Physician

S. Elena Gimenez, MD

According to 2025 Medicare claims, S. Gimenez, MD (NPI: 1841457447) practices urology in the Ann Arbor, MI market, with the plurality of this provider's patient population coming from Washtenaw, MI. This provider's primary affiliated billing organization is IHA HEALTH SERVICES CORPORATION (NPI: 1255470233; TIN: 381917674) and primary practice location at 48197-1051. Gimenez is affiliated with the McAuley Health Partners ACO, LLC (ACO ID: A4588), participating under the MSSP model.

Gimenez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 432 traditional Medicare patients, billed 11,637 HCPCS/CPT codes, and received $167,232 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,855 prescription claims across 582 beneficiaries totaling $268,973 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 120 claims. Open Payments data shows 2 records totaling $131. 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 $153,795 and ending at $167,232. Concurrently, Part D prescription costs have risen steadily, from $120,723 to $268,973. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $564 and ending at $1,019.

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$145K$289K2015 Medicare payment: $153,795 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $289,341 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $235,537 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $219,382 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $208,403 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $150,544 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $203,753 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $196,718 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $217,753 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $167,232 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157122,512$153,795
20161,2756,211$289,341
20171,0477,947$235,537
20188519,095$219,382
20197419,396$208,403
20205406,748$150,544
202154710,804$203,753
202253211,458$196,718
202354515,692$217,753
202443211,637$167,232

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$153K$306K2015 Drug cost: $120,723 (USD; Tot_Drug_Cst)2016 Drug cost: $215,414 (USD; Tot_Drug_Cst)2017 Drug cost: $200,391 (USD; Tot_Drug_Cst)2018 Drug cost: $175,456 (USD; Tot_Drug_Cst)2019 Drug cost: $185,443 (USD; Tot_Drug_Cst)2020 Drug cost: $197,388 (USD; Tot_Drug_Cst)2021 Drug cost: $195,598 (USD; Tot_Drug_Cst)2022 Drug cost: $253,816 (USD; Tot_Drug_Cst)2023 Drug cost: $306,160 (USD; Tot_Drug_Cst)2024 Drug cost: $268,973 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154121,161$120,723
20166001,771$215,414
20176171,947$200,391
20185821,883$175,456
20195381,654$185,443
20205091,558$197,388
20215591,628$195,598
20225511,735$253,816
20235571,731$306,160
20245821,855$268,973

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$33K$66K2015 Medicare payment: $18,565 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $20,986 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $31,318 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $49,582 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $65,762 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $58,832 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $44,674 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $40,914 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $37,445 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $39,051 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R40$18,565
2016N/R74$20,986
201712166$31,318
201828323$49,582
201936372$65,762
202035269$58,832
202114140$44,674
202213138$40,914
202314120$37,445
2024N/R120$39,051

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more7373$125
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more180250$98
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more105111$68
51798Ultrasound measurement of bladder capacity after voiding169202$8
81003Automated urinalysis test271353$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron1749,412$135,670
Mirabegron ErMirabegron623,870$35,263
GemtesaVibegron311,470$23,393
ElmironPentosan Polysulfate Sodium14420$18,162
Tamsulosin HclTamsulosin Hcl38523,896$7,475

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R46$20,041
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R31$17,934
A4332Lubricant, individual sterile packet, eachNN/R31$557
A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachNN/R12$519

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$131Terumo Medical Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for S. Elena Gimenez, MD?

Tedicare shows public-source Medicare data for S. Elena Gimenez, MD (NPI 1841457447), 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 S. Elena Gimenez, MD have ACO affiliation data?

S. Elena Gimenez, MD is shown with ACO affiliation data for McAuley Health Partners ACO, LLC (MSSP, ACO ID A4588).

What billing organization is linked to S. Elena Gimenez, MD?

S. Elena Gimenez, MD is linked to IHA HEALTH SERVICES CORPORATION (billing NPI 1255470233) in the available physician profile data.

Does S. Elena Gimenez, MD have Open Payments data?

S. Elena Gimenez, 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.