Physician

Michael Butler

According to 2025 Medicare claims, Michael Butler (NPI: 1780785428) practices cardiology in the Brunswick-St. Simons, GA market, with the plurality of this provider's patient population coming from Glynn, GA. This provider's primary affiliated billing organization is ST VINCENTS AMBULATORY CARE INC (NPI: 1417987124; TIN: 592292041) and primary practice location at 31520-4226. Butler is affiliated with the St Vincents Accountable Care Organization LLC (ACO ID: A2205), participating under the MSSP model.

Butler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,282 traditional Medicare patients, billed 5,894 HCPCS/CPT codes, and received $405,143 in Medicare payments. The top billing code was 93880 (Ultrasound of both sides of head and neck blood flow). Part D data shows 9,138 prescription claims across 1,106 beneficiaries totaling $1,310,090 in drug costs, led by Eliquis (Apixaban). 2023 DME data shows 48 claims. Open Payments data shows 9 records totaling $176. 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 $538,185 to $405,143. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $638,541 to $1,310,090. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $9,953 to $2,597.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,309	9,137	$538,185
2016	1,345	9,833	$599,624
2017	1,724	10,563	$680,015
2018	1,594	9,790	$606,961
2019	1,719	9,535	$673,258
2020	1,623	8,342	$561,188
2021	1,465	6,985	$483,242
2022	1,337	6,341	$413,522
2023	1,344	6,045	$383,885
2024	1,282	5,894	$405,143

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	863	13,061	$638,541
2016	967	12,333	$679,520
2017	1,108	11,832	$741,588
2018	1,210	12,326	$898,630
2019	1,270	11,680	$1,067,596
2020	1,431	12,065	$1,283,603
2021	1,441	11,466	$1,467,063
2022	1,209	10,027	$1,422,062
2023	1,089	9,102	$1,443,293
2024	1,106	9,138	$1,310,090

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	75	$8,155
2016	N/R	140	$71,042
2017	N/R	128	$9,255
2018	N/R	31	$1,140
2019	N/R	20	$1,206
2020	N/R	28	$1,192
2021	N/R	N/R	N/R
2022	N/R	28	$1,525
2023	N/R	48	$2,597
2024	N/R	N/R	N/R

* / # = 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
93880	Ultrasound of both sides of head and neck blood flow	286	290	$121
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	544	551	$94
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	695	1,183	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	270	293	$56
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	196	211	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	919	42,131	$796,204
Entresto	Sacubitril/Valsartan	126	6,440	$136,469
Xarelto	Rivaroxaban	88	6,870	$120,852
Repatha Sureclick	Evolocumab	40	2,836	$55,275
Praluent Pen	Alirocumab	29	1,990	$35,389

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$176	Amgen 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 Michael Butler?

Tedicare shows public-source Medicare data for Michael Butler (NPI 1780785428), 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 Michael Butler have ACO affiliation data?

Michael Butler is shown with ACO affiliation data for St Vincents Accountable Care Organization LLC (MSSP, ACO ID A2205).

What billing organization is linked to Michael Butler?

Michael Butler is linked to ST VINCENTS AMBULATORY CARE INC (billing NPI 1417987124) in the available physician profile data.

Does Michael Butler have Open Payments data?

Michael Butler 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.