Physician

Ralph Michael Wurster, DO

According to 2025 Medicare claims, Ralph Wurster, DO (NPI: 1962535617) practices family practice in the San Angelo, TX market, with the plurality of this provider's patient population coming from Tom Green, TX. This provider's primary affiliated billing organization is SHANNON CLINIC (NPI: 1770587149; TIN: 752600873) and primary practice location at 76904-6829. Wurster is affiliated with the CHSPSC ACO 14, LLC (ACO ID: A3724), TACHC Accountable Care Organization LLC (ACO ID: A5562), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Wurster's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 418 traditional Medicare patients, billed 4,186 HCPCS/CPT codes, and received $185,371 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 15,886 prescription claims across 838 beneficiaries totaling $1,890,710 in drug costs, led by Ozempic (Semaglutide). DME data shows 374 claims. Open Payments data shows 61 records totaling $1,087. 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 $35,458 to $185,371. Similarly, Part D prescription costs have moved sharply higher in recent years, from $360,272 to $1,890,710. In contrast, DME billing represents a smaller volume and rose steadily, from $632 to $35,627.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	199	803	$35,458
2017	297	1,573	$63,233
2018	395	2,934	$122,053
2019	196	836	$16,523
2020	113	661	$20,157
2021	165	1,300	$71,389
2022	240	2,083	$111,441
2023	313	3,056	$139,999
2024	418	4,186	$185,371

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	473	5,437	$360,272
2016	430	6,200	$380,966
2017	431	5,954	$351,232
2018	452	5,403	$352,924
2019	371	2,087	$112,766
2020	167	1,134	$69,956
2021	234	3,195	$297,873
2022	364	6,733	$739,311
2023	552	10,600	$1,294,243
2024	838	15,886	$1,890,710

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	36	114	$1,308
2016	18	46	$590
2017	15	53	$761
2018	36	71	$893
2019	30	87	$971
2020	N/R	N/R	N/R
2021	N/R	17	$3,182
2022	N/R	34	$3,992
2023	11	98	$6,566
2024	59	374	$21,144

* / # = 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	162	162	$134
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	388	889	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	121	154	$54
G0008	Administration of influenza virus vaccine	114	115	$17
36415	Insertion of needle into vein for collection of blood sample	348	666	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	195	8,074	$227,270
Jardiance	Empagliflozin	189	10,650	$207,488
Farxiga	Dapagliflozin Propanediol	148	7,689	$142,859
Mounjaro	Tirzepatide	84	3,080	$114,808
Eliquis	Apixaban	130	6,066	$113,995

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	16	$8,994
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	59	$4,566
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	12	24	$1,324
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	35	$1,256
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	16	28	$1,125

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	61	$1,087	Novo Nordisk Inc
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

Explore More Providers

FAQ

What Medicare data is available for Ralph Michael Wurster, DO?

Tedicare shows public-source Medicare data for Ralph Michael Wurster, DO (NPI 1962535617), 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 Ralph Michael Wurster, DO have ACO affiliation data?

Ralph Michael Wurster, DO is shown with ACO affiliation data for CHSPSC ACO 14, LLC (MSSP, ACO ID A3724), TACHC Accountable Care Organization LLC (MSSP, ACO ID A5562), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Ralph Michael Wurster, DO?

Ralph Michael Wurster, DO is linked to SHANNON CLINIC (billing NPI 1770587149) in the available physician profile data.

Does Ralph Michael Wurster, DO have Open Payments data?

Ralph Michael Wurster, DO has 61 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.