Physician

None

According to 2025 Medicare claims, NPI 1730160672 (NPI: 1730160672) practices internal medicine in the Sandusky, OH market, with the plurality of this provider's patient population coming from Erie, OH. This provider's primary affiliated billing organization is SANDUSKY RHEUMATOLOGY, INC (NPI: 1366891343; TIN: 812579920) and primary practice location at 44870-5390. 1730160672 is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

1730160672's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 610 traditional Medicare patients, billed 62,389 HCPCS/CPT codes, and received $1,015,894 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 4,230 prescription claims across 731 beneficiaries totaling $1,080,247 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 2 records totaling $189. 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 declined steadily, from $1,300,711 to $1,015,894. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,150,948 and ending at $1,080,247. 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$898K$1.8M2015 Medicare payment: $1,300,711 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,461,120 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,745,018 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,796,690 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,632,773 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,403,262 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,203,422 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,222,408 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,013,113 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,015,894 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201557729,843$1,300,711
201660133,994$1,461,120
201761043,557$1,745,018
201858151,862$1,796,690
201961561,792$1,632,773
202052461,662$1,403,262
202148661,960$1,203,422
202253271,738$1,222,408
202360760,130$1,013,113
202461062,389$1,015,894

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$701K$1.4M2015 Drug cost: $1,150,948 (USD; Tot_Drug_Cst)2016 Drug cost: $1,185,037 (USD; Tot_Drug_Cst)2017 Drug cost: $1,303,460 (USD; Tot_Drug_Cst)2018 Drug cost: $1,401,047 (USD; Tot_Drug_Cst)2019 Drug cost: $1,333,226 (USD; Tot_Drug_Cst)2020 Drug cost: $828,988 (USD; Tot_Drug_Cst)2021 Drug cost: $715,629 (USD; Tot_Drug_Cst)2022 Drug cost: $1,297,945 (USD; Tot_Drug_Cst)2023 Drug cost: $1,355,278 (USD; Tot_Drug_Cst)2024 Drug cost: $1,080,247 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156326,614$1,150,948
20166136,274$1,185,037
20176486,115$1,303,460
20186506,056$1,401,047
20196595,563$1,333,226
20206354,304$828,988
20216163,751$715,629
20226464,104$1,297,945
20236933,965$1,355,278
20247314,230$1,080,247

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more6464$114
96413Administration of chemotherapy into vein, 1 hour or less72355$92
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more256389$88
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more414667$60
G2211Visit 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's459765$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab33924$236,859
Enbrel SureclickEtanercept25700$178,756
EnbrelEtanercept15420$115,139
Taltz AutoinjectorIxekizumab12336$79,377
RinvoqUpadacitinib11330$71,326

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.2$189Janssen Biotech, Inc.
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 NPI 1730160672?

Tedicare shows public-source Medicare data for NPI 1730160672 (NPI 1730160672), 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 NPI 1730160672 have ACO affiliation data?

NPI 1730160672 is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to NPI 1730160672?

NPI 1730160672 is linked to SANDUSKY RHEUMATOLOGY, INC (billing NPI 1366891343) in the available physician profile data.

Does NPI 1730160672 have Open Payments data?

NPI 1730160672 has 2 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.