Physician

Alicia J Zbehlik, MD

According to 2025 Medicare claims, Alicia Zbehlik, MD (NPI: 1639165046) practices rheumatology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Fayette, PA. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 26505-0589. Zbehlik is affiliated with the ACO West Virginia (ACO ID: A3563), Vandalia Health Network (ACO ID: A4513), Dartmouth Health Performance Network, LLC (ACO ID: A5414), and Aledade 201 National MSSP (ACO ID: A5522), participating under the MSSP model.

Zbehlik's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 178 traditional Medicare patients, billed 346 HCPCS/CPT codes, and received $21,700 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 797 prescription claims across 167 beneficiaries totaling $1,180,683 in drug costs, led by Humira(Cf) Pen (Adalimumab). No Open Payments records. 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 $329,792 to $1,180,683. 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$15K$30K2015 Medicare payment: $18,518 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $21,097 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $22,705 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $28,059 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $26,946 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $22,546 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $30,443 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $26,857 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $18,234 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $21,700 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015156292$18,518
2016178321$21,097
2017191319$22,705
2018227405$28,059
2019233403$26,946
2020213356$22,546
2021204360$30,443
2022190343$26,857
2023188235$18,234
2024178346$21,700

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$814K$1.6M2015 Drug cost: $329,792 (USD; Tot_Drug_Cst)2016 Drug cost: $404,237 (USD; Tot_Drug_Cst)2017 Drug cost: $312,151 (USD; Tot_Drug_Cst)2018 Drug cost: $492,935 (USD; Tot_Drug_Cst)2019 Drug cost: $708,249 (USD; Tot_Drug_Cst)2020 Drug cost: $909,827 (USD; Tot_Drug_Cst)2021 Drug cost: $1,388,057 (USD; Tot_Drug_Cst)2022 Drug cost: $1,627,370 (USD; Tot_Drug_Cst)2023 Drug cost: $1,083,976 (USD; Tot_Drug_Cst)2024 Drug cost: $1,180,683 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151161,094$329,792
20161231,087$404,237
20171161,019$312,151
20181721,063$492,935
20191761,231$708,249
20201871,362$909,827
20211961,469$1,388,057
20222041,536$1,627,370
20231881,067$1,083,976
2024167797$1,180,683

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 more4141$84
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more99149$69
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1829$58
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2630$41
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's3436$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab481,596$467,411
Enbrel SureclickEtanercept25699$185,368
RinvoqUpadacitinib19810$167,695
Orencia ClickjectAbatacept17476$94,174
OtezlaApremilast12360$52,256

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Alicia J. Zbehlik, MD?

Tedicare shows public-source Medicare data for Alicia J. Zbehlik, MD (NPI 1639165046), 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 Alicia J. Zbehlik, MD have ACO affiliation data?

Alicia J. Zbehlik, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563), Vandalia Health Network (MSSP, ACO ID A4513), Dartmouth Health Performance Network, LLC (MSSP, ACO ID A5414), and Aledade 201 National MSSP (MSSP, ACO ID A5522).

What billing organization is linked to Alicia J. Zbehlik, MD?

Alicia J. Zbehlik, MD is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does Alicia J. Zbehlik, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.