Physician

Mark P Schmeltz, DO

According to 2025 Medicare claims, Mark Schmeltz, DO (NPI: 1487653408) practices family practice in the South Bend-Mishawaka, IN-MI market, with the plurality of this provider's patient population coming from Cass, MI. This provider's primary affiliated billing organization is BEACON MEDICAL GROUP, INC. (NPI: 1003042318; TIN: 350877574) and primary practice location at 46530-6959. Schmeltz is affiliated with the CHA ACO, LLC (ACO ID: A2207) and West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Schmeltz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 275 traditional Medicare patients, billed 2,322 HCPCS/CPT codes, and received $76,459 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 7,264 prescription claims across 639 beneficiaries totaling $645,045 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 261 claims. Open Payments data shows 1 records totaling $20. 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 moved from a lower plateau to a higher plateau, from $272,604 to $645,045. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $24,998 and ending at $19,453.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	207	1,923	$50,681
2016	253	2,675	$51,896
2017	253	4,357	$62,460
2018	282	3,825	$69,660
2019	314	4,742	$78,900
2020	303	2,146	$63,925
2021	259	2,091	$69,477
2022	259	1,513	$68,648
2023	277	1,321	$69,484
2024	275	2,322	$76,459

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	277	4,411	$272,604
2016	368	4,793	$303,682
2017	367	4,913	$338,761
2018	416	5,145	$413,509
2019	496	5,612	$496,165
2020	522	6,048	$564,699
2021	558	6,485	$593,754
2022	552	6,583	$621,467
2023	615	6,982	$738,654
2024	639	7,264	$645,045

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	52	423	$28,901
2016	35	328	$12,861
2017	27	205	$7,104
2018	12	188	$5,695
2019	34	252	$8,996
2020	19	224	$11,883
2021	14	181	$10,079
2022	13	171	$7,374
2023	59	287	$13,730
2024	11	261	$16,978

* / # = 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	173	173	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	225	378	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	113	151	$45
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	160	230	$11
36415	Insertion of needle into vein for collection of blood sample	101	113	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	57	2,016	$74,112
Eliquis	Apixaban	42	2,935	$57,196
Trulicity	Dulaglutide	31	1,540	$51,985
Ozempic	Semaglutide	29	1,386	$42,856
Jardiance	Empagliflozin	29	2,210	$39,019

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	12	$6,154
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	54	$4,539
A7030	Full face mask used with positive airway pressure device, each	N	N/R	15	$1,269
A7031	Face mask interface, replacement for full face mask, each	N	N/R	16	$1,224
E1392	Portable oxygen concentrator, rental	Y	N/R	27	$956

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$20	Novo Nordisk 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

Explore More Providers

FAQ

What Medicare data is available for Mark P. Schmeltz, DO?

Tedicare shows public-source Medicare data for Mark P. Schmeltz, DO (NPI 1487653408), 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 Mark P. Schmeltz, DO have ACO affiliation data?

Mark P. Schmeltz, DO is shown with ACO affiliation data for CHA ACO, LLC (MSSP, ACO ID A2207) and West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Mark P. Schmeltz, DO?

Mark P. Schmeltz, DO is linked to BEACON MEDICAL GROUP, INC. (billing NPI 1003042318) in the available physician profile data.

Does Mark P. Schmeltz, DO have Open Payments data?

Mark P. Schmeltz, DO has 1 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.