Physician

Andrew S Ma, M.D.

According to 2025 Medicare claims, Andrew Ma, M.D. (NPI: 1477085041) practices internal medicine in the Racine-Mount Pleasant, WI market, with the plurality of this provider's patient population coming from Racine, WI. This provider's primary affiliated billing organization is SOUTHEAST VALLEY GASTROENTEROLOGY CONSULTANTS, P.C. (NPI: 1104861905; TIN: 860737298) and primary practice location at 85297-3301.

Ma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 47 traditional Medicare patients, billed 58 HCPCS/CPT codes, and received $6,884 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 154 prescription claims across 77 beneficiaries totaling $18,962 in drug costs, led by Linzess (Linaclotide). 2022 DME data shows 24 claims. Open Payments data shows 12 records totaling $262. 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 $2,910 to $18,962. 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$3.4K$6.9K2021 Medicare payment: $2,595 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $6,884 (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
20212628$2,595
2022N/RN/RN/R
2023N/RN/RN/R
20244758$6,884

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$29K$58K2018 Drug cost: $2,910 (USD; Tot_Drug_Cst)2019 Drug cost: $4,671 (USD; Tot_Drug_Cst)2020 Drug cost: $21,881 (USD; Tot_Drug_Cst)2022 Drug cost: $5,213 (USD; Tot_Drug_Cst)2023 Drug cost: $58,127 (USD; Tot_Drug_Cst)2024 Drug cost: $18,962 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181867$2,910
20192162$4,671
2020N/R15$21,881
2021N/RN/RN/R
20222848$5,213
202356148$58,127
202477154$18,962

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$640$1.3K2020 Medicare payment: $757 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,279 (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/R24$757
2021N/RN/RN/R
2022N/R24$1,279
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more2121$121

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LinzessLinaclotide15600$10,369
Sod Sulf-Potass Sulf-Mag SulfSodium, Potassium,mag Sulfates1620$930
OmeprazoleOmeprazole181,316$318
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl1415$209

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.12$262QOL Medical, LLC
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 Andrew S. Ma, M.D.?

Tedicare shows public-source Medicare data for Andrew S. Ma, M.D. (NPI 1477085041), 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 Andrew S. Ma, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Andrew S. Ma, M.D.?

Andrew S. Ma, M.D. is linked to SOUTHEAST VALLEY GASTROENTEROLOGY CONSULTANTS, P.C. (billing NPI 1104861905) in the available physician profile data.

Does Andrew S. Ma, M.D. have Open Payments data?

Andrew S. Ma, M.D. has 12 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.