Physician

Justin Tyler Sybesma, M.D.

According to 2025 Medicare claims, Justin Sybesma, M.D. (NPI: 1376732016) practices orthopedic surgery in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P (NPI: 1104913094; TIN: 320080721) and primary practice location at 49085-2112. Sybesma is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Sybesma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 356 traditional Medicare patients, billed 4,285 HCPCS/CPT codes, and received $186,662 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 671 prescription claims across 282 beneficiaries totaling $3,842 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 11 claims. Open Payments data shows 10 records totaling $771. 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 up and down with repeated peaks and valleys, starting at $231,688 and ending at $186,662. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $13,669 to $3,842. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $8,534 to $622.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	451	4,347	$231,688
2016	418	3,716	$212,046
2017	497	4,840	$238,723
2018	344	2,471	$129,215
2019	411	3,691	$207,995
2020	342	3,326	$181,512
2021	371	3,685	$183,559
2022	390	4,461	$208,520
2023	332	3,222	$143,351
2024	356	4,285	$186,662

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	248	577	$13,669
2016	262	619	$16,114
2017	273	692	$8,563
2018	158	350	$2,930
2019	169	366	$4,505
2020	169	361	$6,798
2021	162	395	$12,645
2022	195	446	$4,095
2023	182	461	$2,766
2024	282	671	$3,842

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	23	36	$5,053
2016	N/R	N/R	N/R
2017	42	44	$9,850
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	12	12	$914
2022	14	14	$2,774
2023	13	13	$1,048
2024	11	11	$568

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	132	219	$89
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	186	253	$60
20610	Aspiration and/or injection of fluid from large joint	165	358	$47
73564	X-ray of knee, 4 or more views	103	150	$32
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	174	1,648	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	217	1,356	$1,482
Cephalexin	Cephalexin	222	601	$434
Methylprednisolone	Methylprednisolone	45	287	$275
Doxycycline Hyclate	Doxycycline Hyclate	17	257	$189
Prochlorperazine Maleate	Prochlorperazine Maleate	37	100	$123

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
L1812	Knee orthosis, elastic with joints, prefabricated, off-the-shelf	N	11	11	$568

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$771	DePuy Synthes Sales Inc.
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 Justin Tyler Sybesma, M.D.?

Tedicare shows public-source Medicare data for Justin Tyler Sybesma, M.D. (NPI 1376732016), 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 Justin Tyler Sybesma, M.D. have ACO affiliation data?

Justin Tyler Sybesma, M.D. is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Justin Tyler Sybesma, M.D.?

Justin Tyler Sybesma, M.D. is linked to SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P (billing NPI 1104913094) in the available physician profile data.

Does Justin Tyler Sybesma, M.D. have Open Payments data?

Justin Tyler Sybesma, M.D. has 10 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.