Physician

Mark E Johns, MD

According to 2025 Medicare claims, Mark Johns, MD (NPI: 1407040884) practices hematology/oncology in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Clermont, OH. This provider's primary affiliated billing organization is ONCOLOGY HEMATOLOGY CARE INC (NPI: 1790778041; TIN: 311106418) and primary practice location at 45245-1898. Johns is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Johns' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 660 traditional Medicare patients, billed 145,631 HCPCS/CPT codes, and received $2,485,247 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 3,264 prescription claims across 508 beneficiaries totaling $4,867,536 in drug costs, led by Calquence (Acalabrutinib Maleate). DME data shows 23 claims. Open Payments data shows 72 records totaling $139,846. 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 $170,833 to $2,485,247. Similarly, Part D prescription costs have risen steadily, from $360,293 to $4,867,536. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $2,737 to $1,270.

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$1.4M$2.8M2015 Medicare payment: $170,833 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,134,627 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,329,854 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,247,748 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,836,521 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,688,000 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,353,218 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,849,583 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,306,124 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,485,247 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201531519,265$170,833
2016506116,805$1,134,627
2017497130,838$1,329,854
2018609151,343$2,247,748
2019691168,044$2,836,521
2020669165,312$2,688,000
2021678148,801$2,353,218
2022629127,412$1,849,583
2023678145,952$2,306,124
2024660145,631$2,485,247

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$2.4M$4.9M2015 Drug cost: $360,293 (USD; Tot_Drug_Cst)2016 Drug cost: $594,495 (USD; Tot_Drug_Cst)2017 Drug cost: $1,192,896 (USD; Tot_Drug_Cst)2018 Drug cost: $2,017,607 (USD; Tot_Drug_Cst)2019 Drug cost: $3,178,703 (USD; Tot_Drug_Cst)2020 Drug cost: $3,169,752 (USD; Tot_Drug_Cst)2021 Drug cost: $3,716,288 (USD; Tot_Drug_Cst)2022 Drug cost: $3,643,565 (USD; Tot_Drug_Cst)2023 Drug cost: $3,510,673 (USD; Tot_Drug_Cst)2024 Drug cost: $4,867,536 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015161940$360,293
20161961,276$594,495
20172041,455$1,192,896
20183282,189$2,017,607
20193452,331$3,178,703
20203862,425$3,169,752
20214032,670$3,716,288
20224032,619$3,643,565
20234422,712$3,510,673
20245083,264$4,867,536

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$6.1K$12K2015 Medicare payment: $688 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,869 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $11,563 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $12,141 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,541 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $7,733 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $9,073 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $8,692 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,708 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $1,270 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R12$688
2016N/R78$2,869
201722256$11,563
201847290$12,141
201933300$10,541
2020N/R169$7,733
2021N/R153$9,073
2022N/R190$8,692
2023N/R47$1,708
2024N/R23$1,270

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more171319$90
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more421778$59
G2211Visit 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's337617$11
80053Blood test, comprehensive group of blood chemicals336876$10
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3981,112$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CalquenceAcalabrutinib Maleate1073,210$1,597,376
LenalidomideLenalidomide31833$524,030
QinlockRipretinib11330$457,839
VerzenioAbemaciclib20560$297,791
TasignaNilotinib Hcl12336$237,370

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R11$827
E0657Segmental pneumatic appliance for use with pneumatic compressor, chestYN/R12$443

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.20$1,329Novartis Pharmaceuticals Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.52$138,517BioNTech SE
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark E. Johns, MD?

Tedicare shows public-source Medicare data for Mark E. Johns, MD (NPI 1407040884), 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 Mark E. Johns, MD have ACO affiliation data?

Mark E. Johns, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Mark E. Johns, MD?

Mark E. Johns, MD is linked to ONCOLOGY HEMATOLOGY CARE INC (billing NPI 1790778041) in the available physician profile data.

Does Mark E. Johns, MD have Open Payments data?

Mark E. Johns, MD has 72 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.