Physician

John Birgiolas, MD

According to 2025 Medicare claims, John Birgiolas, MD (NPI: 1639309388) practices interventional pain management (ipm) in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Kent, MI. This provider's primary affiliated billing organization is ADVANCED PAIN SOLUTIONS PLLC (NPI: 1548609498; TIN: 300788702) and primary practice location at 48846-2161. Birgiolas is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Birgiolas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 226 traditional Medicare patients, billed 4,714 HCPCS/CPT codes, and received $129,004 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 3,376 prescription claims across 613 beneficiaries totaling $75,328 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). Open Payments data shows 10 records totaling $401. 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 $113,402 to $129,004. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $26,924 to $75,328. 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$186K$372K2015 Medicare payment: $113,402 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $93,644 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $79,686 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $65,011 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $319,846 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $333,002 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $371,968 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $286,883 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $213,547 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $129,004 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152561,628$113,402
20162611,556$93,644
20172521,341$79,686
20182492,667$65,011
201938910,976$319,846
202044510,786$333,002
202143211,810$371,968
20223125,187$286,883
20232543,910$213,547
20242264,714$129,004

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$82K$164K2015 Drug cost: $26,924 (USD; Tot_Drug_Cst)2016 Drug cost: $32,491 (USD; Tot_Drug_Cst)2017 Drug cost: $33,447 (USD; Tot_Drug_Cst)2018 Drug cost: $84,251 (USD; Tot_Drug_Cst)2019 Drug cost: $164,304 (USD; Tot_Drug_Cst)2020 Drug cost: $138,933 (USD; Tot_Drug_Cst)2021 Drug cost: $95,044 (USD; Tot_Drug_Cst)2022 Drug cost: $79,986 (USD; Tot_Drug_Cst)2023 Drug cost: $87,349 (USD; Tot_Drug_Cst)2024 Drug cost: $75,328 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015123529$26,924
2016149692$32,491
2017140673$33,447
20183361,648$84,251
20194103,555$164,304
20204533,649$138,933
20215022,985$95,044
20224872,828$79,986
20235173,030$87,349
20246133,376$75,328

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
64483Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level5580$219
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more7878$112
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4552$61
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg71378$1
J1010Injection, methylprednisolone acetate, 1 mg502,800$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen1,04928,488$17,840
Emgality SyringeGalcanezumab-Gnlm14410$9,460
Morphine Sulfate ErMorphine Sulfate1935,323$4,763
GabapentinGabapentin35911,878$4,671
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1945,369$4,484

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.10$401Nevro Corp.
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 John Birgiolas, MD?

Tedicare shows public-source Medicare data for John Birgiolas, MD (NPI 1639309388), 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 John Birgiolas, MD have ACO affiliation data?

John Birgiolas, MD is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to John Birgiolas, MD?

John Birgiolas, MD is linked to ADVANCED PAIN SOLUTIONS PLLC (billing NPI 1548609498) in the available physician profile data.

Does John Birgiolas, MD have Open Payments data?

John Birgiolas, MD has 10 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.