Physician

Lindsey Danielle Lira, M.D.

According to 2025 Medicare claims, Lindsey Lira, M.D. (NPI: 1023231099) practices family practice in the South Bend-Mishawaka, IN-MI market, with the plurality of this provider's patient population coming from Cass, MI. This provider's primary affiliated billing organization is HEALTHY COCOON PRACTICE PLLC (NPI: 1326731050; TIN: 923913218) and primary practice location at 49112-9353. Lira is affiliated with the CHA ACO, LLC (ACO ID: A2207), participating under the MSSP model.

Lira's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 157 traditional Medicare patients, billed 1,696 HCPCS/CPT codes, and received $70,712 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 4,703 prescription claims across 331 beneficiaries totaling $557,777 in drug costs, led by Ozempic (Semaglutide). DME data shows 130 claims. Open Payments data shows 51 records totaling $1,379. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $215,735 to $557,777. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $5,402 to $17,156.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	326	1,555	$73,111
2016	279	1,366	$69,960
2017	253	1,450	$73,701
2018	243	1,468	$70,341
2019	229	1,504	$70,300
2020	207	992	$49,861
2021	204	1,171	$66,449
2022	189	1,326	$75,989
2023	165	806	$47,056
2024	157	1,696	$70,712

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	190	3,016	$215,735
2016	211	2,938	$221,671
2017	268	3,653	$268,322
2018	294	4,128	$287,833
2019	295	4,028	$293,627
2020	287	3,855	$295,056
2021	282	3,779	$297,538
2022	306	3,932	$384,200
2023	337	4,362	$411,666
2024	331	4,703	$557,777

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	47	178	$5,081
2016	45	204	$4,884
2017	34	213	$4,316
2018	33	168	$3,482
2019	28	157	$3,210
2020	11	148	$4,750
2021	15	146	$3,827
2022	13	196	$7,429
2023	13	188	$10,975
2024	N/R	130	$15,793

* / # = 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	74	74	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	147	512	$81
G0444	Annual depression screening, 5 to 15 minutes	61	61	$18
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	139	460	$11
36415	Insertion of needle into vein for collection of blood sample	117	215	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	115	4,764	$136,957
Farxiga	Dapagliflozin Propanediol	59	3,150	$55,260
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	46	1,920	$40,913
Shingrix	Varicella-Zoster Ge/As01b/Pf	136	1,615	$30,761
Eliquis	Apixaban	26	1,320	$25,037

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	29	$13,413
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	15	$1,031
J7626	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg	N	N/R	11	$493
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	15	$336
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	24	$313

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$1,379	Pacira Pharmaceuticals Incorporated
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 Lindsey Danielle Lira, M.D.?

Tedicare shows public-source Medicare data for Lindsey Danielle Lira, M.D. (NPI 1023231099), 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 Lindsey Danielle Lira, M.D. have ACO affiliation data?

Lindsey Danielle Lira, M.D. is shown with ACO affiliation data for CHA ACO, LLC (MSSP, ACO ID A2207).

What billing organization is linked to Lindsey Danielle Lira, M.D.?

Lindsey Danielle Lira, M.D. is linked to HEALTHY COCOON PRACTICE PLLC (billing NPI 1326731050) in the available physician profile data.

Does Lindsey Danielle Lira, M.D. have Open Payments data?

Lindsey Danielle Lira, M.D. has 51 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.