Physician

Holly Ann Wirkus, M.D.

According to 2025 Medicare claims, Holly Wirkus, M.D. (NPI: 1912434655) practices hospice and palliative care in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Macomb, MI. This provider's primary affiliated billing organization is HENRY FORD HEALTH ST. JOHN HOSPITAL (NPI: 1912965088; TIN: 381359063) and primary practice location at 48236-2148. Wirkus is affiliated with the St. John Providence ACO, LLC (ACO ID: A5417), participating under the MSSP model.

Wirkus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 106 traditional Medicare patients, billed 211 HCPCS/CPT codes, and received $21,687 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 257 prescription claims across 98 beneficiaries totaling $7,403 in drug costs, led by Gabapentin (Gabapentin). 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 started with an early spike, then settled into a lower baseline, moving from $20,251 to $7,403. 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$11K$22K2021 Medicare payment: $12,046 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $16,598 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $17,543 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $21,687 (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
202161165$12,046
202281222$16,598
202382153$17,543
2024106211$21,687

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$12K$24K2017 Drug cost: $20,251 (USD; Tot_Drug_Cst)2018 Drug cost: $24,353 (USD; Tot_Drug_Cst)2019 Drug cost: $17,356 (USD; Tot_Drug_Cst)2020 Drug cost: $4,073 (USD; Tot_Drug_Cst)2021 Drug cost: $1,266 (USD; Tot_Drug_Cst)2022 Drug cost: $2,467 (USD; Tot_Drug_Cst)2023 Drug cost: $8,659 (USD; Tot_Drug_Cst)2024 Drug cost: $7,403 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20172390$20,251
201842197$24,353
201954192$17,356
202022116$4,073
20211433$1,266
20222265$2,467
202388195$8,659
202498257$7,403

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes7074$139
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1111$106
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4460$96
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1516$64
99497Advance care planning, first 30 minutes1111$60

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin12360$584
Oxycodone HclOxycodone Hcl28367$545
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen31528$507
Morphine Sulfate ErMorphine Sulfate21500$487
Morphine SulfateMorphine Sulfate18160$313

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 Holly Ann Wirkus, M.D.?

Tedicare shows public-source Medicare data for Holly Ann Wirkus, M.D. (NPI 1912434655), 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 Holly Ann Wirkus, M.D. have ACO affiliation data?

Holly Ann Wirkus, M.D. is shown with ACO affiliation data for St. John Providence ACO, LLC (MSSP, ACO ID A5417).

What billing organization is linked to Holly Ann Wirkus, M.D.?

Holly Ann Wirkus, M.D. is linked to HENRY FORD HEALTH ST. JOHN HOSPITAL (billing NPI 1912965088) in the available physician profile data.

Does Holly Ann Wirkus, M.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.