Physician

Brian Facione, D.O.

According to 2025 Medicare claims, Brian Facione, D.O. (NPI: 1720349210) practices internal medicine in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is LAKELAND MEDICAL PRACTICES (NPI: 1538397120; TIN: 270381199) and primary practice location at 49127-9670. Facione is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Facione's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 273 traditional Medicare patients, billed 1,079 HCPCS/CPT codes, and received $85,806 in Medicare payments. The top billing code was 99496 (Transitional care management services for problem of high complexity). Part D data shows 9,555 prescription claims across 638 beneficiaries totaling $763,422 in drug costs, led by Jardiance (Empagliflozin). DME data shows 86 claims. 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 has moved up and down with repeated peaks and valleys, starting at $80,850 and ending at $85,806. Concurrently, Part D prescription costs have risen steadily, from $19,218 to $763,422. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $417 to $12,504.

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	326	1,519	$80,850
2017	423	3,942	$114,460
2018	384	4,659	$99,892
2019	360	1,951	$76,598
2020	345	1,636	$64,143
2021	358	1,864	$81,433
2022	291	1,380	$44,993
2023	268	1,310	$43,029
2024	273	1,079	$85,806

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	41	319	$19,218
2016	300	1,964	$106,449
2017	421	6,532	$367,460
2018	463	6,921	$444,521
2019	463	7,175	$501,307
2020	491	8,190	$600,830
2021	551	8,232	$613,376
2022	552	8,306	$635,070
2023	572	8,955	$776,880
2024	638	9,555	$763,422

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	45	128	$2,632
2018	51	139	$6,119
2019	49	184	$5,250
2020	48	128	$2,368
2021	44	214	$23,924
2022	27	206	$30,807
2023	21	136	$10,355
2024	15	86	$9,741

* / # = 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
99496	Transitional care management services for problem of high complexity	26	32	$223
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	158	158	$131
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	247	553	$83
G0008	Administration of influenza virus vaccine	18	18	$31
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	60	60	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	107	5,430	$104,293
Ozempic	Semaglutide	76	3,310	$100,864
Eliquis	Apixaban	79	4,868	$86,567
Trulicity	Dulaglutide	49	2,240	$72,678
Xarelto	Rivaroxaban	36	1,814	$33,002

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	N/R	20	$8,810
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	15	39	$815
E0149	Walker, heavy duty, wheeled, rigid or folding, any type	Y	N/R	12	$94
A4259	Lancets, per box of 100	N	N/R	15	$22

Open Payments Summary

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

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FAQ

What Medicare data is available for Brian Facione, D.O.?

Tedicare shows public-source Medicare data for Brian Facione, D.O. (NPI 1720349210), 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 Brian Facione, D.O. have ACO affiliation data?

Brian Facione, D.O. is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Brian Facione, D.O.?

Brian Facione, D.O. is linked to LAKELAND MEDICAL PRACTICES (billing NPI 1538397120) in the available physician profile data.

Does Brian Facione, D.O. 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.