Physician

Michael Riley Heaphy, M.D.

According to 2025 Medicare claims, Michael Heaphy, M.D. (NPI: 1821011057) practices dermatology in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is WEST OHIO DERMATOLOGY, INC. (NPI: 1619070224; TIN: 341649211) and primary practice location at 45801-2967.

Heaphy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 3,072 traditional Medicare patients, billed 20,216 HCPCS/CPT codes, and received $641,289 in Medicare payments. The top billing code was 11102 (Biopsy of related skin growth, first growth). Part D data shows 40 prescription claims across 18 beneficiaries totaling $50,970 in drug costs. Open Payments data shows 14 records totaling $319. 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 $1,028,174 to $641,289. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $444,813 to $50,970. 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	2,993	21,530	$1,028,174
2016	3,104	21,852	$939,360
2017	3,320	24,115	$1,113,435
2018	3,174	21,919	$1,032,077
2019	3,175	23,246	$1,082,495
2020	2,852	21,013	$978,756
2021	2,980	22,699	$1,017,153
2022	3,016	21,741	$957,565
2023	3,033	20,348	$705,010
2024	3,072	20,216	$641,289

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	260	780	$444,813
2016	226	705	$515,759
2017	318	776	$362,811
2018	242	628	$256,435
2019	58	119	$41,157
2020	27	78	$2,116
2021	25	67	$68,064
2022	35	81	$6,814
2023	15	48	$8,822
2024	18	40	$50,970

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
11102	Biopsy of related skin growth, first growth	917	1,073	$55
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	1,152	1,677	$34
17000	Destruction of precancer skin growth, 1 growth	1,519	2,231	$33
88305	Pathology examination of tissue using a microscope, intermediate complexity	1,264	2,498	$21
17003	Destruction of precancer skin growth, 2-14 growths	1,214	7,687	$4

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 in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$319	ABBVIE 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 Riley Heaphy, M.D.?

Tedicare shows public-source Medicare data for Michael Riley Heaphy, M.D. (NPI 1821011057), 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 Riley Heaphy, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael Riley Heaphy, M.D.?

Michael Riley Heaphy, M.D. is linked to WEST OHIO DERMATOLOGY, INC. (billing NPI 1619070224) in the available physician profile data.

Does Michael Riley Heaphy, M.D. have Open Payments data?

Michael Riley Heaphy, M.D. has 14 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.