Physician

James M Santarelli, MD

According to 2025 Medicare claims, James Santarelli, MD (NPI: 1477660744) practices family practice in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53140-4947. Santarelli is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Santarelli's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 594 traditional Medicare patients, billed 3,558 HCPCS/CPT codes, and received $249,019 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 14,593 prescription claims across 1,170 beneficiaries totaling $1,336,117 in drug costs, led by Jardiance (Empagliflozin). DME data shows 737 claims. No Open Payments records. 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $21,018 to $35,247.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	796	11,890	$366,028
2016	826	10,510	$353,870
2017	826	11,533	$325,575
2018	875	9,376	$317,730
2019	856	7,360	$287,086
2020	752	4,428	$253,994
2021	757	4,191	$306,559
2022	677	4,544	$302,171
2023	642	3,664	$271,964
2024	594	3,558	$249,019

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	804	19,907	$1,259,751
2016	848	20,506	$1,254,837
2017	863	21,145	$1,236,088
2018	930	19,731	$1,253,901
2019	987	18,731	$1,311,761
2020	1,017	18,309	$1,537,451
2021	1,054	18,700	$1,647,448
2022	1,073	16,217	$1,594,620
2023	1,087	14,764	$1,515,525
2024	1,170	14,593	$1,336,117

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	178	693	$29,176
2016	193	702	$24,965
2017	118	495	$17,112
2018	108	533	$15,067
2019	109	585	$18,728
2020	110	737	$24,517
2021	193	656	$21,103
2022	227	938	$34,349
2023	234	805	$35,506
2024	253	737	$34,270

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	374	374	$119
90662	Influenza vaccine split virus, preservative free	94	96	$79
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	504	1,241	$76
G0008	Administration of influenza virus vaccine	101	103	$30
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	120	134	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	165	9,690	$187,075
Ozempic	Semaglutide	139	6,045	$181,394
Trulicity	Dulaglutide	109	4,342	$149,647
Januvia	Sitagliptin Phosphate	87	5,450	$101,774
Xarelto	Rivaroxaban	87	4,105	$78,751

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	18	$8,649
E0601	Continuous positive airway pressure (cpap) device	Y	18	94	$3,038
A7030	Full face mask used with positive airway pressure device, each	N	17	33	$2,447
A7032	Cushion for use on nasal mask interface, replacement only, each	N	13	28	$2,304
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$2,059

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for James M. Santarelli, MD?

Tedicare shows public-source Medicare data for James M. Santarelli, MD (NPI 1477660744), 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 James M. Santarelli, MD have ACO affiliation data?

James M. Santarelli, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to James M. Santarelli, MD?

James M. Santarelli, MD is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does James M. Santarelli, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.