Physician

Chad Michael Ronholm, M.D.

According to 2025 Medicare claims, Chad Ronholm, M.D. (NPI: 1306027909) practices rheumatology in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from St. Louis, MO. This provider's primary affiliated billing organization is CLAYTON MEDICAL ASSOCIATES, P.C. (NPI: 1891774329; TIN: 43-1907813) and primary practice location at 63119-3845. Ronholm is affiliated with the IRCCO (ACO ID: A2619), SSM IL ACO, LLC (ACO ID: A4832), SBL accountable care organization (ACO ID: A5147), and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Ronholm's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 532 traditional Medicare patients, billed 234,607 HCPCS/CPT codes, and received $3,074,711 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 2,370 prescription claims across 479 beneficiaries totaling $1,141,040 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2019 DME data shows 11 claims. Open Payments data shows 216 records totaling $56,094. 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 sharply higher in recent years, from $97,049 to $3,074,711. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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$1.5M$3.1M2015 Medicare payment: $97,049 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $68,095 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $230,800 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $344,540 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $523,691 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $989,553 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,155,580 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $535,407 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $787,879 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,074,711 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201528110,213$97,049
20162945,631$68,095
201722610,367$230,800
201820022,106$344,540
201922130,578$523,691
202021438,497$989,553
202125543,401$1,155,580
202226040,399$535,407
202330272,079$787,879
2024532234,607$3,074,711

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$704K$1.4M2015 Drug cost: $688,512 (USD; Tot_Drug_Cst)2016 Drug cost: $1,120,216 (USD; Tot_Drug_Cst)2017 Drug cost: $1,017,888 (USD; Tot_Drug_Cst)2018 Drug cost: $1,205,669 (USD; Tot_Drug_Cst)2019 Drug cost: $1,264,760 (USD; Tot_Drug_Cst)2020 Drug cost: $1,173,212 (USD; Tot_Drug_Cst)2021 Drug cost: $1,146,793 (USD; Tot_Drug_Cst)2022 Drug cost: $1,084,909 (USD; Tot_Drug_Cst)2023 Drug cost: $1,408,776 (USD; Tot_Drug_Cst)2024 Drug cost: $1,141,040 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153523,289$688,512
20164073,218$1,120,216
20173102,510$1,017,888
20182652,760$1,205,669
20192651,934$1,264,760
20202701,792$1,173,212
20213021,780$1,146,793
20222651,663$1,084,909
20233381,938$1,408,776
20244792,370$1,141,040

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$361$7232019 Medicare payment: $723 (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/R11$723
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
96413Administration of chemotherapy into vein, 1 hour or less141943$95
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4521,220$92
76881Complete ultrasound scan of joint99103$40
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's8890$13
J7050Infusion, normal saline solution, 250 cc139922$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab351,036$280,062
RinvoqUpadacitinib26780$162,590
Orencia ClickjectAbatacept19532$122,704
Humira PenAdalimumab12364$105,801
SavellaMilnacipran Hcl15900$14,630

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.212$4,063ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.4$52,032Eli Lilly and Company
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Chad Michael Ronholm, M.D.?

Tedicare shows public-source Medicare data for Chad Michael Ronholm, M.D. (NPI 1306027909), 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 Chad Michael Ronholm, M.D. have ACO affiliation data?

Chad Michael Ronholm, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), SSM IL ACO, LLC (MSSP, ACO ID A4832), SBL accountable care organization (MSSP, ACO ID A5147), and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Chad Michael Ronholm, M.D.?

Chad Michael Ronholm, M.D. is linked to CLAYTON MEDICAL ASSOCIATES, P.C. (billing NPI 1891774329) in the available physician profile data.

Does Chad Michael Ronholm, M.D. have Open Payments data?

Chad Michael Ronholm, M.D. has 216 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.