Physician

James L Porile, MD

According to 2025 Medicare claims, James Porile, MD (NPI: 1922008796) practices nephrology in the South Bend-Mishawaka, IN-MI market, with the plurality of this provider's patient population coming from St. Joseph, IN. This provider's primary affiliated billing organization is NEPHROLOGY PHYSICIANS LLC (NPI: 1518996719; TIN: 352082018) and primary practice location at 46545-3519. Porile is affiliated with the CHA ACO, LLC (ACO ID: A2207), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), and Main Street Rural Health Cedar ACO LLC (ACO ID: A5502), participating under the MSSP model.

Porile's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 580 traditional Medicare patients, billed 2,051 HCPCS/CPT codes, and received $210,211 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 3,044 prescription claims across 426 beneficiaries totaling $713,081 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 267 claims. Open Payments data shows 40 records totaling $778. 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 declined steadily, from $411,006 to $210,211. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $843,363 to $713,081. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $0 to $736.

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$213K$426K2015 Medicare payment: $411,006 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $425,625 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $374,551 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $378,043 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $376,838 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $404,880 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $346,362 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $234,263 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $227,850 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $210,211 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201587022,432$411,006
201690530,463$425,625
201787429,786$374,551
201886523,396$378,043
201982613,521$376,838
202081714,298$404,880
20216936,392$346,362
20226532,615$234,263
20236152,526$227,850
20245802,051$210,211

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$546K$1.1M2015 Drug cost: $843,363 (USD; Tot_Drug_Cst)2016 Drug cost: $1,043,606 (USD; Tot_Drug_Cst)2017 Drug cost: $1,092,999 (USD; Tot_Drug_Cst)2018 Drug cost: $685,336 (USD; Tot_Drug_Cst)2019 Drug cost: $529,057 (USD; Tot_Drug_Cst)2020 Drug cost: $495,955 (USD; Tot_Drug_Cst)2021 Drug cost: $453,607 (USD; Tot_Drug_Cst)2022 Drug cost: $472,237 (USD; Tot_Drug_Cst)2023 Drug cost: $588,771 (USD; Tot_Drug_Cst)2024 Drug cost: $713,081 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154604,171$843,363
20164664,602$1,043,606
20174714,219$1,092,999
20184524,130$685,336
20194823,997$529,057
20204673,975$495,955
20214723,737$453,607
20224503,330$472,237
20234453,133$588,771
20244263,044$713,081

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$32K$64K2015 Medicare payment: $63,643 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $58,257 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $55,071 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $44,353 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $39,159 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $32,906 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $21,982 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $14,396 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $19,052 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $5,689 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201557575$63,643
201669719$58,257
201777762$55,071
201880720$44,353
201971918$39,159
202056768$32,906
202145579$21,982
202244461$14,396
202324390$19,052
2024N/R267$5,689

* / # = 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 minutes7785$122
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes81177$86
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes176481$58
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more187306$49
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more141155$46

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol25311,485$216,026
VelphoroSucroferric Oxyhydroxide571,910$174,317
AuryxiaFerric Citrate261,076$53,730
XphozahTenapanor Hcl14540$50,656
KerendiaFinerenone602,308$50,058

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7507Tacrolimus, immediate release, oral, 1 mgNN/R74$1,448
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodNN/R74$1,317
J7518Mycophenolic acid, oral, 180 mgNN/R24$981
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R61$839
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R11$736

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.40$778Fresenius USA Marketing, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for James L. Porile, MD?

Tedicare shows public-source Medicare data for James L. Porile, MD (NPI 1922008796), 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 James L. Porile, MD have ACO affiliation data?

James L. Porile, MD is shown with ACO affiliation data for CHA ACO, LLC (MSSP, ACO ID A2207), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), and Main Street Rural Health Cedar ACO LLC (MSSP, ACO ID A5502).

What billing organization is linked to James L. Porile, MD?

James L. Porile, MD is linked to NEPHROLOGY PHYSICIANS LLC (billing NPI 1518996719) in the available physician profile data.

Does James L. Porile, MD have Open Payments data?

James L. Porile, MD has 40 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.