Physician

Douglas W Midcap, DO

According to 2025 Medicare claims, Douglas Midcap, DO (NPI: 1992701197) 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 REYNOLDS MEMORIAL HOSPITAL, INC (NPI: 1518068014; TIN: 550357045) and primary practice location at 26003-1574. Midcap is affiliated with the ACO West Virginia (ACO ID: A3563), participating under the MSSP model.

Midcap's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 275 traditional Medicare patients, billed 989 HCPCS/CPT codes, and received $53,580 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 12,204 prescription claims across 892 beneficiaries totaling $861,986 in drug costs, led by Ozempic (Semaglutide). DME data shows 171 claims. Open Payments data shows 43 records totaling $729. 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 lower plateau to a higher plateau, from $31,482 to $53,580. Similarly, Part D prescription costs have moved sharply higher in recent years, from $424,622 to $861,986. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $13,138 and ending at $16,594.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	250	1,252	$31,482
2016	219	624	$18,973
2017	270	971	$31,238
2018	305	1,545	$38,773
2019	238	1,006	$27,588
2020	263	648	$24,745
2021	289	833	$40,258
2022	288	1,053	$56,002
2023	300	1,097	$63,676
2024	275	989	$53,580

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	438	7,832	$424,622
2016	452	7,367	$412,622
2017	541	7,569	$452,852
2018	579	8,316	$521,038
2019	563	6,942	$455,379
2020	596	7,346	$489,121
2021	714	8,842	$637,011
2022	781	10,597	$790,031
2023	833	10,170	$892,984
2024	892	12,204	$861,986

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	64	327	$10,752
2016	46	280	$11,621
2017	32	231	$7,734
2018	19	216	$4,959
2019	13	288	$13,396
2020	11	361	$35,192
2021	14	336	$58,372
2022	14	122	$10,581
2023	16	166	$11,869
2024	16	171	$13,473

* / # = 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	136	136	$128
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	392	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	25	26	$45
G0446	Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	53	53	$23
G2211	Visit 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's	133	203	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	119	4,176	$136,080
Eliquis	Apixaban	135	5,713	$109,339
Januvia	Sitagliptin Phosphate	55	2,670	$48,802
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	55	1,890	$40,511
Xarelto	Rivaroxaban	33	2,130	$38,359

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	26	$9,834
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	28	$2,198
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	11	$521
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	16	46	$372
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	18	$328

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	43	$729	ABBVIE 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

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FAQ

What Medicare data is available for Douglas W. Midcap, DO?

Tedicare shows public-source Medicare data for Douglas W. Midcap, DO (NPI 1992701197), 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 Douglas W. Midcap, DO have ACO affiliation data?

Douglas W. Midcap, DO is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563).

What billing organization is linked to Douglas W. Midcap, DO?

Douglas W. Midcap, DO is linked to REYNOLDS MEMORIAL HOSPITAL, INC (billing NPI 1518068014) in the available physician profile data.

Does Douglas W. Midcap, DO have Open Payments data?

Douglas W. Midcap, DO has 43 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.