Physician

John Chris Kefalas, M.D.

According to 2025 Medicare claims, John Kefalas, M.D. (NPI: 1386832855) practices orthopedic surgery in the Decatur, IL market, with the plurality of this provider's patient population coming from Macon, IL. This provider's primary affiliated billing organization is JOHN C. KEFALAS, M.D.,S.C. (NPI: 1811993405; TIN: 470862248) and primary practice location at 62526-9998. Kefalas is affiliated with the IRCCO (ACO ID: A2619), participating under the MSSP model.

Kefalas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 856 traditional Medicare patients, billed 7,601 HCPCS/CPT codes, and received $284,136 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 658 prescription claims across 206 beneficiaries totaling $7,598 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 64 claims. Open Payments data shows 11 records totaling $957. 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 changed little. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $13,203 to $7,598. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $10,956 and ending at $6,734.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	920	5,569	$318,086
2016	982	6,142	$342,405
2017	1,069	6,944	$313,117
2018	929	6,821	$309,982
2019	886	6,490	$328,125
2020	813	6,248	$298,660
2021	872	6,506	$345,501
2022	786	6,335	$318,821
2023	736	6,704	$277,602
2024	856	7,601	$284,136

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	193	543	$13,203
2016	185	465	$13,611
2017	190	471	$16,738
2018	198	573	$22,356
2019	214	650	$20,797
2020	218	574	$8,505
2021	236	628	$10,842
2022	209	615	$13,098
2023	198	544	$9,246
2024	206	658	$7,598

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	32	44	$6,739
2016	13	27	$1,013
2017	27	44	$2,094
2018	82	104	$17,252
2019	114	150	$10,085
2020	66	77	$6,289
2021	51	53	$5,054
2022	18	29	$1,276
2023	36	36	$3,484
2024	52	64	$4,974

* / # = 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	207	258	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	544	904	$57
20610	Aspiration and/or injection of fluid from large joint	483	956	$39
73560	X-ray of knee, 1-2 views	276	384	$21
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	474	3,225	$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	120	626	$1,376
Celecoxib	Celecoxib	84	3,510	$1,032
Doxycycline Hyclate	Doxycycline Hyclate	15	1,011	$559
Gabapentin	Gabapentin	54	1,770	$475
Meloxicam	Meloxicam	98	3,675	$247

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
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	14	14	$1,741
L4387	Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf	N	11	11	$1,467
E0143	Walker, folding, wheeled, adjustable or fixed height	N	27	27	$1,241
E0656	Segmental pneumatic appliance for use with pneumatic compressor, trunk	Y	N/R	12	$525

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$957	Medical Device Business Services, 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 John Chris Kefalas, M.D.?

Tedicare shows public-source Medicare data for John Chris Kefalas, M.D. (NPI 1386832855), 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 John Chris Kefalas, M.D. have ACO affiliation data?

John Chris Kefalas, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619).

What billing organization is linked to John Chris Kefalas, M.D.?

John Chris Kefalas, M.D. is linked to JOHN C. KEFALAS, M.D.,S.C. (billing NPI 1811993405) in the available physician profile data.

Does John Chris Kefalas, M.D. have Open Payments data?

John Chris Kefalas, M.D. has 11 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.