Physician

Mark L Mansfield, M.D.

According to 2025 Medicare claims, Mark Mansfield, M.D. (NPI: 1134113251) practices family practice in the Pocatello, ID market, with the plurality of this provider's patient population coming from Bannock, ID. This provider's primary affiliated billing organization is PRIMARY CARE SPECIALISTS, PA (NPI: 1508875881; TIN: 820510113) and primary practice location at 83201-5824. Mansfield is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), and Aledade 151 Northern Territories MSSP Enhanced (ACO ID: A5349), participating under the MSSP model.

Mansfield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 240 traditional Medicare patients, billed 1,319 HCPCS/CPT codes, and received $74,287 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 1,903 prescription claims across 329 beneficiaries totaling $106,625 in drug costs, led by Ozempic (Semaglutide). DME data shows 51 claims. Open Payments data shows 2 records totaling $31. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,915 and ending at $12,161.

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$86K$173K2015 Medicare payment: $131,108 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $152,051 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $169,626 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $164,496 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $162,614 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $141,735 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $123,241 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $172,702 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $144,791 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $74,287 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201532512,865$131,108
20163304,718$152,051
20173634,999$169,626
20183544,891$164,496
20193734,743$162,614
20203223,989$141,735
20213702,527$123,241
20223162,980$172,702
20232932,497$144,791
20242401,319$74,287

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$100K$200K2015 Drug cost: $82,489 (USD; Tot_Drug_Cst)2016 Drug cost: $76,424 (USD; Tot_Drug_Cst)2017 Drug cost: $93,070 (USD; Tot_Drug_Cst)2018 Drug cost: $99,981 (USD; Tot_Drug_Cst)2019 Drug cost: $149,710 (USD; Tot_Drug_Cst)2020 Drug cost: $171,121 (USD; Tot_Drug_Cst)2021 Drug cost: $200,385 (USD; Tot_Drug_Cst)2022 Drug cost: $111,511 (USD; Tot_Drug_Cst)2023 Drug cost: $119,138 (USD; Tot_Drug_Cst)2024 Drug cost: $106,625 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152371,451$82,489
20162401,559$76,424
20172521,846$93,070
20182642,016$99,981
20193052,270$149,710
20202792,788$171,121
20213363,085$200,385
20223342,035$111,511
20233151,871$119,138
20243291,903$106,625

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$4.8K$9.7K2015 Medicare payment: $800 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $536 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,175 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,316 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $991 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,118 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $499 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $284 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $2,283 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $9,660 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201550101$800
20161360$536
2017N/R70$2,175
2018N/R80$3,316
2019N/R46$991
2020N/R26$1,118
2021N/R22$499
2022N/R14$284
2023N/R46$2,283
2024N/R51$9,660

* / # = 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 visit167167$119
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more84108$101
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more161228$63
G0444Annual depression screening, 5 to 15 minutes150150$17
36415Insertion of needle into vein for collection of blood sample8899$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide19812$23,533
Trelegy ElliptaFluticasone/Umeclidin/Vilanter17810$16,418
Levothyroxine SodiumLevothyroxine Sodium15711,796$1,766
Atorvastatin CalciumAtorvastatin Calcium19216,620$1,133
OmeprazoleOmeprazole1038,350$855

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R23$8,678
E0601Continuous positive airway pressure (cpap) deviceYN/R28$982

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$31Novo Nordisk 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 Mark L. Mansfield, M.D.?

Tedicare shows public-source Medicare data for Mark L. Mansfield, M.D. (NPI 1134113251), 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 Mark L. Mansfield, M.D. have ACO affiliation data?

Mark L. Mansfield, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and Aledade 151 Northern Territories MSSP Enhanced (MSSP, ACO ID A5349).

What billing organization is linked to Mark L. Mansfield, M.D.?

Mark L. Mansfield, M.D. is linked to PRIMARY CARE SPECIALISTS, PA (billing NPI 1508875881) in the available physician profile data.

Does Mark L. Mansfield, M.D. have Open Payments data?

Mark L. Mansfield, M.D. 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.