Physician

Lise M Cloutier, MD

According to 2025 Medicare claims, Lise Cloutier, MD (NPI: 1386624096) practices internal medicine in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is CENTRAL MAINE MEDICAL CENTER (NPI: 1689653487; TIN: 010211494) and primary practice location at 04240-7676. Cloutier is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Cloutier's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 171 traditional Medicare patients, billed 751 HCPCS/CPT codes, and received $43,439 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 9,265 prescription claims across 708 beneficiaries totaling $843,854 in drug costs, led by Jardiance (Empagliflozin). DME data shows 82 claims. 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 declined steadily, from $61,799 to $43,439. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $14,443 to $7,186.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	329	1,027	$61,799
2016	329	1,055	$62,572
2017	283	872	$52,381
2018	326	801	$48,987
2019	449	1,213	$77,517
2020	342	1,040	$62,154
2021	211	699	$55,445
2022	189	589	$46,315
2023	167	499	$39,792
2024	171	751	$43,439

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	595	7,099	$561,735
2016	639	7,862	$598,626
2017	622	7,742	$546,889
2018	905	8,712	$699,095
2019	711	8,545	$698,725
2020	632	8,657	$667,404
2021	715	8,714	$718,060
2022	757	8,769	$792,402
2023	711	8,728	$800,438
2024	708	9,265	$843,854

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	66	325	$11,741
2016	36	303	$9,822
2017	N/R	276	$7,570
2018	12	181	$5,021
2019	17	215	$9,731
2020	16	199	$8,415
2021	N/R	90	$6,123
2022	N/R	73	$4,603
2023	N/R	66	$8,200
2024	N/R	82	$5,356

* / # = 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	91	91	$128
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	105	$101
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	199	$66
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	57	63	$42
G2211	Visit 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's	118	242	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	83	6,044	$116,884
Ozempic	Semaglutide	88	3,388	$103,108
Eliquis	Apixaban	58	3,693	$70,846
Rybelsus	Semaglutide	37	1,860	$57,502
Xarelto	Rivaroxaban	33	2,280	$41,342

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	14	$2,905
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	30	$2,036
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	25	$360
E0570	Nebulizer, with compressor	Y	N/R	13	$54

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 Lise M. Cloutier, MD?

Tedicare shows public-source Medicare data for Lise M. Cloutier, MD (NPI 1386624096), 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 Lise M. Cloutier, MD have ACO affiliation data?

Lise M. Cloutier, MD is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to Lise M. Cloutier, MD?

Lise M. Cloutier, MD is linked to CENTRAL MAINE MEDICAL CENTER (billing NPI 1689653487) in the available physician profile data.

Does Lise M. Cloutier, MD 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.