Physician

Tyler Anthony Ptacek, M.D.

According to 2025 Medicare claims, Tyler Ptacek, M.D. (NPI: 1225324791) practices pain management 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. Ptacek is affiliated with the Caravan Health ACO 50 LLC (ACO ID: A5160), CoreHealth Alliance LLC (ACO ID: A5645), and On Belay Health Solutions (ACO ID: A5702), participating under the MSSP model.

Ptacek's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 567 traditional Medicare patients, billed 23,853 HCPCS/CPT codes, and received $502,437 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 1,335 prescription claims across 336 beneficiaries totaling $67,688 in drug costs, led by Belbuca (Buprenorphine Hcl). 2023 DME data shows 15 claims. Open Payments data shows 132 records totaling $36,238. 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 $88,309 to $502,437. In contrast, Part D prescription costs have fallen sharply in recent years, from $92,326 to $67,688. For DME billing, this smaller-volume category fell sharply in recent years, from $1,321 to $620.

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	308	1,196	$88,309
2017	824	9,682	$379,291
2018	954	14,231	$476,121
2019	1,026	14,885	$556,986
2020	738	8,822	$380,096
2021	415	7,596	$466,485
2022	483	10,957	$504,006
2023	608	15,161	$552,493
2024	567	23,853	$502,437

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	333	805	$92,326
2016	446	1,236	$110,904
2017	377	1,670	$160,753
2018	452	2,458	$203,751
2019	541	2,846	$198,259
2020	417	2,518	$129,357
2021	258	946	$33,393
2022	275	1,121	$40,494
2023	374	1,829	$112,598
2024	336	1,335	$67,688

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	15	53	$12,862
2018	18	37	$14,580
2019	19	65	$16,711
2020	N/R	16	$566
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	15	15	$4,140
2024	N/R	N/R	N/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.

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	147	209	$86
77002	Fluoroscopic guidance for needle placement	151	302	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	160	259	$63
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	149	971	$1
J1100	Injection, dexamethasone sodium phosphate, 1 mg	295	4,530	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Belbuca	Buprenorphine Hcl	12	420	$10,465
Buprenorphine	Buprenorphine	32	898	$9,564
Movantik	Naloxegol Oxalate	17	510	$6,685
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	201	3,279	$2,775
Gabapentin	Gabapentin	154	6,763	$1,890

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	132	$36,238	Genesys Orthopedics Systems, L.L.C.
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 Tyler Anthony Ptacek, M.D.?

Tedicare shows public-source Medicare data for Tyler Anthony Ptacek, M.D. (NPI 1225324791), 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 Tyler Anthony Ptacek, M.D. have ACO affiliation data?

Tyler Anthony Ptacek, M.D. is shown with ACO affiliation data for Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), CoreHealth Alliance LLC (MSSP, ACO ID A5645), and On Belay Health Solutions (MSSP, ACO ID A5702).

What billing organization is linked to Tyler Anthony Ptacek, M.D.?

Tyler Anthony Ptacek, M.D. is linked to RAPID CITY MEDICAL CENTER, LLP (billing NPI 1487602843) in the available physician profile data.

Does Tyler Anthony Ptacek, M.D. have Open Payments data?

Tyler Anthony Ptacek, M.D. has 132 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.