide	46	1,344	$45,015

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	19	$9,042
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	35	$2,598
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	53	$1,484
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	15	22	$999
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	18	44	$618

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$118	Radius Health, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Matthew Bihlmaier, D.O./M.B.A.?

Tedicare shows public-source Medicare data for Matthew Bihlmaier, D.O./M.B.A. (NPI 1619276979), 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 Matthew Bihlmaier, D.O./M.B.A. have ACO affiliation data?

Matthew Bihlmaier, D.O./M.B.A. is shown with ACO affiliation data for Vytalize Health KS 25 LLC (MSSP, ACO ID A5671).

What billing organization is linked to Matthew Bihlmaier, D.O./M.B.A.?

Matthew Bihlmaier, D.O./M.B.A. is linked to LAWRENCE PHYSICIANS LLC (billing NPI 1902570021) in the available physician profile data.

Does Matthew Bihlmaier, D.O./M.B.A. have Open Payments data?

Matthew Bihlmaier, D.O./M.B.A. has 6 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.