Physician

Andre Utulo Aguillon, M.D.

According to 2025 Medicare claims, Andre Aguillon, M.D. (NPI: 1760647507) practices sleep medicine in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is UNIVERSITY OF TOLEDO PHYSICIANS LLC (NPI: 1942296033; TIN: 341127097) and primary practice location at 43606-3800. Aguillon is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Aguillon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 225 traditional Medicare patients, billed 332 HCPCS/CPT codes, and received $24,940 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 262 prescription claims across 32 beneficiaries totaling $222,566 in drug costs, led by Modafinil (Modafinil). DME data shows 2,494 claims. Open Payments data shows 16 records totaling $512. 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 $29,723 to $24,940. In contrast, Part D prescription costs have risen steadily, from $12,762 to $222,566. For DME billing, reported payments rose steadily, from $66,985 to $106,166.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	209	395	$29,723
2016	270	527	$39,698
2017	262	444	$30,218
2018	285	445	$31,450
2019	259	403	$27,004
2020	203	277	$17,951
2021	221	326	$22,755
2022	202	290	$20,117
2023	214	346	$25,691
2024	225	332	$24,940

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	24	76	$12,762
2016	23	100	$8,223
2017	23	129	$106,826
2018	20	95	$19,165
2019	18	116	$86,346
2020	17	103	$73,759
2021	27	162	$107,811
2022	25	210	$156,406
2023	26	261	$175,465
2024	32	262	$222,566

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	756	1,685	$65,299
2016	1,082	2,272	$79,116
2017	1,134	2,472	$67,728
2018	1,222	2,542	$75,673
2019	1,303	2,798	$87,805
2020	1,253	2,777	$89,329
2021	1,292	2,777	$92,350
2022	1,312	2,860	$94,781
2023	1,354	3,080	$121,896
2024	1,095	2,494	$104,190

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	82	$93
95810	Sleep study in sleep lab (6 years or older)	32	32	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	100	111	$66
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	18	$38
95806	Sleep study including heart rate, breathing, airflow, and effort	32	32	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Modafinil	Modafinil	36	1,037	$2,809
Quetiapine Fumarate	Quetiapine Fumarate	20	1,080	$2,375
Eszopiclone	Eszopiclone	23	802	$1,049
Ropinirole Hcl	Ropinirole Hcl	54	2,235	$425
Gabapentin	Gabapentin	14	1,117	$83

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
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	11	66	$12,678
A7030	Full face mask used with positive airway pressure device, each	N	70	161	$12,161
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	105	244	$11,589
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	146	339	$11,059
A7031	Face mask interface, replacement for full face mask, each	N	63	152	$10,817

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	16	$512	JAZZ 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 Andre Utulo Aguillon, M.D.?

Tedicare shows public-source Medicare data for Andre Utulo Aguillon, M.D. (NPI 1760647507), 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 Andre Utulo Aguillon, M.D. have ACO affiliation data?

Andre Utulo Aguillon, M.D. is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Andre Utulo Aguillon, M.D.?

Andre Utulo Aguillon, M.D. is linked to UNIVERSITY OF TOLEDO PHYSICIANS LLC (billing NPI 1942296033) in the available physician profile data.

Does Andre Utulo Aguillon, M.D. have Open Payments data?

Andre Utulo Aguillon, M.D. has 16 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.