Physician

None

According to 2025 Medicare claims, NPI 1376501122 (NPI: 1376501122) practices mass immunization roster billers in the Monroe, MI market, with the plurality of this provider's patient population coming from Monroe, MI. 1376501122 uses personal NPI as billing NPI and primary practice location at 48162-3190.

1376501122's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 96 traditional Medicare patients, billed 313 HCPCS/CPT codes, and received $22,434 in Medicare payments. The top billing code was 91322 (Sarscov2 vac 50 mcg/0.5ml im). 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 $8,293 to $22,434. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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.

Year	Patients	Clm Lines	Payment
2015	161	348	$8,293
2016	151	322	$9,220
2017	153	322	$9,393
2018	174	348	$10,600
2019	166	352	$12,567
2020	142	286	$9,827
2021	847	1,125	$43,101
2022	259	442	$18,004
2023	119	301	$22,097
2024	96	313	$22,434

Part D Events Trend

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

No connected Part D records

DME Billing Trend

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

No connected DME records

* / # = 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
91322	Sarscov2 vac 50 mcg/0.5ml im	54	54	$158
90653	Influenza vaccine, inactivated	78	78	$82
90480	Admn sarscov2 vacc 1 dose	60	60	$41
M0201	Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home	15	17	$37
G0008	Administration of influenza virus vaccine	86	86	$31

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

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

Open Payments Summary

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

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FAQ

What Medicare data is available for NPI 1376501122?

Tedicare shows public-source Medicare data for NPI 1376501122 (NPI 1376501122), 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 NPI 1376501122 have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to NPI 1376501122?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does NPI 1376501122 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.