Physician

Kenneth Gerard Gilbertson, M.D.

According to 2025 Medicare claims, Kenneth Gilbertson, M.D. (NPI: 1811150923) practices dermatology in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53142-8420. Gilbertson is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Gilbertson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 509 traditional Medicare patients, billed 3,866 HCPCS/CPT codes, and received $308,069 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 1,130 prescription claims across 333 beneficiaries totaling $1,462,373 in drug costs, led by Skyrizi Pen (Risankizumab-Rzaa). 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 has moved sharply higher in recent years, from $89,573 to $308,069. Similarly, Part D prescription costs have moved sharply higher in recent years, from $94,583 to $1,462,373. 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$154K$308K2015 Medicare payment: $89,573 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $80,080 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $72,202 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $86,506 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $91,469 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $82,257 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $106,057 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $98,704 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $156,098 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $308,069 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154662,253$89,573
20164392,039$80,080
20174711,608$72,202
20185431,801$86,506
20195571,984$91,469
20205061,976$82,257
20215302,147$106,057
20225142,161$98,704
20235022,613$156,098
20245093,866$308,069

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$731K$1.5M2015 Drug cost: $94,583 (USD; Tot_Drug_Cst)2016 Drug cost: $98,074 (USD; Tot_Drug_Cst)2017 Drug cost: $141,306 (USD; Tot_Drug_Cst)2018 Drug cost: $282,707 (USD; Tot_Drug_Cst)2019 Drug cost: $596,101 (USD; Tot_Drug_Cst)2020 Drug cost: $772,082 (USD; Tot_Drug_Cst)2021 Drug cost: $934,537 (USD; Tot_Drug_Cst)2022 Drug cost: $1,290,910 (USD; Tot_Drug_Cst)2023 Drug cost: $1,369,850 (USD; Tot_Drug_Cst)2024 Drug cost: $1,462,373 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015204573$94,583
2016230631$98,074
2017230605$141,306
2018242645$282,707
2019234794$596,101
2020267941$772,082
20213071,102$934,537
20223001,138$1,290,910
20233151,058$1,369,850
20243331,130$1,462,373

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more260306$81
11102Biopsy of related skin growth, first growth133152$63
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more143167$55
17000Destruction of precancer skin growth, 1 growth143165$39
17003Destruction of precancer skin growth, 2-14 growths114544$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Skyrizi PenRisankizumab-Rzaa201,568$421,049
Taltz AutoinjectorIxekizumab461,288$320,367
Dupixent PenDupilumab371,036$153,198
OtezlaApremilast24718$125,631
Humira(Cf) PenAdalimumab12336$97,389

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 Kenneth Gerard Gilbertson, M.D.?

Tedicare shows public-source Medicare data for Kenneth Gerard Gilbertson, M.D. (NPI 1811150923), 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 Kenneth Gerard Gilbertson, M.D. have ACO affiliation data?

Kenneth Gerard Gilbertson, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Kenneth Gerard Gilbertson, M.D.?

Kenneth Gerard Gilbertson, M.D. is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Kenneth Gerard Gilbertson, 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.