Physician

A Marc Nielsen, MD

According to 2025 Medicare claims, A. Nielsen, MD (NPI: 1063430122) practices family practice in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Grand Forks, ND. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1043309552; TIN: 450310462) and primary practice location at 58203-2819. Nielsen is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and CVS ACO (ACO ID: A5407), participating under the MSSP model.

Nielsen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 273 traditional Medicare patients, billed 907 HCPCS/CPT codes, and received $58,347 in Medicare payments. The top billing code was G0438 (Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit). Part D data shows 5,736 prescription claims across 327 beneficiaries totaling $414,548 in drug costs, led by Eliquis (Apixaban). DME data shows 225 claims. Open Payments data shows 1 records totaling $18. 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 sharply higher in recent years, from $22,231 to $58,347. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $83,349 to $414,548. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $2,522 to $9,685.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	213	528	$22,231
2016	194	588	$25,155
2017	247	739	$30,841
2018	248	697	$31,887
2019	275	772	$38,751
2020	282	741	$33,688
2021	303	787	$41,487
2022	298	812	$35,864
2023	297	961	$61,579
2024	273	907	$58,347

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	105	1,704	$83,349
2016	124	2,274	$130,711
2017	149	2,627	$139,357
2018	166	3,032	$177,107
2019	200	3,557	$245,979
2020	237	4,600	$304,083
2021	252	4,742	$359,791
2022	313	5,176	$393,587
2023	332	5,690	$512,386
2024	327	5,736	$414,548

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	26	$400
2016	14	43	$596
2017	16	65	$526
2018	12	44	$424
2019	22	101	$2,039
2020	25	146	$1,424
2021	39	171	$3,408
2022	104	297	$12,511
2023	80	318	$16,469
2024	67	225	$6,081

* / # = 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
G0438	Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	24	24	$159
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$126
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	203	358	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	103	141	$41
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	21	23	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	54	2,974	$56,530
Jardiance	Empagliflozin	45	2,350	$47,378
Ozempic	Semaglutide	31	1,274	$38,657
Rybelsus	Semaglutide	25	870	$25,746
Trulicity	Dulaglutide	15	420	$13,700

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	24	$1,707
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	12	$979
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	16	$850
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	26	67	$770
A7031	Face mask interface, replacement for full face mask, each	N	N/R	12	$751

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$18	Avadel CNS Pharmaceuticals, LLC
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 A. Marc Nielsen, MD?

Tedicare shows public-source Medicare data for A. Marc Nielsen, MD (NPI 1063430122), 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 A. Marc Nielsen, MD have ACO affiliation data?

A. Marc Nielsen, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to A. Marc Nielsen, MD?

A. Marc Nielsen, MD is linked to ALTRU HEALTH SYSTEM (billing NPI 1043309552) in the available physician profile data.

Does A. Marc Nielsen, MD have Open Payments data?

A. Marc Nielsen, MD 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.