Physician

Jon Mark Grudem, MD

According to 2025 Medicare claims, Jon Grudem, MD (NPI: 1477649531) practices neurology in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is CNOS PC (NPI: 1881604320; TIN: 421480644) and primary practice location at 57049-5312. Grudem is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 50 LLC (ACO ID: A5160), UnityPoint Accountable Care, L.C. (ACO ID: A5170), Main Street Rural Health Hawthorn ACO LLC (ACO ID: A5438), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Grudem's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 338 traditional Medicare patients, billed 69,451 HCPCS/CPT codes, and received $437,814 in Medicare payments. The top billing code was 95910 (Nerve conduction, 7-8 studies). Part D data shows 286 prescription claims across 79 beneficiaries totaling $163,740 in drug costs, led by Nurtec Odt (Rimegepant Sulfate). DME data shows 283 claims. Open Payments data shows 63 records totaling $40,523. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $62,811 to $163,740. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $10,343 and ending at $12,652.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	545	55,745	$345,740
2016	535	61,097	$383,670
2017	488	68,120	$423,014
2018	514	71,877	$468,092
2019	488	78,359	$508,172
2020	354	64,710	$407,461
2021	376	61,430	$406,329
2022	362	65,725	$421,569
2023	332	66,924	$418,992
2024	338	69,451	$437,814

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	89	538	$62,811
2016	118	840	$87,613
2017	127	892	$99,817
2018	153	915	$140,532
2019	141	612	$92,915
2020	103	467	$113,275
2021	93	365	$101,473
2022	92	315	$144,988
2023	107	323	$185,932
2024	79	286	$163,740

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	47	140	$6,715
2016	131	297	$10,641
2017	223	464	$11,982
2018	302	617	$20,712
2019	278	601	$21,628
2020	166	350	$14,154
2021	96	261	$12,096
2022	62	196	$8,498
2023	78	209	$10,587
2024	159	283	$13,165

* / # = 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
95910	Nerve conduction, 7-8 studies	97	100	$130
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	69	69	$117
95886	Needle measurement of electrical activity in arm or leg muscles, complete study	92	136	$74
95885	Needle measurement of electrical activity in arm or leg muscles, limited study	94	132	$47
J0585	Injection, onabotulinumtoxina, 1 unit	85	68,342	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Nurtec Odt	Rimegepant Sulfate	33	900	$49,093
Botox	Onabotulinumtoxina	21	1,254	$37,574
Ubrelvy	Ubrogepant	28	876	$32,166
Lamictal Xr	Lamotrigine	12	366	$24,934
Pimozide	Pimozide	12	366	$1,025

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
E0601	Continuous positive airway pressure (cpap) device	Y	16	91	$3,416
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	42	43	$3,282
A7030	Full face mask used with positive airway pressure device, each	N	13	20	$2,023
A7031	Face mask interface, replacement for full face mask, each	N	11	17	$1,597
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	11	15	$883

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	63	$40,523	ABBVIE INC.
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

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FAQ

What Medicare data is available for Jon Mark Grudem, MD?

Tedicare shows public-source Medicare data for Jon Mark Grudem, MD (NPI 1477649531), 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 Jon Mark Grudem, MD have ACO affiliation data?

Jon Mark Grudem, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Avera Prairie View ACO (MSSP, ACO ID A4692), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170), Main Street Rural Health Hawthorn ACO LLC (MSSP, ACO ID A5438), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Jon Mark Grudem, MD?

Jon Mark Grudem, MD is linked to CNOS PC (billing NPI 1881604320) in the available physician profile data.

Does Jon Mark Grudem, MD have Open Payments data?

Jon Mark Grudem, MD has 63 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.