Physician

Annette M Medina-Walpole, MD

According to 2025 Medicare claims, Annette Medina-Walpole, MD (NPI: 1962428177) practices geriatric medicine in the Rochester, NY market, with the plurality of this provider's patient population coming from Monroe, NY. This provider's primary affiliated billing organization is COUNTY OF MONROE (NPI: 1265634067) and primary practice location at 14620-4629.

Medina-Walpole's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 16 traditional Medicare patients, billed 66 HCPCS/CPT codes, and received $4,821 in Medicare payments. The top billing code was 99309 (Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes). Part D data shows 438 prescription claims across 26 beneficiaries totaling $24,349 in drug costs, led by Magellan Insulin Safety Syrng (Syringe,needle,insuln,safe,1ml). DME data shows 61 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 moved from a higher plateau to a lower plateau, from $21,374 to $4,821. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $449,861 to $24,349. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $20,989 to $3,172.

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$12K$23K2015 Medicare payment: $21,374 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $13,226 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $9,733 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $11,004 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $23,077 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $8,394 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $9,074 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $6,938 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $5,729 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $4,821 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015140376$21,374
201684259$13,226
201764188$9,733
201881244$11,004
2019160456$23,077
202037150$8,394
202138169$9,074
202228105$6,938
20232179$5,729
20241666$4,821

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$225K$450K2015 Drug cost: $449,861 (USD; Tot_Drug_Cst)2016 Drug cost: $373,226 (USD; Tot_Drug_Cst)2017 Drug cost: $248,591 (USD; Tot_Drug_Cst)2018 Drug cost: $182,640 (USD; Tot_Drug_Cst)2019 Drug cost: $149,335 (USD; Tot_Drug_Cst)2020 Drug cost: $33,302 (USD; Tot_Drug_Cst)2021 Drug cost: $17,393 (USD; Tot_Drug_Cst)2022 Drug cost: $18,708 (USD; Tot_Drug_Cst)2023 Drug cost: $18,962 (USD; Tot_Drug_Cst)2024 Drug cost: $24,349 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151565,536$449,861
20161153,982$373,226
2017412,523$248,591
2018431,347$182,640
2019391,041$149,335
202036682$33,302
202129489$17,393
202232522$18,708
202328442$18,962
202426438$24,349

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$5.1K$10K2015 Medicare payment: $10,251 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $5,223 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $3,371 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,422 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $893 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $989 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,267 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,051 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $203 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $3,811 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201515252$10,251
2016N/R185$5,223
2017N/R205$3,371
2018N/R60$1,422
2019N/R24$893
2020N/R27$989
2021N/R50$1,267
2022N/R35$1,051
2023N/R11$203
2024N/R61$3,811

* / # = 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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2256$68

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Magellan Insulin Safety SyrngSyringe,needle,insuln,safe,1ml441,087$1,449
Duloxetine HclDuloxetine Hcl13373$972
Atorvastatin CalciumAtorvastatin Calcium441,294$439
GabapentinGabapentin391,059$411
Metoprolol SuccinateMetoprolol Succinate26757$340

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, eachNN/R12$1,594
A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), eachNN/R12$918
A4349Male external catheter, with or without adhesive, disposable, eachNN/R12$902
A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachNN/R13$249
A4406Ostomy skin barrier, pectin-based, paste, per ounceNN/R12$147

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 Annette M. Medina-Walpole, MD?

Tedicare shows public-source Medicare data for Annette M. Medina-Walpole, MD (NPI 1962428177), 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 Annette M. Medina-Walpole, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Annette M. Medina-Walpole, MD?

Annette M. Medina-Walpole, MD is linked to COUNTY OF MONROE (billing NPI 1265634067) in the available physician profile data.

Does Annette M. Medina-Walpole, MD 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.