Physician

Prema M Jacob, MD

According to 2025 Medicare claims, Prema Jacob, MD (NPI: 1487633533) practices family practice in the Fort Collins-Loveland, CO market, with the plurality of this provider's patient population coming from Larimer, CO. This provider's primary affiliated billing organization is BENDER MEDICAL GROUP INC (NPI: 1215027107; TIN: 481205887) and primary practice location at 80528-8614. Jacob is affiliated with the Aledade 57 Western Sky MSSP Enhanced (ACO ID: A4756), participating under the MSSP model.

Jacob's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 320 traditional Medicare patients, billed 6,938 HCPCS/CPT codes, and received $155,239 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 3,062 prescription claims across 226 beneficiaries totaling $365,830 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 183 claims. Open Payments data shows 60 records totaling $1,136. 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 moved up and down with repeated peaks and valleys, starting at $134,039 and ending at $155,239. Concurrently, Part D prescription costs have risen steadily, from $251,704 to $365,830. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $11,083 to $29,371.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	190	8,295	$134,039
2016	201	17,310	$156,927
2017	226	9,763	$124,047
2018	229	9,136	$100,249
2019	195	8,120	$92,683
2020	206	6,314	$93,644
2021	201	9,557	$121,435
2022	213	7,676	$153,262
2023	153	7,332	$127,642
2024	320	6,938	$155,239

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	234	3,423	$251,704
2016	228	3,500	$292,167
2017	257	3,866	$323,855
2018	246	3,951	$312,975
2019	246	3,689	$267,341
2020	254	3,724	$296,960
2021	247	3,433	$330,341
2022	275	3,612	$378,218
2023	253	3,606	$502,119
2024	226	3,062	$365,830

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	42	161	$7,190
2016	40	235	$8,425
2017	63	323	$9,502
2018	114	441	$13,747
2019	106	383	$11,506
2020	61	381	$18,588
2021	19	385	$27,646
2022	14	347	$29,342
2023	22	393	$43,669
2024	N/R	183	$20,728

* / # = 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	140	140	$129
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	251	583	$93
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	235	621	$12
36415	Insertion of needle into vein for collection of blood sample	151	224	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	115	145	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	79	2,408	$91,576
Ozempic	Semaglutide	40	1,652	$54,111
Jardiance	Empagliflozin	32	2,100	$39,438
Eliquis	Apixaban	20	1,094	$20,673
Januvia	Sitagliptin Phosphate	21	1,086	$18,796

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	31	$13,776
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	32	$2,323
A7031	Face mask interface, replacement for full face mask, each	N	N/R	15	$1,314
A7030	Full face mask used with positive airway pressure device, each	N	N/R	14	$1,172
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	N/R	19	$712

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	60	$1,136	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 Prema M. Jacob, MD?

Tedicare shows public-source Medicare data for Prema M. Jacob, MD (NPI 1487633533), 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 Prema M. Jacob, MD have ACO affiliation data?

Prema M. Jacob, MD is shown with ACO affiliation data for Aledade 57 Western Sky MSSP Enhanced (MSSP, ACO ID A4756).

What billing organization is linked to Prema M. Jacob, MD?

Prema M. Jacob, MD is linked to BENDER MEDICAL GROUP INC (billing NPI 1215027107) in the available physician profile data.

Does Prema M. Jacob, MD have Open Payments data?

Prema M. Jacob, MD has 60 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.