Physician

Matthew G Michaels, MD

According to 2025 Medicare claims, Matthew Michaels, MD (NPI: 1780666404) practices physical medicine and rehabilitation in the Wausau, WI market, with the plurality of this provider's patient population coming from Marathon, WI. This provider's primary affiliated billing organization is PAM PHYSICIAN ENTERPRISE (NPI: 1962856161; TIN: 475510475) and primary practice location at 54401-7804. Michaels is affiliated with the Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Michaels' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,025 traditional Medicare patients, billed 4,247 HCPCS/CPT codes, and received $312,379 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 890 prescription claims across 259 beneficiaries totaling $41,916 in drug costs, led by Eliquis (Apixaban). DME data shows 1,509 claims. Open Payments data shows 3 records totaling $161. 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 $239,526 and ending at $312,379. Concurrently, Part D prescription costs have risen steadily, from $6,730 to $41,916. 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	599	4,616	$239,526
2016	413	3,498	$155,439
2017	98	1,605	$29,542
2018	114	4,356	$69,959
2019	105	870	$26,468
2020	87	771	$55,672
2021	257	1,164	$80,452
2022	566	2,433	$170,448
2023	1,404	6,242	$473,540
2024	1,025	4,247	$312,379

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	149	414	$6,730
2016	92	181	$2,219
2017	25	47	$285
2018	32	68	$679
2019	182	497	$26,107
2020	234	2,156	$104,148
2021	179	1,051	$53,815
2022	621	2,233	$91,064
2023	416	1,812	$73,645
2024	259	890	$41,916

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	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	32	48	$2,276
2023	527	1,825	$53,476
2024	338	1,509	$35,966

* / # = 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	497	514	$132
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	15	$94
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	257	364	$91
99239	Hospital discharge day management, more than 30 minutes	364	376	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	857	2,947	$60

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	35	1,004	$19,087
Atorvastatin Calcium	Atorvastatin Calcium	65	1,912	$647
Pantoprazole Sodium	Pantoprazole Sodium	32	915	$315
Gabapentin	Gabapentin	33	875	$248
Oxycodone Hcl	Oxycodone Hcl	51	296	$226

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
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	31	148	$7,332
K0001	Standard wheelchair	Y	58	336	$6,096
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	56	$3,887
K0003	Lightweight wheelchair	Y	15	89	$2,904
E0143	Walker, folding, wheeled, adjustable or fixed height	N	58	58	$2,626

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$161	Microtransponder, 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 Matthew G. Michaels, MD?

Tedicare shows public-source Medicare data for Matthew G. Michaels, MD (NPI 1780666404), 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 Matthew G. Michaels, MD have ACO affiliation data?

Matthew G. Michaels, MD is shown with ACO affiliation data for Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Matthew G. Michaels, MD?

Matthew G. Michaels, MD is linked to PAM PHYSICIAN ENTERPRISE (billing NPI 1962856161) in the available physician profile data.

Does Matthew G. Michaels, MD have Open Payments data?

Matthew G. Michaels, MD has 3 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.