Physician

Matthew C Wilson, MD

According to 2025 Medicare claims, Matthew Wilson, MD (NPI: 1891726295) practices allergy/immunology in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Cabell, WV. This provider's primary affiliated billing organization is TRI-STATE ALLERGY, INC (NPI: 1386786796; TIN: 550650197) and primary practice location at 41101-2807.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 350 traditional Medicare patients, billed 47,804 HCPCS/CPT codes, and received $1,014,174 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 6,346 prescription claims across 663 beneficiaries totaling $2,108,527 in drug costs, led by Dupixent Pen (Dupilumab). DME data shows 154 claims. Open Payments data shows 125 records totaling $95,283. 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 sharply higher in recent years, from $89,779 to $1,014,174. Similarly, Part D prescription costs have moved sharply higher in recent years, from $377,414 to $2,108,527. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $2,898 and ending at $3,811.

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$507K$1.0M2015 Medicare payment: $89,779 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $108,313 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $203,134 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $318,503 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $457,320 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $607,022 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $676,478 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $806,447 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $963,516 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,014,174 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152988,025$89,779
201633210,944$108,313
201741616,928$203,134
201837618,350$318,503
201936722,666$457,320
202034627,673$607,022
202139632,408$676,478
202236138,543$806,447
202335446,621$963,516
202435047,804$1,014,174

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$1.1M$2.1M2015 Drug cost: $377,414 (USD; Tot_Drug_Cst)2016 Drug cost: $421,105 (USD; Tot_Drug_Cst)2017 Drug cost: $656,923 (USD; Tot_Drug_Cst)2018 Drug cost: $782,777 (USD; Tot_Drug_Cst)2019 Drug cost: $727,998 (USD; Tot_Drug_Cst)2020 Drug cost: $934,594 (USD; Tot_Drug_Cst)2021 Drug cost: $1,128,412 (USD; Tot_Drug_Cst)2022 Drug cost: $1,657,531 (USD; Tot_Drug_Cst)2023 Drug cost: $2,058,960 (USD; Tot_Drug_Cst)2024 Drug cost: $2,108,527 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153693,081$377,414
20163723,280$421,105
20174784,738$656,923
20184995,175$782,777
20194874,717$727,998
20204944,958$934,594
20215565,203$1,128,412
20225815,613$1,657,531
20236215,936$2,058,960
20246636,346$2,108,527

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$43K$87K2015 Medicare payment: $21,735 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $86,571 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $18,722 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $5,846 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $12,102 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,859 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,432 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,787 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $74,301 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $78,084 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201513200$21,735
201611191$86,571
201730216$18,722
201814187$5,846
201933303$12,102
202032158$1,859
2021N/R99$1,432
2022N/R94$2,787
2023N/R145$74,301
2024N/R154$78,084

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more281450$77
94375Test to measure rate of airflow171290$24
95012Test to measure the level of nitric oxide gas176289$11
95165Professional service for preparation and provision of 1 or more antigens1424,713$8
95115Professional service for single injection of allergen1203,307$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Dupixent PenDupilumab792,212$345,038
NucalaMepolizumab722,240$287,886
Trelegy ElliptaFluticasone/Umeclidin/Vilanter25210,230$217,019
Spiriva RespimatTiotropium Bromide1769,000$150,278
HizentraImmun Glob G(Igg)/Pro/Iga 0-5014343$137,703

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J1569Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mgNN/R15$75,261
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R16$1,104
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysNN/R23$569
E0570Nebulizer, with compressorYN/R64$531
J7620Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dmeNN/R19$418

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.123$12,683GlaxoSmithKline, LLC.
Research PaymentsReported research-related payment or transfer-of-value amount.2$82,600AstraZeneca Pharmaceuticals LP
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Matthew C. Wilson, MD?

Tedicare shows public-source Medicare data for Matthew C. Wilson, MD (NPI 1891726295), 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 Matthew C. Wilson, MD have ACO affiliation data?

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

What billing organization is linked to Matthew C. Wilson, MD?

Matthew C. Wilson, MD is linked to TRI-STATE ALLERGY, INC (billing NPI 1386786796) in the available physician profile data.

Does Matthew C. Wilson, MD have Open Payments data?

Matthew C. Wilson, MD has 125 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.