Physician

Jill E Hemmelgarn, D.O.

According to 2025 Medicare claims, Jill Hemmelgarn, D.O. (NPI: 1700221132) practices nephrology in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC (NPI: 1518589803; TIN: 850900392) and primary practice location at 45805-4602. Hemmelgarn is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), Caravan Health ACO 43 LLC (ACO ID: A4974), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Hemmelgarn's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 861 traditional Medicare patients, billed 3,154 HCPCS/CPT codes, and received $240,632 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 3,751 prescription claims across 590 beneficiaries totaling $663,731 in drug costs, led by Jynarque (Tolvaptan). DME data shows 301 claims. Open Payments data shows 9 records totaling $281. 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 risen steadily, from $28,474 to $240,632. Similarly, Part D prescription costs have moved sharply higher in recent years, from $2,705 to $663,731. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	209	475	$28,474
2019	690	2,253	$143,215
2020	604	1,761	$118,378
2021	707	2,443	$179,798
2022	780	2,658	$223,645
2023	681	2,356	$187,160
2024	861	3,154	$240,632

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	11	26	$2,705
2016	25	48	$2,655
2017	53	97	$5,055
2018	146	361	$28,230
2019	227	1,472	$174,891
2020	263	1,578	$536,313
2021	340	2,083	$79,358
2022	479	3,297	$599,285
2023	501	3,152	$485,870
2024	590	3,751	$663,731

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	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	19	$358
2020	N/R	52	$3,893
2021	N/R	69	$6,067
2022	N/R	139	$10,202
2023	N/R	183	$5,226
2024	12	301	$7,627

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$106
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	200	257	$97
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	494	765	$69
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	282	1,339	$59
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	95	100	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jynarque	Tolvaptan	13	364	$255,912
Farxiga	Dapagliflozin Propanediol	115	6,080	$107,128
Velphoro	Sucroferric Oxyhydroxide	34	1,020	$53,869
Kerendia	Finerenone	30	1,620	$34,773
Veltassa	Patiromer Calcium Sorbitex	25	1,108	$32,261

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
J7515	Cyclosporine, oral, 25 mg	N	N/R	20	$2,440
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	12	92	$1,637
J7518	Mycophenolic acid, oral, 180 mg	N	N/R	33	$1,509
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	59	$740
J7517	Mycophenolate mofetil, oral, 250 mg	N	N/R	34	$461

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$281	Ardelyx, 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

Explore More Providers

FAQ

What Medicare data is available for Jill E. Hemmelgarn, D.O.?

Tedicare shows public-source Medicare data for Jill E. Hemmelgarn, D.O. (NPI 1700221132), 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 Jill E. Hemmelgarn, D.O. have ACO affiliation data?

Jill E. Hemmelgarn, D.O. is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215), Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Jill E. Hemmelgarn, D.O.?

Jill E. Hemmelgarn, D.O. is linked to MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC (billing NPI 1518589803) in the available physician profile data.

Does Jill E. Hemmelgarn, D.O. have Open Payments data?

Jill E. Hemmelgarn, D.O. has 9 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.