Physician

Shelby L. Steffen, MD

According to 2025 Medicare claims, Shelby Steffen, MD (NPI: 1457842791) practices family practice in the Rapid City, SD market, with the plurality of this provider's patient population coming from Pennington, SD. This provider's primary affiliated billing organization is RAPID CITY MEDICAL CENTER, LLP (NPI: 1487602843; TIN: 460218851) and primary practice location at 57701-4677. Steffen is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645) and On Belay Health Solutions (ACO ID: A5702), participating under the MSSP model.

Steffen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 551 traditional Medicare patients, billed 14,629 HCPCS/CPT codes, and received $360,470 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 12,916 prescription claims across 817 beneficiaries totaling $794,075 in drug costs, led by Eliquis (Apixaban). DME data shows 240 claims. Open Payments data shows 6 records totaling $95. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $15,760 to $794,075. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $163 to $44,923.

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$180K$360K2022 Medicare payment: $268,353 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $287,566 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $360,470 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202261015,595$268,353
202354514,641$287,566
202455114,629$360,470

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$441K$882K2018 Drug cost: $15,760 (USD; Tot_Drug_Cst)2019 Drug cost: $50,577 (USD; Tot_Drug_Cst)2020 Drug cost: $97,399 (USD; Tot_Drug_Cst)2021 Drug cost: $100,573 (USD; Tot_Drug_Cst)2022 Drug cost: $405,629 (USD; Tot_Drug_Cst)2023 Drug cost: $882,311 (USD; Tot_Drug_Cst)2024 Drug cost: $794,075 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201821147$15,760
2019671,115$50,577
2020771,377$97,399
2021591,135$100,573
20226925,471$405,629
202379611,384$882,311
202481712,916$794,075

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$4.8K$9.5K2023 Medicare payment: $9,158 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $9,508 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
202311232$9,158
202455240$9,508

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit381381$125
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more461710$75
84443Blood test, thyroid stimulating hormone (tsh)370427$16
80061Blood test, lipids (cholesterol and triglycerides)408425$13
36415Insertion of needle into vein for collection of blood sample493842$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1296,614$125,717
OzempicSemaglutide542,430$74,039
JardianceEmpagliflozin703,990$70,394
XareltoRivaroxaban843,790$69,311
JanuviaSitagliptin Phosphate593,056$50,740

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/R57$4,190
E1392Portable oxygen concentrator, rentalYN/R34$1,248
E0601Continuous positive airway pressure (cpap) deviceYN/R44$1,100
A4604Tubing with integrated heating element for use with positive airway pressure deviceN1123$800
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN1115$736

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.6$95Novo Nordisk 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 Shelby L. Steffen, MD?

Tedicare shows public-source Medicare data for Shelby L. Steffen, MD (NPI 1457842791), 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 Shelby L. Steffen, MD have ACO affiliation data?

Shelby L. Steffen, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645) and On Belay Health Solutions (MSSP, ACO ID A5702).

What billing organization is linked to Shelby L. Steffen, MD?

Shelby L. Steffen, MD is linked to RAPID CITY MEDICAL CENTER, LLP (billing NPI 1487602843) in the available physician profile data.

Does Shelby L. Steffen, MD have Open Payments data?

Shelby L. Steffen, MD has 6 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.