Physician

Sean D Stiltner, DO

According to 2025 Medicare claims, Sean Stiltner, DO (NPI: 1821156472) practices family practice in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Lawrence, OH. This provider's primary affiliated billing organization is CARDINAL VIRTUES LONG TERM CARE (NPI: 1164283750; TIN: 990820930) and primary practice location at 45680-7822. Stiltner is affiliated with the LTC ACO (ACO ID: A2973), VBLTC (ACO ID: A5330), Health Centers of Ohio ACO LLC (ACO ID: A5411), Eventus ACO LLC (ACO ID: A5530), and Pearl Care 4, LLC (ACO ID: A5600), participating under the MSSP model.

Stiltner's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,052 traditional Medicare patients, billed 2,203 HCPCS/CPT codes, and received $134,896 in Medicare payments. The top billing code was 99285 (Emergency department visit with high level of medical decision making). Part D data shows 6,001 prescription claims across 792 beneficiaries totaling $490,598 in drug costs, led by Ingrezza (Valbenazine Tosylate). DME data shows 28 claims. Open Payments data shows 1 records totaling $14. 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 $94,916 and ending at $134,896. Concurrently, Part D prescription costs have fallen sharply in recent years, from $680,972 to $490,598. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $17,329 to $3,395.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	478	1,962	$94,916
2016	563	3,062	$129,628
2017	290	369	$17,499
2018	160	201	$12,285
2019	172	261	$11,513
2020	385	471	$53,459
2021	840	1,099	$91,485
2022	1,123	1,584	$93,706
2023	1,137	3,821	$245,289
2024	1,052	2,203	$134,896

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	456	10,201	$680,972
2016	564	11,834	$904,731
2017	510	10,542	$908,873
2018	431	8,067	$755,755
2019	466	7,566	$762,142
2020	446	2,386	$232,239
2021	222	470	$8,372
2022	275	514	$10,495
2023	381	1,822	$112,838
2024	792	6,001	$490,598

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	86	422	$15,774
2016	83	429	$11,377
2017	95	447	$13,383
2018	83	347	$13,084
2019	76	320	$17,825
2020	N/R	166	$6,598
2021	N/R	39	$2,280
2022	N/R	N/R	N/R
2023	62	62	$10,042
2024	N/R	28	$564

* / # = 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
99285	Emergency department visit with high level of medical decision making	127	131	$127
99305	Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	250	256	$99
99284	Emergency department visit with moderate level of medical decision making	148	155	$84
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	227	387	$78
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	292	292	$40

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ingrezza	Valbenazine Tosylate	23	411	$136,859
Eliquis	Apixaban	132	1,783	$36,450
Xarelto	Rivaroxaban	58	779	$14,892
Arexvy	Rsvpref3 Antigen/As01e/Pf	44	44	$13,748
Basaglar Kwikpen U-100	Insulin Glargine,hum.Rec.Anlog	39	1,083	$6,270

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
K0001	Standard wheelchair	Y	N/R	16	$481
E0971	Manual wheelchair accessory, anti-tipping device, each	Y	N/R	12	$82

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$14	AstraZeneca Pharmaceuticals 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 Sean D. Stiltner, DO?

Tedicare shows public-source Medicare data for Sean D. Stiltner, DO (NPI 1821156472), 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 Sean D. Stiltner, DO have ACO affiliation data?

Sean D. Stiltner, DO is shown with ACO affiliation data for LTC ACO (MSSP, ACO ID A2973), VBLTC (MSSP, ACO ID A5330), Health Centers of Ohio ACO LLC (MSSP, ACO ID A5411), Eventus ACO LLC (MSSP, ACO ID A5530), and Pearl Care 4, LLC (MSSP, ACO ID A5600).

What billing organization is linked to Sean D. Stiltner, DO?

Sean D. Stiltner, DO is linked to CARDINAL VIRTUES LONG TERM CARE (billing NPI 1164283750) in the available physician profile data.

Does Sean D. Stiltner, DO have Open Payments data?

Sean D. Stiltner, DO has 1 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.