Physician

April L Marquardt, MD

According to 2025 Medicare claims, April Marquardt, MD (NPI: 1235352311) practices rheumatology in the Ann Arbor, MI market, with the plurality of this provider's patient population coming from Washtenaw, MI. This provider's primary affiliated billing organization is IHA HEALTH SERVICES CORPORATION (NPI: 1568842755; TIN: 383316559) and primary practice location at 48103-1832. Marquardt is affiliated with the POM ACO (ACO ID: A1297) and McAuley Health Partners ACO, LLC (ACO ID: A4588), participating under the MSSP model.

Marquardt's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 203 traditional Medicare patients, billed 1,199 HCPCS/CPT codes, and received $39,986 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 3,638 prescription claims across 459 beneficiaries totaling $4,428,782 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2016 DME data shows 24 claims. No Open Payments records. 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 $27,534 to $39,986. Similarly, Part D prescription costs have moved sharply higher in recent years, from $485,628 to $4,428,782. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

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$25K$51K2015 Medicare payment: $27,534 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $26,635 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $41,224 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $40,387 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $40,664 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $38,163 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $46,273 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $50,976 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $47,542 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $39,986 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015164397$27,534
2016198390$26,635
2017210527$41,224
2018222564$40,387
2019237522$40,664
2020204539$38,163
2021220593$46,273
2022230685$50,976
2023249605$47,542
20242031,199$39,986

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$2.2M$4.4M2015 Drug cost: $485,628 (USD; Tot_Drug_Cst)2016 Drug cost: $763,566 (USD; Tot_Drug_Cst)2017 Drug cost: $844,880 (USD; Tot_Drug_Cst)2018 Drug cost: $915,608 (USD; Tot_Drug_Cst)2019 Drug cost: $1,251,998 (USD; Tot_Drug_Cst)2020 Drug cost: $1,907,733 (USD; Tot_Drug_Cst)2021 Drug cost: $2,029,941 (USD; Tot_Drug_Cst)2022 Drug cost: $2,498,432 (USD; Tot_Drug_Cst)2023 Drug cost: $3,472,301 (USD; Tot_Drug_Cst)2024 Drug cost: $4,428,782 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151871,472$485,628
20162441,905$763,566
20172581,614$844,880
20182561,654$915,608
20192811,844$1,251,998
20203312,195$1,907,733
20213552,531$2,029,941
20223832,824$2,498,432
20234293,205$3,472,301
20244593,638$4,428,782

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$174$3482016 Medicare payment: $348 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R24$348
2017N/RN/RN/R
2018N/RN/RN/R
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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2525$115
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more178377$87

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab2296,757$1,948,428
Enbrel SureclickEtanercept1023,164$813,814
Orencia ClickjectAbatacept481,540$302,957
EnbrelEtanercept411,176$294,233
Cimzia (2 Pack)Certolizumab Pegol21756$144,185

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for April L. Marquardt, MD?

Tedicare shows public-source Medicare data for April L. Marquardt, MD (NPI 1235352311), 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 April L. Marquardt, MD have ACO affiliation data?

April L. Marquardt, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and McAuley Health Partners ACO, LLC (MSSP, ACO ID A4588).

What billing organization is linked to April L. Marquardt, MD?

April L. Marquardt, MD is linked to IHA HEALTH SERVICES CORPORATION (billing NPI 1568842755) in the available physician profile data.

Does April L. Marquardt, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.