Physician

Mark Edward Pearson, M.D.

According to 2025 Medicare claims, Mark Pearson, M.D. (NPI: 1407857048) practices rheumatology in the Milwaukee-Waukesha, WI market, with the plurality of this provider's patient population coming from Waukesha, WI. This provider's primary affiliated billing organization is WEST SUBURBAN CTR FOR ARTHRITIS (NPI: 1407857188; TIN: 391418162) and primary practice location at 53045-5929. Pearson is affiliated with the ProHealth Solutions, LLC (ACO ID: A4979), participating under the MSSP model.

Pearson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 370 traditional Medicare patients, billed 87,307 HCPCS/CPT codes, and received $989,162 in Medicare payments. The top billing code was 36415 (Insertion of needle into vein for collection of blood sample). Part D data shows 3,296 prescription claims across 499 beneficiaries totaling $2,144,275 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 3 records totaling $61. 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 $1,429,368 to $989,162. In contrast, Part D prescription costs have risen steadily, from $1,066,229 to $2,144,275. 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.

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$929K$1.9M2015 Medicare payment: $1,429,368 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,612,968 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,672,026 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,857,174 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,655,740 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,553,993 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,615,946 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,305,473 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,102,578 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $989,162 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201546552,301$1,429,368
201646259,347$1,612,968
201742758,674$1,672,026
201841581,743$1,857,174
201941483,466$1,655,740
202039088,345$1,553,993
2021416102,457$1,615,946
202243798,464$1,305,473
202339595,219$1,102,578
202437087,307$989,162

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$1.1M$2.1M2015 Drug cost: $1,066,229 (USD; Tot_Drug_Cst)2016 Drug cost: $973,335 (USD; Tot_Drug_Cst)2017 Drug cost: $1,096,747 (USD; Tot_Drug_Cst)2018 Drug cost: $1,358,708 (USD; Tot_Drug_Cst)2019 Drug cost: $1,521,430 (USD; Tot_Drug_Cst)2020 Drug cost: $1,843,983 (USD; Tot_Drug_Cst)2021 Drug cost: $1,625,861 (USD; Tot_Drug_Cst)2022 Drug cost: $1,809,577 (USD; Tot_Drug_Cst)2023 Drug cost: $1,706,269 (USD; Tot_Drug_Cst)2024 Drug cost: $2,144,275 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154633,789$1,066,229
20164533,679$973,335
20174873,866$1,096,747
20184763,804$1,358,708
20194793,814$1,521,430
20204663,714$1,843,983
20214743,555$1,625,861
20224603,396$1,809,577
20234573,303$1,706,269
20244993,296$2,144,275

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
36415Insertion of needle into vein for collection of blood sample329939$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count318917$8
84450Liver enzyme (sgot), level313911$5
82565Blood creatinine level313911$5
82040Albumin (protein) level313911$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab591,876$551,685
Enbrel SureclickEtanercept641,960$539,509
EnbrelEtanercept291,092$240,064
HumiraAdalimumab19462$193,361
SimponiGolimumab15420$93,670

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$61ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark Edward Pearson, M.D.?

Tedicare shows public-source Medicare data for Mark Edward Pearson, M.D. (NPI 1407857048), 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 Edward Pearson, M.D. have ACO affiliation data?

Mark Edward Pearson, M.D. is shown with ACO affiliation data for ProHealth Solutions, LLC (MSSP, ACO ID A4979).

What billing organization is linked to Mark Edward Pearson, M.D.?

Mark Edward Pearson, M.D. is linked to WEST SUBURBAN CTR FOR ARTHRITIS (billing NPI 1407857188) in the available physician profile data.

Does Mark Edward Pearson, M.D. have Open Payments data?

Mark Edward Pearson, M.D. has 3 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.