Physician

Andrew Waligora, M.D.

According to 2025 Medicare claims, Andrew Waligora, M.D. (NPI: 1699731521) practices nephrology in the Harrisonburg, VA market, with the plurality of this provider's patient population coming from Rockingham, VA. This provider's primary affiliated billing organization is SHENANDOAH NEPHROLOGY, PLC (NPI: 1174013171; TIN: 824715206) and primary practice location at 22801-8717. Waligora is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Waligora's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 606 traditional Medicare patients, billed 4,024 HCPCS/CPT codes, and received $341,017 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 10,422 prescription claims across 571 beneficiaries totaling $1,569,488 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 375 claims. Open Payments data shows 15 records totaling $185. 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 changed little. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $22,703 to $71,005.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	837	18,349	$425,468
2016	770	16,939	$423,997
2017	742	16,721	$368,119
2018	703	8,335	$372,377
2019	733	3,940	$397,807
2020	755	4,002	$392,620
2021	725	3,763	$425,269
2022	670	3,302	$383,421
2023	653	3,126	$362,020
2024	606	4,024	$341,017

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	622	13,312	$1,454,636
2016	597	13,282	$1,565,185
2017	559	12,776	$1,417,602
2018	619	11,499	$1,438,514
2019	558	11,091	$1,456,766
2020	541	11,575	$1,513,039
2021	554	10,915	$1,511,347
2022	548	10,562	$1,652,473
2023	553	10,340	$1,771,168
2024	571	10,422	$1,569,488

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	241	833	$35,187
2016	256	829	$35,639
2017	152	588	$25,931
2018	155	557	$30,082
2019	131	432	$44,070
2020	98	451	$55,115
2021	93	611	$88,315
2022	87	463	$76,622
2023	53	439	$76,680
2024	54	375	$76,182

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	119	$139
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	151	302	$137
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	369	991	$88
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	225	$63
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	404	1,232	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Farxiga	Dapagliflozin Propanediol	339	15,286	$265,002
Ozempic	Semaglutide	178	6,902	$218,789
Jardiance	Empagliflozin	143	8,142	$152,156
Rybelsus	Semaglutide	88	4,400	$129,532
Trulicity	Dulaglutide	84	3,628	$116,484

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	23	142	$48,645
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	N/R	33	$11,212
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	N/R	24	$5,855
E0784	External ambulatory infusion pump, insulin	Y	N/R	12	$4,058
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	N	N/R	24	$2,365

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$185	Boehringer Ingelheim Pharmaceuticals, 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 Andrew Waligora, M.D.?

Tedicare shows public-source Medicare data for Andrew Waligora, M.D. (NPI 1699731521), 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 Andrew Waligora, M.D. have ACO affiliation data?

Andrew Waligora, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Andrew Waligora, M.D.?

Andrew Waligora, M.D. is linked to SHENANDOAH NEPHROLOGY, PLC (billing NPI 1174013171) in the available physician profile data.

Does Andrew Waligora, M.D. have Open Payments data?

Andrew Waligora, M.D. has 15 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.