Physician

Tony Virgin, M.D.

According to 2025 Medicare claims, Tony Virgin, M.D. (NPI: 1669568044) practices family practice in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Lawrence, OH. This provider's primary affiliated billing organization is LAWRENCE COUNTY (NPI: 1437375904; TIN: 316400073) and primary practice location at 45638-2502.

Virgin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 394 traditional Medicare patients, billed 2,820 HCPCS/CPT codes, and received $48,232 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,648 prescription claims across 707 beneficiaries totaling $629,908 in drug costs, led by Jardiance (Empagliflozin). DME data shows 53 claims. Open Payments data shows 26 records totaling $435. 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 $43,534 to $48,232. Similarly, Part D prescription costs have risen steadily, from $320,616 to $629,908. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $10,355 and ending at $7,447.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	509	1,488	$43,534
2016	457	1,335	$34,428
2017	491	1,499	$41,607
2018	742	2,529	$76,404
2019	800	2,551	$75,993
2020	655	1,864	$55,789
2021	618	1,883	$76,143
2022	660	1,856	$74,854
2023	567	1,799	$66,617
2024	394	2,820	$48,232

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	1,300	6,141	$320,616
2016	733	2,320	$101,470
2017	389	696	$10,773
2018	747	8,836	$605,366
2019	836	12,819	$1,039,332
2020	748	10,116	$836,621
2021	763	9,700	$827,306
2022	932	9,524	$783,978
2023	908	9,360	$875,940
2024	707	8,648	$629,908

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	71	275	$13,045
2016	42	214	$9,850
2017	N/R	11	$592
2018	79	296	$5,979
2019	85	521	$19,731
2020	48	419	$16,281
2021	33	294	$10,901
2022	15	131	$4,993
2023	12	110	$4,375
2024	N/R	53	$3,999

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$122
99284	Emergency department visit with moderate level of medical decision making	57	61	$81
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	370	$59
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	117	127	$39
36415	Insertion of needle into vein for collection of blood sample	45	51	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	122	4,920	$97,475
Ozempic	Semaglutide	63	2,689	$86,944
Trulicity	Dulaglutide	53	2,044	$67,856
Eliquis	Apixaban	85	3,435	$67,469
Mounjaro	Tirzepatide	30	860	$30,992

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	26	$3,444
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	16	$378
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	11	$176

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	26	$435	Lilly USA, LLC
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 Tony Virgin, M.D.?

Tedicare shows public-source Medicare data for Tony Virgin, M.D. (NPI 1669568044), 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 Tony Virgin, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Tony Virgin, M.D.?

Tony Virgin, M.D. is linked to LAWRENCE COUNTY (billing NPI 1437375904) in the available physician profile data.

Does Tony Virgin, M.D. have Open Payments data?

Tony Virgin, M.D. has 26 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.