Physician

David W Hines, MD

According to 2025 Medicare claims, David Hines, MD (NPI: 1851387955) practices infectious disease in the Decatur, IL market, with the plurality of this provider's patient population coming from Macon, IL. This provider's primary affiliated billing organization is METRO INFECTIOUS DISEASE CONSULTANTS, LLC (NPI: 1235125717; TIN: 363966745) and primary practice location at 62535-1098. Hines is affiliated with the American Choice Healthcare, LLC (ACO ID: D0086), participating under the REACH model.

Hines' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 547 traditional Medicare patients, billed 142,262 HCPCS/CPT codes, and received $2,579,284 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 242 prescription claims across 36 beneficiaries totaling $645,759 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). 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 risen steadily, from $891,314 to $2,579,284. In contrast, Part D prescription costs have declined steadily, from $811,164 to $645,759. 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$1.3M$2.6M2015 Medicare payment: $891,314 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $850,592 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,457,176 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,664,258 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $456,832 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,015,227 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,039,512 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,754,896 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,666,042 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,579,284 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201587558,583$891,314
201666872,685$850,592
2017599113,146$1,457,176
2018702101,103$1,664,258
201969931,386$456,832
202090870,859$1,015,227
202183167,527$1,039,512
2022855107,671$1,754,896
2023753114,755$1,666,042
2024547142,262$2,579,284

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$457K$913K2015 Drug cost: $811,164 (USD; Tot_Drug_Cst)2016 Drug cost: $913,027 (USD; Tot_Drug_Cst)2017 Drug cost: $835,260 (USD; Tot_Drug_Cst)2018 Drug cost: $677,273 (USD; Tot_Drug_Cst)2019 Drug cost: $536,729 (USD; Tot_Drug_Cst)2020 Drug cost: $527,724 (USD; Tot_Drug_Cst)2021 Drug cost: $577,020 (USD; Tot_Drug_Cst)2022 Drug cost: $641,268 (USD; Tot_Drug_Cst)2023 Drug cost: $660,198 (USD; Tot_Drug_Cst)2024 Drug cost: $645,759 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201561502$811,164
201657482$913,027
201784629$835,260
201883454$677,273
201964334$536,729
202043279$527,724
202132278$577,020
202240279$641,268
202341247$660,198
202436242$645,759

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
96413Administration of chemotherapy into vein, 1 hour or less102205$103
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes73124$95
96401Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle227351$58
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less90199$50
J0897Injection, denosumab, 1 mg1056,780$21

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BiktarvyBictegrav/Emtricit/Tenofov Ala451,350$176,191
CabenuvaCabotegravir/Rilpivirine23992$166,540
JulucaDolutegravir/Rilpivirine24720$82,352
TivicayDolutegravir Sodium14420$29,977
PrezcobixDarunavir/Cobicistat12360$29,226

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 David W. Hines, MD?

Tedicare shows public-source Medicare data for David W. Hines, MD (NPI 1851387955), 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 David W. Hines, MD have ACO affiliation data?

David W. Hines, MD is shown with ACO affiliation data for American Choice Healthcare, LLC (REACH, ACO ID D0086).

What billing organization is linked to David W. Hines, MD?

David W. Hines, MD is linked to METRO INFECTIOUS DISEASE CONSULTANTS, LLC (billing NPI 1235125717) in the available physician profile data.

Does David W. Hines, MD 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.