Physician

Spencer M. Steffen, MD

According to 2025 Medicare claims, Spencer Steffen, MD (NPI: 1104318641) practices family practice in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is RAPID CITY MEDICAL CENTER, LLP (NPI: 1487602843; TIN: 460218851) and primary practice location at 57701-7758. Steffen is affiliated with the Avera Prairie View ACO (ACO ID: A4692) and On Belay Health Solutions (ACO ID: A5702), participating under the MSSP model.

Steffen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 472 traditional Medicare patients, billed 16,224 HCPCS/CPT codes, and received $282,521 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 10,685 prescription claims across 687 beneficiaries totaling $899,335 in drug costs, led by Jardiance (Empagliflozin). DME data shows 319 claims. Open Payments data shows 2 records totaling $32. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $6,458 to $899,335. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $1,627 to $29,311.

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	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	153	545	$25,389
2022	389	4,098	$109,565
2023	541	8,964	$205,903
2024	472	16,224	$282,521

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	24	146	$6,458
2019	78	887	$77,140
2020	87	1,221	$117,465
2021	140	1,394	$140,636
2022	377	2,482	$209,276
2023	619	8,226	$991,580
2024	687	10,685	$899,335

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	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	11	$519
2023	12	84	$6,791
2024	87	319	$22,387

* / # = 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	343	343	$124
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	364	664	$80
80053	Blood test, comprehensive group of blood chemicals	384	597	$10
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	356	525	$8
36415	Insertion of needle into vein for collection of blood sample	427	825	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	133	8,109	$152,320
Eliquis	Apixaban	145	7,751	$144,015
Mounjaro	Tirzepatide	88	2,868	$101,323
Ozempic	Semaglutide	42	2,364	$74,494
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	50	2,700	$55,985

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	14	$7,749
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	36	$2,672
E0601	Continuous positive airway pressure (cpap) device	Y	13	83	$2,439
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$1,600
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	18	$1,521

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$32	Nevro Corp.
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 Spencer M. Steffen, MD?

Tedicare shows public-source Medicare data for Spencer M. Steffen, MD (NPI 1104318641), 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 Spencer M. Steffen, MD have ACO affiliation data?

Spencer M. Steffen, MD is shown with ACO affiliation data for Avera Prairie View ACO (MSSP, ACO ID A4692) and On Belay Health Solutions (MSSP, ACO ID A5702).

What billing organization is linked to Spencer M. Steffen, MD?

Spencer M. Steffen, MD is linked to RAPID CITY MEDICAL CENTER, LLP (billing NPI 1487602843) in the available physician profile data.

Does Spencer M. Steffen, MD have Open Payments data?

Spencer M. Steffen, MD has 2 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.