Physician

Lee Alan Mcfadden, M.D.

According to 2025 Medicare claims, Lee Mcfadden, M.D. (NPI: 1245398981) practices orthopedic surgery in the Janesville-Beloit, WI market, with the plurality of this provider's patient population coming from Rock, WI. This provider's primary affiliated billing organization is BELOIT HEALTH SYSTEM INC (NPI: 1679616361; TIN: 391028081) and primary practice location at 53511-2230. Mcfadden is affiliated with the CommonSpirit ACO I (ACO ID: A2164), participating under the MSSP model.

Mcfadden's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 370 traditional Medicare patients, billed 909 HCPCS/CPT codes, and received $111,720 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 208 prescription claims across 114 beneficiaries totaling $1,036 in drug costs, led by Naproxen (Naproxen). DME data shows 16 claims. Open Payments data shows 4 records totaling $222. 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 moved up and down with repeated peaks and valleys, starting at $70,868 and ending at $111,720. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,474 and ending at $1,036. 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.

Year	Patients	Clm Lines	Payment
2015	312	1,291	$70,868
2016	190	1,177	$65,957
2017	298	1,907	$104,111
2018	231	1,227	$94,659
2019	243	594	$61,291
2020	293	670	$67,389
2021	285	772	$74,644
2022	336	826	$84,870
2023	327	816	$107,519
2024	370	909	$111,720

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	51	104	$3,474
2016	42	100	$3,547
2017	87	190	$4,460
2018	107	280	$6,148
2019	68	119	$2,187
2020	50	108	$1,259
2021	57	92	$473
2022	76	129	$816
2023	110	330	$3,710
2024	114	208	$1,036

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	11	12	$536
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	11	$498
2023	N/R	N/R	N/R
2024	N/R	16	$1,733

* / # = 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	113	124	$61
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$52
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	122	140	$42
20610	Aspiration and/or injection of fluid from large joint	73	90	$33
73564	X-ray of knee, 4 or more views	120	162	$7

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Naproxen	Naproxen	20	583	$191
Amoxicillin	Amoxicillin	94	95	$94
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	13	83	$91
Tramadol Hcl	Tramadol Hcl	19	136	$67
Clindamycin Hcl	Clindamycin Hcl	15	16	$20

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
E1810	Dynamic adjustable knee extension / flexion device, includes soft interface material	Y	N/R	16	$1,733

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$222	Smith+Nephew, 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 Lee Alan Mcfadden, M.D.?

Tedicare shows public-source Medicare data for Lee Alan Mcfadden, M.D. (NPI 1245398981), 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 Lee Alan Mcfadden, M.D. have ACO affiliation data?

Lee Alan Mcfadden, M.D. is shown with ACO affiliation data for CommonSpirit ACO I (MSSP, ACO ID A2164).

What billing organization is linked to Lee Alan Mcfadden, M.D.?

Lee Alan Mcfadden, M.D. is linked to BELOIT HEALTH SYSTEM INC (billing NPI 1679616361) in the available physician profile data.

Does Lee Alan Mcfadden, M.D. have Open Payments data?

Lee Alan Mcfadden, M.D. has 4 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.