Physician

Marcia K Graham, MD

According to 2025 Medicare claims, Marcia Graham, MD (NPI: 1326188764) practices family practice in the Springfield, MO market, with the plurality of this provider's patient population coming from Greene, MO. This provider's primary affiliated billing organization is WELLNESS CONCEPTS CLINIC LLC (NPI: 1275771669) and primary practice location at 65804-4240. Graham is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), participating under the MSSP model.

Graham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 143 traditional Medicare patients, billed 7,203 HCPCS/CPT codes, and received $308,283 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 25 prescription claims across 16 beneficiaries totaling $352 in drug costs. 2021 DME data shows 26 claims. Open Payments data shows 1 records totaling $23. 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 $60,389 to $308,283. In contrast, Part D prescription costs have fallen sharply in recent years, from $345,003 to $352. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $5,092 and ending at $3,152.

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$154K$308K2015 Medicare payment: $60,389 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $55,526 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $67,502 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $80,911 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $69,390 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $7,341 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $308,283 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151521,783$60,389
20161771,821$55,526
20171812,380$67,502
20181813,556$80,911
20191832,682$69,390
202077444$7,341
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
20241437,203$308,283

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$256K$511K2015 Drug cost: $345,003 (USD; Tot_Drug_Cst)2016 Drug cost: $381,651 (USD; Tot_Drug_Cst)2017 Drug cost: $352,440 (USD; Tot_Drug_Cst)2018 Drug cost: $511,352 (USD; Tot_Drug_Cst)2019 Drug cost: $430,453 (USD; Tot_Drug_Cst)2020 Drug cost: $208,754 (USD; Tot_Drug_Cst)2021 Drug cost: $4,115 (USD; Tot_Drug_Cst)2022 Drug cost: $2,444 (USD; Tot_Drug_Cst)2023 Drug cost: $1,790 (USD; Tot_Drug_Cst)2024 Drug cost: $352 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153065,406$345,003
20163416,049$381,651
20173485,918$352,440
20184606,908$511,352
20193866,532$430,453
20202842,504$208,754
20213280$4,115
202240102$2,444
20236494$1,790
20241625$352

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$2.1K$4.2K2015 Medicare payment: $3,747 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $4,235 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,761 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,143 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,580 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $2,329 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,078 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R46$3,747
201625132$4,235
20171291$2,761
20182791$2,143
2019N/R64$1,580
2020N/R61$2,329
2021N/R26$2,078
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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more1401,325$132
97810Acupuncture, initial 15 minutes87842$28
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes1371,659$24
97811Acupuncture, each additional 15 minutes871,684$21
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes1371,657$17

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.1$23ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Marcia K. Graham, MD?

Tedicare shows public-source Medicare data for Marcia K. Graham, MD (NPI 1326188764), 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 Marcia K. Graham, MD have ACO affiliation data?

Marcia K. Graham, MD is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616).

What billing organization is linked to Marcia K. Graham, MD?

Marcia K. Graham, MD is linked to WELLNESS CONCEPTS CLINIC LLC (billing NPI 1275771669) in the available physician profile data.

Does Marcia K. Graham, MD have Open Payments data?

Marcia K. Graham, MD has 1 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.