Physician

Michael John Sterns, M.D.

According to 2025 Medicare claims, Michael Sterns, M.D. (NPI: 1104230408) practices emergency medicine in the Duluth, MN-WI market, with the plurality of this provider's patient population coming from Douglas, WI. This provider's primary affiliated billing organization is ST. MARY'S HOSPITAL OF SUPERIOR (NPI: 1588691588; TIN: 411811073) and primary practice location at 54880-5335. Sterns is affiliated with the Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Sterns' data goes back to 2015 and runs through 2024. For example, in 2021, this provider had 11 traditional Medicare patients, billed 24 HCPCS/CPT codes, and received $923 in Medicare payments. 2024 Part D data shows 13,775 prescription claims across 3,479 beneficiaries totaling $1,703,568 in drug costs, led by Abrysvo (Rsv Vacc, Pref A And Pref B/Pf). 2024 DME data shows 64 claims. No Open Payments records. 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 fallen sharply in recent years, from $1,600 to $923. In contrast, Part D prescription costs have moved sharply higher in recent years, from $50,274 to $1,703,568. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $851 and ending at $15,474.

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	N/R	N/R	N/R
2017	32	32	$1,600
2018	99	110	$5,349
2019	112	136	$6,341
2020	61	70	$3,072
2021	11	24	$923
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	70	878	$50,274
2016	80	1,054	$42,078
2017	172	1,349	$82,110
2018	511	3,502	$346,700
2019	634	6,863	$578,092
2020	577	8,102	$683,829
2021	566	8,802	$846,322
2022	1,720	10,774	$1,240,092
2023	6,132	16,474	$2,773,315
2024	3,479	13,775	$1,703,568

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	18	104	$3,022
2019	53	248	$4,486
2020	31	295	$8,049
2021	40	242	$6,919
2022	21	159	$4,949
2023	17	72	$1,259
2024	15	64	$8,704

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

No connected Part B code-level records for 2024.

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Abrysvo	Rsv Vacc, Pref A And Pref B/Pf	1,554	1,554	$469,614
Shingrix	Varicella-Zoster Ge/As01b/Pf	1,312	1,370	$270,234
Ozempic	Semaglutide	143	4,620	$149,138
Xarelto	Rivaroxaban	92	6,087	$109,445
Eliquis	Apixaban	85	4,509	$86,341

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	15	$8,000
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	15	49	$705

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Michael John Sterns, M.D.?

Tedicare shows public-source Medicare data for Michael John Sterns, M.D. (NPI 1104230408), 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 Michael John Sterns, M.D. have ACO affiliation data?

Michael John Sterns, M.D. is shown with ACO affiliation data for Essentia Health ACO, Inc. (MSSP, ACO ID A5617).

What billing organization is linked to Michael John Sterns, M.D.?

Michael John Sterns, M.D. is linked to ST. MARY'S HOSPITAL OF SUPERIOR (billing NPI 1588691588) in the available physician profile data.

Does Michael John Sterns, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.