Physician

Rachel F. Stearnes, D.O.

According to 2025 Medicare claims, Rachel Stearnes, D.O. (NPI: 1447392766) practices family practice in the Omaha, NE-IA market, with the plurality of this provider's patient population coming from Pottawattamie, IA. This provider's primary affiliated billing organization is PHYSICIANS CLINIC INC (NPI: 1821049156; TIN: 470687317) and primary practice location at 51503-4652. Stearnes is affiliated with the Nebraska Health Network, LLC (ACO ID: A3273), NPG Health Collaborative LLC (ACO ID: A3287), and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Stearnes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 258 traditional Medicare patients, billed 5,760 HCPCS/CPT codes, and received $143,519 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 10,603 prescription claims across 522 beneficiaries totaling $825,867 in drug costs, led by Eliquis (Apixaban). DME data shows 371 claims. Open Payments data shows 18 records totaling $233. 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 $73,663 to $143,519. Similarly, Part D prescription costs have risen steadily, from $475,096 to $825,867. In contrast, DME billing represents a smaller volume and rose steadily, from $7,359 to $29,157.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	253	2,356	$73,663
2016	248	2,703	$74,288
2017	282	3,428	$82,367
2018	277	2,808	$75,117
2019	294	3,168	$78,960
2020	253	3,517	$79,679
2021	268	4,027	$109,365
2022	252	4,379	$113,255
2023	250	4,012	$128,499
2024	258	5,760	$143,519

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	457	7,823	$475,096
2016	411	8,302	$522,394
2017	462	9,577	$647,727
2018	470	10,028	$815,926
2019	521	10,169	$852,560
2020	469	10,309	$890,181
2021	460	10,641	$944,515
2022	483	10,635	$980,758
2023	476	10,437	$976,763
2024	522	10,603	$825,867

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	38	200	$4,856
2016	60	358	$7,737
2017	57	325	$6,668
2018	74	341	$11,408
2019	58	301	$6,710
2020	51	323	$9,650
2021	46	429	$17,458
2022	45	301	$12,932
2023	26	390	$13,769
2024	50	371	$23,892

* / # = 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	120	179	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	143	264	$57
77063	Screening 3d breast mammography	80	80	$21
36415	Insertion of needle into vein for collection of blood sample	210	389	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	166	201	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	86	3,853	$74,528
Trulicity	Dulaglutide	45	1,764	$59,732
Jardiance	Empagliflozin	51	2,451	$50,889
Myrbetriq	Mirabegron	81	2,986	$45,895
Ozempic	Semaglutide	45	1,666	$44,700

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	29	$13,538
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	15	$1,519
A7031	Face mask interface, replacement for full face mask, each	N	N/R	17	$1,313
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	24	$1,275
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	15	$1,247

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$233	Salix Pharmaceuticals, a division of Bausch Health US, LLC
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

Explore More Providers

FAQ

What Medicare data is available for Rachel F. Stearnes, D.O.?

Tedicare shows public-source Medicare data for Rachel F. Stearnes, D.O. (NPI 1447392766), 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 Rachel F. Stearnes, D.O. have ACO affiliation data?

Rachel F. Stearnes, D.O. is shown with ACO affiliation data for Nebraska Health Network, LLC (MSSP, ACO ID A3273), NPG Health Collaborative LLC (MSSP, ACO ID A3287), and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Rachel F. Stearnes, D.O.?

Rachel F. Stearnes, D.O. is linked to PHYSICIANS CLINIC INC (billing NPI 1821049156) in the available physician profile data.

Does Rachel F. Stearnes, D.O. have Open Payments data?

Rachel F. Stearnes, D.O. has 18 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.