Physician

Tomoyasu Higashimoto, D.O., PH.D

According to 2025 Medicare claims, Tomoyasu Higashimoto, D.O., PH.D (NPI: 1902219165) practices medical genetics and genomics in the Detroit-Dearborn-Livonia, MI market, with the plurality of this provider's patient population coming from Wayne, MI. This provider's primary affiliated billing organization is REGENTS OF THE UNIVERSITY OF MICHIGAN (NPI: 1740210608; TIN: 386006309) and primary practice location at 48105-9484. Higashimoto is affiliated with the POM ACO (ACO ID: A1297) and ProMedica Health Network, Inc. (ACO ID: A3016), participating under the MSSP model.

Higashimoto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 31 traditional Medicare patients, billed 222 HCPCS/CPT codes, and received $8,821 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). 2020 Part D data shows 13 prescription claims totaling $13,445 in drug costs. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $4,328 and ending at $13,445. 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$5.5K$11K2022 Medicare payment: $10,967 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $6,707 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $8,821 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202263131$10,967
202339132$6,707
202431222$8,821

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$14K$27K2015 Drug cost: $4,328 (USD; Tot_Drug_Cst)2016 Drug cost: $14,576 (USD; Tot_Drug_Cst)2017 Drug cost: $24,130 (USD; Tot_Drug_Cst)2018 Drug cost: $16,797 (USD; Tot_Drug_Cst)2019 Drug cost: $27,182 (USD; Tot_Drug_Cst)2020 Drug cost: $13,445 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152159$4,328
201673374$14,576
201797491$24,130
201864377$16,797
20191124$27,182
2020N/R13$13,445
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more1919$118
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or30181$25

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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 Tomoyasu Higashimoto, D.O., PH.D?

Tedicare shows public-source Medicare data for Tomoyasu Higashimoto, D.O., PH.D (NPI 1902219165), 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 Tomoyasu Higashimoto, D.O., PH.D have ACO affiliation data?

Tomoyasu Higashimoto, D.O., PH.D is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and ProMedica Health Network, Inc. (MSSP, ACO ID A3016).

What billing organization is linked to Tomoyasu Higashimoto, D.O., PH.D?

Tomoyasu Higashimoto, D.O., PH.D is linked to REGENTS OF THE UNIVERSITY OF MICHIGAN (billing NPI 1740210608) in the available physician profile data.

Does Tomoyasu Higashimoto, D.O., PH.D 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.