Physician

John M Lopez, M.D.

According to 2025 Medicare claims, John Lopez, M.D. (NPI: 1487677316) 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 AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53406-3735. Lopez 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.

Lopez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 357 traditional Medicare patients, billed 1,548 HCPCS/CPT codes, and received $104,015 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 8,688 prescription claims across 744 beneficiaries totaling $753,811 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 71 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 risen steadily, from $62,468 to $104,015. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $500,535 to $753,811. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $8,489 and ending at $3,089.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	319	1,156	$62,468
2016	312	1,165	$65,883
2017	308	1,062	$55,716
2018	175	723	$53,154
2019	226	3,183	$81,154
2020	258	1,818	$86,690
2021	253	1,448	$97,419
2022	237	1,149	$94,839
2023	249	1,089	$92,102
2024	357	1,548	$104,015

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	411	9,673	$500,535
2016	384	8,732	$453,288
2017	442	8,836	$469,764
2018	430	4,588	$264,021
2019	305	3,970	$255,212
2020	403	6,277	$326,569
2021	423	6,740	$430,755
2022	467	7,581	$625,261
2023	508	8,003	$755,601
2024	744	8,688	$753,811

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	64	289	$8,011
2016	60	285	$8,328
2017	41	120	$1,680
2018	40	102	$1,769
2019	19	79	$834
2020	42	133	$3,448
2021	20	139	$4,672
2022	17	160	$4,972
2023	13	136	$4,878
2024	11	71	$2,981

* / # = 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	162	162	$119
90662	Influenza vaccine split virus, preservative free	76	79	$80
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	271	533	$75
G0008	Administration of influenza virus vaccine	81	83	$30
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	199	293	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	111	4,428	$167,112
Ozempic	Semaglutide	64	3,534	$119,415
Rybelsus	Semaglutide	49	2,550	$80,551
Jardiance	Empagliflozin	55	3,393	$63,429
Xarelto	Rivaroxaban	42	1,914	$35,624

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
B4150	Enteral formula, nutritionally complete 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	12	$1,325
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	12	$952
E1392	Portable oxygen concentrator, rental	Y	N/R	11	$377
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	11	24	$313
A4259	Lancets, per box of 100	N	N/R	12	$15

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 John M. Lopez, M.D.?

Tedicare shows public-source Medicare data for John M. Lopez, M.D. (NPI 1487677316), 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 John M. Lopez, M.D. have ACO affiliation data?

John M. Lopez, M.D. 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 John M. Lopez, M.D.?

John M. Lopez, M.D. is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does John M. Lopez, M.D. 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.