Physician

Loretta V. Pfannes, M.D.

According to 2025 Medicare claims, Loretta Pfannes, M.D. (NPI: 1295095784) practices internal medicine in the Minneapolis-St. Paul-Bloomington, MN-WI market, with the plurality of this provider's patient population coming from St. Croix, WI. This provider's primary affiliated billing organization is GROUP HEALTH PLAN INC (NPI: 1427420181; TIN: 410797853) and primary practice location at 54016-7848. Pfannes is affiliated with the Park Nicollet Health Services ACO LLC d/b/a HealthPartners ACO (ACO ID: D0207), participating under the REACH model.

Pfannes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 258 traditional Medicare patients, billed 724 HCPCS/CPT codes, and received $59,088 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 3,416 prescription claims across 400 beneficiaries totaling $189,871 in drug costs, led by Eliquis (Apixaban). DME data shows 28 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 $9,875 to $59,088. Similarly, Part D prescription costs have risen steadily, from $400 to $189,871. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $448 to $5,486.

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	78	154	$9,875
2017	166	364	$25,017
2018	232	571	$39,785
2019	274	1,219	$48,579
2020	261	985	$45,435
2021	236	824	$55,281
2022	186	710	$39,052
2023	227	853	$60,957
2024	258	724	$59,088

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	20	$400
2016	86	652	$30,833
2017	204	3,206	$124,047
2018	247	3,209	$117,878
2019	248	3,043	$135,160
2020	230	2,847	$155,933
2021	286	3,173	$191,830
2022	287	3,156	$167,091
2023	336	3,797	$194,512
2024	400	3,416	$189,871

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	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	11	$36
2020	N/R	N/R	N/R
2021	N/R	14	$140
2022	N/R	16	$151
2023	N/R	12	$104
2024	N/R	28	$147

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	51	53	$132
99310	Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	31	46	$106
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	107	$90
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	34	53	$69
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	53	59	$57

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	51	1,453	$28,112
Ozempic	Semaglutide	17	700	$19,549
Xarelto	Rivaroxaban	12	881	$15,533
Vraylar	Cariprazine Hcl	18	242	$12,536
Advair Hfa	Fluticasone Propion/Salmeterol	14	375	$4,741

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
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	16	$137
A4259	Lancets, per box of 100	N	N/R	12	$10

Open Payments Summary

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

Explore More Providers

FAQ

What Medicare data is available for Loretta V. Pfannes, M.D.?

Tedicare shows public-source Medicare data for Loretta V. Pfannes, M.D. (NPI 1295095784), 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 Loretta V. Pfannes, M.D. have ACO affiliation data?

Loretta V. Pfannes, M.D. is shown with ACO affiliation data for Park Nicollet Health Services ACO LLC d/b/a HealthPartners ACO (REACH, ACO ID D0207).

What billing organization is linked to Loretta V. Pfannes, M.D.?

Loretta V. Pfannes, M.D. is linked to GROUP HEALTH PLAN INC (billing NPI 1427420181) in the available physician profile data.

Does Loretta V. Pfannes, M.D. 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.