Physician

Paul D Peterson, DO

According to 2025 Medicare claims, Paul Peterson, DO (NPI: 1326013426) practices family practice in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is FAMILY HEALTH CARE OF SIOUXLAND PLC (NPI: 1437170685; TIN: 753057963) and primary practice location at 51104-1585. Peterson is affiliated with the Stratum Med ACO (ACO ID: A4527) and Avera Prairie View ACO (ACO ID: A4692), participating under the MSSP model.

Peterson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 325 traditional Medicare patients, billed 12,899 HCPCS/CPT codes, and received $218,955 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,195 prescription claims across 464 beneficiaries totaling $558,612 in drug costs, led by Ozempic (Semaglutide). DME data shows 399 claims. Open Payments data shows 117 records totaling $1,796. 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 $145,767 to $218,955. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $21,126 to $30,337.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	391	12,512	$145,767
2016	457	14,547	$150,890
2017	377	11,960	$170,982
2018	368	10,752	$166,446
2019	379	13,307	$157,803
2020	434	15,095	$191,562
2021	443	15,270	$230,276
2022	364	11,486	$227,570
2023	343	7,451	$212,607
2024	325	12,899	$218,955

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	313	8,163	$452,581
2016	350	8,045	$408,653
2017	354	7,670	$401,300
2018	393	7,587	$401,307
2019	380	7,479	$412,279
2020	457	8,415	$456,461
2021	451	8,407	$481,645
2022	440	8,498	$471,080
2023	453	8,377	$509,845
2024	464	9,195	$558,612

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	44	357	$16,377
2016	88	382	$12,074
2017	51	437	$18,212
2018	45	351	$13,005
2019	83	343	$8,455
2020	167	399	$13,039
2021	129	396	$13,285
2022	128	343	$13,881
2023	126	420	$32,229
2024	130	399	$36,124

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	198	198	$118
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	242	511	$76
99497	Advance care planning, first 30 minutes	205	206	$75
36415	Insertion of needle into vein for collection of blood sample	247	566	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	224	411	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	109	3,362	$109,017
Eliquis	Apixaban	92	4,015	$76,287
Farxiga	Dapagliflozin Propanediol	52	1,603	$30,829
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	38	1,320	$27,968
Tresiba Flextouch U-200	Insulin Degludec	19	686	$25,004

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	44	$11,760
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	11	$8,721
A7032	Cushion for use on nasal mask interface, replacement only, each	N	11	27	$3,323
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	19	43	$2,634
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	11	$1,938

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	117	$1,796	AstraZeneca Pharmaceuticals LP
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 Paul D. Peterson, DO?

Tedicare shows public-source Medicare data for Paul D. Peterson, DO (NPI 1326013426), 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 Paul D. Peterson, DO have ACO affiliation data?

Paul D. Peterson, DO is shown with ACO affiliation data for Stratum Med ACO (MSSP, ACO ID A4527) and Avera Prairie View ACO (MSSP, ACO ID A4692).

What billing organization is linked to Paul D. Peterson, DO?

Paul D. Peterson, DO is linked to FAMILY HEALTH CARE OF SIOUXLAND PLC (billing NPI 1437170685) in the available physician profile data.

Does Paul D. Peterson, DO have Open Payments data?

Paul D. Peterson, DO has 117 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.