Physician

John Bauer, MD

According to 2025 Medicare claims, John Bauer, MD (NPI: 1164474763) practices pediatric medicine in the Cape Girardeau, MO-IL market, with the plurality of this provider's patient population coming from Cape Girardeau, MO. This provider's primary affiliated billing organization is REGIONAL PRIMARY CARE, INC (NPI: 1730173345; TIN: 43-1680602) and primary practice location at 63703-4911. Bauer is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), Caravan Health ACO 50 LLC (ACO ID: A5160), and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Bauer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,063 traditional Medicare patients, billed 19,271 HCPCS/CPT codes, and received $560,963 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 27,356 prescription claims across 1,343 beneficiaries totaling $2,582,956 in drug costs, led by Ozempic (Semaglutide). DME data shows 1,959 claims. Open Payments data shows 112 records totaling $1,919. 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 risen steadily, from $106,865 to $560,963. Similarly, Part D prescription costs have risen steadily, from $19,192 to $2,582,956. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $6,805 to $120,123.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	525	1,443	$106,865
2016	878	5,306	$220,074
2017	1,022	15,461	$472,247
2018	1,033	17,005	$473,778
2019	1,032	17,758	$450,563
2020	1,070	16,473	$430,589
2021	1,158	18,922	$571,320
2022	1,128	18,204	$547,992
2023	1,104	19,640	$636,107
2024	1,063	19,271	$560,963

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	104	304	$19,192
2016	625	2,424	$131,805
2017	1,016	22,505	$1,159,296
2018	1,075	27,176	$1,498,698
2019	1,069	25,229	$1,632,790
2020	1,159	25,212	$1,708,262
2021	1,267	26,522	$2,045,118
2022	1,322	25,789	$2,093,067
2023	1,360	26,336	$2,519,469
2024	1,343	27,356	$2,582,956

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	55	$6,382
2016	N/R	136	$7,793
2017	342	1,157	$41,757
2018	462	1,418	$54,687
2019	421	1,391	$61,688
2020	480	1,593	$76,603
2021	680	1,920	$99,535
2022	715	1,913	$124,411
2023	681	2,062	$131,200
2024	681	1,959	$135,110

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	962	2,254	$76
84443	Blood test, thyroid stimulating hormone (tsh)	924	1,178	$16
80053	Blood test, comprehensive group of blood chemicals	940	1,166	$10
36415	Insertion of needle into vein for collection of blood sample	1,020	2,171	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	918	1,211	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	269	9,846	$311,485
Jardiance	Empagliflozin	281	16,005	$302,609
Eliquis	Apixaban	252	12,685	$248,108
Mounjaro	Tirzepatide	160	5,978	$215,879
Farxiga	Dapagliflozin Propanediol	217	10,612	$194,003

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	11	57	$21,562
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	17	$14,467
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	23	140	$13,502
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$11,234
E0601	Continuous positive airway pressure (cpap) device	Y	42	214	$8,691

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	112	$1,919	ABBVIE INC.
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 John Bauer, MD?

Tedicare shows public-source Medicare data for John Bauer, MD (NPI 1164474763), 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 John Bauer, MD have ACO affiliation data?

John Bauer, MD is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to John Bauer, MD?

John Bauer, MD is linked to REGIONAL PRIMARY CARE, INC (billing NPI 1730173345) in the available physician profile data.

Does John Bauer, MD have Open Payments data?

John Bauer, MD has 112 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.