Physician

Lawrence I Mallon, M.D.

According to 2025 Medicare claims, Lawrence Mallon, M.D. (NPI: 1194788943) practices vascular surgery in the Muskegon-Norton Shores, MI market, with the plurality of this provider's patient population coming from Muskegon, MI. This provider's primary affiliated billing organization is MUSKEGON SURGICAL ASSOCIATES PC (NPI: 1225101660; TIN: 38-1973203) and primary practice location at 49444-1835. Mallon is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Mallon's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 617 traditional Medicare patients, billed 1,822 HCPCS/CPT codes, and received $342,713 in Medicare payments. The top billing code was 93978 (Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts). Part D data shows 279 prescription claims across 130 beneficiaries totaling $93,278 in drug costs, led by Xarelto (Rivaroxaban). 2018 DME data shows 25 claims. Open Payments data shows 27 records totaling $11,736. 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 declined steadily, from $564,002 to $342,713. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $69,351 and ending at $93,278. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $15,578 to $1,261.

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$313K$625K2015 Medicare payment: $564,002 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $609,546 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $422,056 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $625,463 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $599,758 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $542,280 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $534,860 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $422,222 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $353,497 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $342,713 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,1035,301$564,002
20162,1775,632$609,546
20171,5693,830$422,056
20181,5273,854$625,463
20191,3333,270$599,758
20209452,596$542,280
20211,1542,895$534,860
20229252,378$422,222
20237502,077$353,497
20246171,822$342,713

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$58K$116K2015 Drug cost: $69,351 (USD; Tot_Drug_Cst)2016 Drug cost: $73,639 (USD; Tot_Drug_Cst)2017 Drug cost: $75,470 (USD; Tot_Drug_Cst)2018 Drug cost: $58,729 (USD; Tot_Drug_Cst)2019 Drug cost: $52,784 (USD; Tot_Drug_Cst)2020 Drug cost: $62,737 (USD; Tot_Drug_Cst)2021 Drug cost: $91,480 (USD; Tot_Drug_Cst)2022 Drug cost: $116,366 (USD; Tot_Drug_Cst)2023 Drug cost: $72,918 (USD; Tot_Drug_Cst)2024 Drug cost: $93,278 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015151416$69,351
2016154442$73,639
2017149407$75,470
2018136347$58,729
2019117264$52,784
2020124281$62,737
2021160341$91,480
2022162395$116,366
2023130254$72,918
2024130279$93,278

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$4.1K$8.2K2015 Medicare payment: $630 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $8,150 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $148 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $281 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R13$630
20161160$8,150
2017N/R13$148
2018N/R25$281
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
93978Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts7078$112
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more101139$65
93922Ultrasound study of arm and leg arteries118128$50
93971Ultrasound study of one arm or leg veins with compression and maneuvers8992$49
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes129201$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XareltoRivaroxaban693,450$61,423
EliquisApixaban271,507$26,629
ClopidogrelClopidogrel Bisulfate402,580$468
Atorvastatin CalciumAtorvastatin Calcium15870$271
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen75261$263

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.26$849Endologix LLC
Research PaymentsReported research-related payment or transfer-of-value amount.1$10,888Bayer Healthcare Pharmaceuticals Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Lawrence I. Mallon, M.D.?

Tedicare shows public-source Medicare data for Lawrence I. Mallon, M.D. (NPI 1194788943), 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 Lawrence I. Mallon, M.D. have ACO affiliation data?

Lawrence I. Mallon, M.D. is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to Lawrence I. Mallon, M.D.?

Lawrence I. Mallon, M.D. is linked to MUSKEGON SURGICAL ASSOCIATES PC (billing NPI 1225101660) in the available physician profile data.

Does Lawrence I. Mallon, M.D. have Open Payments data?

Lawrence I. Mallon, M.D. has 27 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.