Physician

Douglas George Hughes, M.D.

According to 2025 Medicare claims, Douglas Hughes, M.D. (NPI: 1811019409) practices neurosurgery in the La Crosse-Onalaska, WI-MN market, with the plurality of this provider's patient population coming from La Crosse, WI. This provider's primary affiliated billing organization is GUNDERSEN LUTHERAN MEDICAL CENTER INC (NPI: 1376593442; TIN: 390813416) and primary practice location at 54601-5467. Hughes is affiliated with the Gundersen ACO (ACO ID: A5094) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Hughes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 178 traditional Medicare patients, billed 502 HCPCS/CPT codes, and received $141,061 in Medicare payments. The top billing code was 61783 (Computer-assisted spinal procedure). Part D data shows 16 prescription claims across 12 beneficiaries totaling $438 in drug costs. No Open Payments records. 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 up and down with repeated peaks and valleys, starting at $976 and ending at $438. 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$88K$175K2015 Medicare payment: $117,221 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $124,072 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $175,265 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $131,155 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $94,179 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $105,325 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $100,459 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $103,552 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $123,755 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $141,061 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015178440$117,221
2016179427$124,072
2017176471$175,265
2018209485$131,155
2019171384$94,179
2020148329$105,325
2021164348$100,459
2022146357$103,552
2023188436$123,755
2024178502$141,061

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$818$1.6K2015 Drug cost: $976 (USD; Tot_Drug_Cst)2016 Drug cost: $745 (USD; Tot_Drug_Cst)2017 Drug cost: $1,417 (USD; Tot_Drug_Cst)2018 Drug cost: $1,636 (USD; Tot_Drug_Cst)2019 Drug cost: $236 (USD; Tot_Drug_Cst)2021 Drug cost: $329 (USD; Tot_Drug_Cst)2022 Drug cost: $189 (USD; Tot_Drug_Cst)2023 Drug cost: $183 (USD; Tot_Drug_Cst)2024 Drug cost: $438 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151625$976
20162045$745
20171634$1,417
20182132$1,636
20191222$236
2020N/RN/RN/R
20211219$329
20221118$189
2023N/R12$183
20241216$438

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
61783Computer-assisted spinal procedure2021$154
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more1515$133
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more2727$106
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more6464$86
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more83127$65

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Douglas George Hughes, M.D.?

Tedicare shows public-source Medicare data for Douglas George Hughes, M.D. (NPI 1811019409), 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 Douglas George Hughes, M.D. have ACO affiliation data?

Douglas George Hughes, M.D. is shown with ACO affiliation data for Gundersen ACO (MSSP, ACO ID A5094) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Douglas George Hughes, M.D.?

Douglas George Hughes, M.D. is linked to GUNDERSEN LUTHERAN MEDICAL CENTER INC (billing NPI 1376593442) in the available physician profile data.

Does Douglas George Hughes, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.