Physician

Matthew J Campbell, M.D.

According to 2025 Medicare claims, Matthew Campbell, M.D. (NPI: 1043284367) practices family practice in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is MATTHEW CAMPBELL, MD, PLC (NPI: 1477711315; TIN: 753062476) and primary practice location at 49085-2178. Campbell is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Campbell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 362 traditional Medicare patients, billed 2,889 HCPCS/CPT codes, and received $149,738 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 8,865 prescription claims across 660 beneficiaries totaling $812,436 in drug costs, led by Ozempic (Semaglutide). DME data shows 28 claims. Open Payments data shows 1 records totaling $13. 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 up and down with repeated peaks and valleys, starting at $122,462 and ending at $149,738. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $312,667 to $812,436. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $11,116 and ending at $10,058.

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$76K$152K2015 Medicare payment: $122,462 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $118,124 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $117,394 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $120,313 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $130,108 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $110,754 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $152,272 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $64,756 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $73,478 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $149,738 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153091,892$122,462
20163261,875$118,124
20173241,921$117,394
20183371,923$120,313
20193661,940$130,108
20203481,530$110,754
20213751,783$152,272
20223691,735$64,756
20233431,857$73,478
20243622,889$149,738

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$406K$812K2015 Drug cost: $312,667 (USD; Tot_Drug_Cst)2016 Drug cost: $336,540 (USD; Tot_Drug_Cst)2017 Drug cost: $329,925 (USD; Tot_Drug_Cst)2018 Drug cost: $340,353 (USD; Tot_Drug_Cst)2019 Drug cost: $340,364 (USD; Tot_Drug_Cst)2020 Drug cost: $379,345 (USD; Tot_Drug_Cst)2021 Drug cost: $415,942 (USD; Tot_Drug_Cst)2022 Drug cost: $495,347 (USD; Tot_Drug_Cst)2023 Drug cost: $746,201 (USD; Tot_Drug_Cst)2024 Drug cost: $812,436 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153594,903$312,667
20163905,551$336,540
20174005,815$329,925
20184366,133$340,353
20194726,292$340,364
20204886,555$379,345
20215346,918$415,942
20225947,383$495,347
20235978,011$746,201
20246608,865$812,436

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$5.3K$11K2015 Medicare payment: $7,329 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,058 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $5,925 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $10,568 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $6,634 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,104 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,912 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $6,192 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $6,410 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $451 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201524165$7,329
201638107$2,058
201721173$5,925
201824323$10,568
201919256$6,634
202019117$3,104
202124126$2,912
202234134$6,192
202337131$6,410
20241328$451

* / # = 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 visit254254$122
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more331910$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more88113$57
G0444Annual depression screening, 5 to 15 minutes252252$17
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's333893$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1485,046$145,426
MounjaroTirzepatide1233,956$140,766
JardianceEmpagliflozin663,380$65,439
TrulicityDulaglutide361,512$50,094
InvokanaCanagliflozin362,280$41,116

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1328$451

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$13PFIZER INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Matthew J. Campbell, M.D.?

Tedicare shows public-source Medicare data for Matthew J. Campbell, M.D. (NPI 1043284367), 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 Matthew J. Campbell, M.D. have ACO affiliation data?

Matthew J. Campbell, M.D. is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Matthew J. Campbell, M.D.?

Matthew J. Campbell, M.D. is linked to MATTHEW CAMPBELL, MD, PLC (billing NPI 1477711315) in the available physician profile data.

Does Matthew J. Campbell, M.D. have Open Payments data?

Matthew J. Campbell, M.D. has 1 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.