Physician

Patrick Edward Gilhool, DO

According to 2025 Medicare claims, Patrick Gilhool, DO (NPI: 1902848948) practices family practice in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is FAMILY PRACTICE CENTER, PC (NPI: 1154376937; TIN: 231919008) and primary practice location at 17022-9314. Gilhool is affiliated with the The Accountable Care Organization, Ltd. (ACO ID: A2098), participating under the MSSP model.

Gilhool's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 435 traditional Medicare patients, billed 4,965 HCPCS/CPT codes, and received $329,254 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 31,364 prescription claims across 729 beneficiaries totaling $1,737,072 in drug costs, led by Eliquis (Apixaban). DME data shows 201 claims. Open Payments data shows 121 records totaling $2,399. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $941,960 to $1,737,072. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $21,507 and ending at $27,196.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	569	9,370	$365,158
2016	607	8,670	$370,891
2017	608	6,623	$286,394
2018	630	4,872	$304,170
2019	703	6,098	$439,285
2020	649	5,528	$403,035
2021	692	5,403	$366,835
2022	462	4,334	$320,772
2023	474	5,096	$382,419
2024	435	4,965	$329,254

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	640	18,430	$941,960
2016	716	22,194	$1,084,186
2017	791	28,110	$1,422,635
2018	805	29,360	$1,571,015
2019	899	31,942	$2,009,601
2020	825	30,256	$2,090,073
2021	720	24,971	$1,743,448
2022	654	21,636	$1,571,374
2023	711	29,087	$1,780,139
2024	729	31,364	$1,737,072

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	94	374	$17,021
2016	65	302	$8,056
2017	47	239	$4,348
2018	40	168	$2,318
2019	50	325	$12,723
2020	77	567	$22,694
2021	74	453	$25,404
2022	17	368	$25,132
2023	51	328	$14,139
2024	31	201	$6,466

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$122
99349	Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	158	1,072	$91
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	181	849	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	90	154	$62
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	158	667	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	798	17,028	$341,325
Ozempic	Semaglutide	89	4,206	$121,991
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	81	3,750	$78,240
Xarelto	Rivaroxaban	121	2,893	$56,975
Januvia	Sitagliptin Phosphate	99	2,691	$50,734

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
A6223	Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing	N	N/R	13	$1,791
A6446	Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard	N	N/R	23	$1,758
K0001	Standard wheelchair	Y	14	50	$777
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	20	$745
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	11	$714

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	121	$2,399	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 Patrick Edward Gilhool, DO?

Tedicare shows public-source Medicare data for Patrick Edward Gilhool, DO (NPI 1902848948), 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 Patrick Edward Gilhool, DO have ACO affiliation data?

Patrick Edward Gilhool, DO is shown with ACO affiliation data for The Accountable Care Organization, Ltd. (MSSP, ACO ID A2098).

What billing organization is linked to Patrick Edward Gilhool, DO?

Patrick Edward Gilhool, DO is linked to FAMILY PRACTICE CENTER, PC (billing NPI 1154376937) in the available physician profile data.

Does Patrick Edward Gilhool, DO have Open Payments data?

Patrick Edward Gilhool, DO has 121 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.