Physician

Michael E Wilson, DO

According to 2025 Medicare claims, Michael Wilson, DO (NPI: 1952750465) practices family practice in the Wheeling, WV-OH market, with the plurality of this provider's patient population coming from Ohio, WV. This provider's primary affiliated billing organization is WHEELING HOSPITAL INC (NPI: 1548923923; TIN: 55-0357057) and primary practice location at 26003-5774. Wilson is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Wilson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 342 traditional Medicare patients, billed 1,165 HCPCS/CPT codes, and received $77,752 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 10,345 prescription claims across 557 beneficiaries totaling $878,771 in drug costs, led by Ozempic (Semaglutide). DME data shows 155 claims. 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's Medicare Part B carrier billing has risen steadily, from $5,631 to $77,752. Similarly, Part D prescription costs have moved sharply higher in recent years, from $8,407 to $878,771. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $962 to $14,165.

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$39K$78K2019 Medicare payment: $5,631 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $40,209 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $68,507 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $64,970 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $58,728 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $77,752 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20194989$5,631
2020173707$40,209
2021280971$68,507
2022268856$64,970
2023289790$58,728
20243421,165$77,752

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$439K$879K2016 Drug cost: $8,407 (USD; Tot_Drug_Cst)2017 Drug cost: $44,710 (USD; Tot_Drug_Cst)2018 Drug cost: $62,616 (USD; Tot_Drug_Cst)2019 Drug cost: $71,530 (USD; Tot_Drug_Cst)2020 Drug cost: $199,729 (USD; Tot_Drug_Cst)2021 Drug cost: $328,809 (USD; Tot_Drug_Cst)2022 Drug cost: $507,591 (USD; Tot_Drug_Cst)2023 Drug cost: $746,395 (USD; Tot_Drug_Cst)2024 Drug cost: $878,771 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
201628129$8,407
2017114770$44,710
20181271,039$62,616
2019152999$71,530
20202032,565$199,729
20213815,012$328,809
20224427,872$507,591
20235189,149$746,395
202455710,345$878,771

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$5.4K$11K2020 Medicare payment: $140 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,528 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $7,011 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $4,409 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $10,871 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R13$140
202114113$3,528
202229176$7,011
202312143$4,409
202415155$10,871

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit194194$120
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more4959$83
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more193312$62
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more96112$39
G2211Visit 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's128151$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1054,366$139,856
EliquisApixaban1055,972$116,467
JardianceEmpagliflozin643,420$66,006
JanuviaSitagliptin Phosphate522,505$45,566
XareltoRivaroxaban372,190$40,028

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R12$5,949
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R53$3,667
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R30$492
K0001Standard wheelchairYN/R13$391
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1533$358

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 Michael E. Wilson, DO?

Tedicare shows public-source Medicare data for Michael E. Wilson, DO (NPI 1952750465), 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 Michael E. Wilson, DO have ACO affiliation data?

Michael E. Wilson, DO is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Michael E. Wilson, DO?

Michael E. Wilson, DO is linked to WHEELING HOSPITAL INC (billing NPI 1548923923) in the available physician profile data.

Does Michael E. Wilson, DO 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.