Physician

Ryan James Mcloughlin, MD

According to 2025 Medicare claims, Ryan Mcloughlin, MD (NPI: 1295295731) practices physical medicine and rehabilitation in the Iowa City, IA market, with the plurality of this provider's patient population coming from Johnson, IA. This provider's primary affiliated billing organization is STATE UNIVERSITY OF IOWA (NPI: 1477554814; TIN: 426004813) and primary practice location at 52241-2975. Mcloughlin is affiliated with the Gundersen ACO (ACO ID: A5094), Aledade 155 National MSSP (ACO ID: A5358), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Mcloughlin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 204 traditional Medicare patients, billed 1,694 HCPCS/CPT codes, and received $111,175 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 610 prescription claims across 130 beneficiaries totaling $30,009 in drug costs, led by Eliquis (Apixaban). DME data shows 280 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $2,748 to $30,009. 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$56K$111K2023 Medicare payment: $24,290 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $111,175 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
202341364$24,290
20242041,694$111,175

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$15K$30K2019 Drug cost: $2,748 (USD; Tot_Drug_Cst)2020 Drug cost: $6,914 (USD; Tot_Drug_Cst)2021 Drug cost: $12,741 (USD; Tot_Drug_Cst)2022 Drug cost: $1,320 (USD; Tot_Drug_Cst)2023 Drug cost: $6,675 (USD; Tot_Drug_Cst)2024 Drug cost: $30,009 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20191430$2,748
20202575$6,914
202154242$12,741
2022N/R12$1,320
202326117$6,675
2024130610$30,009

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$3.4K$6.7K2024 Medicare payment: $6,709 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
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
202475280$6,709

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes165178$125
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes5064$87
99239Hospital discharge day management, more than 30 minutes166173$84
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1851,107$58
G0316Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th105145$22

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban13384$7,405
Testosterone CypionateTestosterone Cypionate15394$418
GabapentinGabapentin461,375$354
Losartan PotassiumLosartan Potassium24741$315
ClopidogrelClopidogrel Bisulfate16434$248

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
K0001Standard wheelchairY19103$2,541
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R19$1,259
E0143Walker, folding, wheeled, adjustable or fixed heightN1717$1,003
E2601General use wheelchair seat cushion, width less than 22 inches, any depthN1717$640
K0007Extra heavy duty wheelchairYN/R11$628

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 Ryan James Mcloughlin, MD?

Tedicare shows public-source Medicare data for Ryan James Mcloughlin, MD (NPI 1295295731), 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 Ryan James Mcloughlin, MD have ACO affiliation data?

Ryan James Mcloughlin, MD is shown with ACO affiliation data for Gundersen ACO (MSSP, ACO ID A5094), Aledade 155 National MSSP (MSSP, ACO ID A5358), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Ryan James Mcloughlin, MD?

Ryan James Mcloughlin, MD is linked to STATE UNIVERSITY OF IOWA (billing NPI 1477554814) in the available physician profile data.

Does Ryan James Mcloughlin, 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.