Physician

Michael Anthony Tilson, M.D.

According to 2025 Medicare claims, Michael Tilson, M.D. (NPI: 1801242334) practices family practice in the Monroe, MI market, with the plurality of this provider's patient population coming from Monroe, MI. This provider's primary affiliated billing organization is PROMEDICA MONROE PHYSICIANS (NPI: 1194078055; TIN: 46-1111822) and primary practice location at 48161-1611. Tilson is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016), participating under the MSSP model.

Tilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 370 traditional Medicare patients, billed 2,664 HCPCS/CPT codes, and received $161,527 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 12,276 prescription claims across 864 beneficiaries totaling $1,354,106 in drug costs, led by Jardiance (Empagliflozin). DME data shows 282 claims. Open Payments data shows 69 records totaling $1,074. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $8,734 to $1,354,106. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $724 to $20,817.

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$81K$162K2019 Medicare payment: $21,540 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $114,927 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $157,500 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $133,650 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $139,955 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $161,527 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019122402$21,540
20203782,161$114,927
20213902,949$157,500
20223902,552$133,650
20233622,290$139,955
20243702,664$161,527

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$691K$1.4M2016 Drug cost: $8,734 (USD; Tot_Drug_Cst)2017 Drug cost: $36,161 (USD; Tot_Drug_Cst)2018 Drug cost: $42,592 (USD; Tot_Drug_Cst)2019 Drug cost: $73,392 (USD; Tot_Drug_Cst)2020 Drug cost: $634,727 (USD; Tot_Drug_Cst)2021 Drug cost: $1,105,118 (USD; Tot_Drug_Cst)2022 Drug cost: $1,166,506 (USD; Tot_Drug_Cst)2023 Drug cost: $1,381,579 (USD; Tot_Drug_Cst)2024 Drug cost: $1,354,106 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R56$8,734
201755493$36,161
201880744$42,592
2019194938$73,392
20206076,408$634,727
20216749,600$1,105,118
202275710,163$1,166,506
202381611,673$1,381,579
202486412,276$1,354,106

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$8.3K$17K2020 Medicare payment: $5,872 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $11,497 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $6,529 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $10,183 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $16,533 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202045164$5,872
2021130323$11,497
202267205$6,529
202354269$10,183
202439282$16,533

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit251251$128
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more290570$84
G0444Annual depression screening, 5 to 15 minutes236236$18
G0442Annual alcohol misuse screening, 5 to 15 minutes165165$18
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's221316$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin17412,131$227,693
OzempicSemaglutide914,118$127,252
EliquisApixaban1055,758$106,767
JanuviaSitagliptin Phosphate744,680$84,651
JanumetSitagliptin Phos/Metformin Hcl473,930$67,599

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R23$8,466
E0601Continuous positive airway pressure (cpap) deviceYN/R71$1,800
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R17$1,488
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R20$1,472
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapNN/R25$1,196

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.69$1,074Lilly USA, LLC
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 Michael Anthony Tilson, M.D.?

Tedicare shows public-source Medicare data for Michael Anthony Tilson, M.D. (NPI 1801242334), 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 Anthony Tilson, M.D. have ACO affiliation data?

Michael Anthony Tilson, M.D. is shown with ACO affiliation data for ProMedica Health Network, Inc. (MSSP, ACO ID A3016).

What billing organization is linked to Michael Anthony Tilson, M.D.?

Michael Anthony Tilson, M.D. is linked to PROMEDICA MONROE PHYSICIANS (billing NPI 1194078055) in the available physician profile data.

Does Michael Anthony Tilson, M.D. have Open Payments data?

Michael Anthony Tilson, M.D. has 69 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.