Physician

Shawn P Hennigan, MD

According to 2025 Medicare claims, Shawn Hennigan, MD (NPI: 1821026790) practices orthopedic surgery in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is HAND TO SHOULDER CENTER OF WISCONSIN, LTD. (NPI: 1760420277; TIN: 391627418) and primary practice location at 54913-8284. Hennigan is affiliated with the HSHS ACO, L.L.C. (ACO ID: A2783), OSF Healthcare System (ACO ID: A3289), and THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Hennigan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 252 traditional Medicare patients, billed 1,228 HCPCS/CPT codes, and received $117,719 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 699 prescription claims across 284 beneficiaries totaling $3,285 in drug costs, led by Gabapentin (Gabapentin). DME data shows 56 claims. Open Payments data shows 2 records totaling $2,014. 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 up and down with repeated peaks and valleys, starting at $103,127 and ending at $117,719. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $9,205 to $3,285. 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	367	1,322	$103,127
2016	333	1,219	$103,949
2017	402	1,457	$134,893
2018	388	1,498	$136,184
2019	348	1,386	$158,374
2020	214	1,026	$63,917
2021	247	1,187	$108,698
2022	235	1,076	$116,809
2023	259	1,199	$128,258
2024	252	1,228	$117,719

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	152	284	$9,205
2016	139	265	$6,714
2017	179	439	$7,594
2018	167	414	$5,392
2019	209	548	$7,421
2020	134	331	$3,293
2021	231	618	$3,912
2022	299	865	$5,911
2023	260	626	$3,077
2024	284	699	$3,285

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	38	38	$2,589
2021	59	70	$3,297
2022	76	77	$6,479
2023	65	68	$6,315
2024	54	56	$5,052

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$73
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	69	74	$60
20610	Aspiration and/or injection of fluid from large joint	76	82	$45
73030	X-ray of shoulder, minimum of 2 views	181	376	$21
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	77	333	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	228	5,903	$903
Meloxicam	Meloxicam	234	7,081	$567
Oxycodone Hcl	Oxycodone Hcl	70	314	$307
Amoxicillin	Amoxicillin	84	222	$158

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	54	56	$5,052

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$2,014	ENCORE MEDICAL, LP
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 Shawn P. Hennigan, MD?

Tedicare shows public-source Medicare data for Shawn P. Hennigan, MD (NPI 1821026790), 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 Shawn P. Hennigan, MD have ACO affiliation data?

Shawn P. Hennigan, MD is shown with ACO affiliation data for HSHS ACO, L.L.C. (MSSP, ACO ID A2783), OSF Healthcare System (MSSP, ACO ID A3289), and THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Shawn P. Hennigan, MD?

Shawn P. Hennigan, MD is linked to HAND TO SHOULDER CENTER OF WISCONSIN, LTD. (billing NPI 1760420277) in the available physician profile data.

Does Shawn P. Hennigan, MD have Open Payments data?

Shawn P. Hennigan, MD has 2 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.