Physician

Mario Garretto, MD

According to 2025 Medicare claims, Mario Garretto, MD (NPI: 1497701809) practices gastroenterology 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 FROEDTERT SOUTH, INC. (NPI: 1558305284; TIN: 390816845) and primary practice location at 53158-2118.

Garretto's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 621 traditional Medicare patients, billed 1,356 HCPCS/CPT codes, and received $121,405 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 2,057 prescription claims across 705 beneficiaries totaling $273,822 in drug costs, led by Xifaxan (Rifaximin). Open Payments data shows 30 records totaling $648. 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 declined steadily, from $177,826 to $121,405. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $507,813 to $273,822. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$94K$187K2015 Medicare payment: $177,826 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $171,417 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $163,881 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $187,130 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $162,481 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $119,045 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $150,998 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $129,962 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $110,868 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $121,405 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158631,920$177,826
20168561,957$171,417
20178452,438$163,881
20189832,491$187,130
20198421,850$162,481
20206481,334$119,045
20217181,613$150,998
20226261,429$129,962
20235601,204$110,868
20246211,356$121,405

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$254K$508K2015 Drug cost: $507,813 (USD; Tot_Drug_Cst)2016 Drug cost: $309,676 (USD; Tot_Drug_Cst)2017 Drug cost: $459,349 (USD; Tot_Drug_Cst)2018 Drug cost: $381,834 (USD; Tot_Drug_Cst)2019 Drug cost: $202,684 (USD; Tot_Drug_Cst)2020 Drug cost: $183,937 (USD; Tot_Drug_Cst)2021 Drug cost: $151,201 (USD; Tot_Drug_Cst)2022 Drug cost: $263,718 (USD; Tot_Drug_Cst)2023 Drug cost: $321,838 (USD; Tot_Drug_Cst)2024 Drug cost: $273,822 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155752,106$507,813
20166192,174$309,676
20176502,131$459,349
20188202,248$381,834
20197802,101$202,684
20205091,344$183,937
2021414993$151,201
20225531,637$263,718
20236051,884$321,838
20247052,057$273,822

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare9598$187
45380Biopsy of large bowel using a flexible endoscope163165$99
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more177229$87
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7376$85
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope174178$64

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XifaxanRifaximin24562$60,989
LinzessLinaclotide422,220$39,818
MesalamineMesalamine482,360$18,596
OmeprazoleOmeprazole60445,625$7,303
SutabSod Sulf/Pot Chloride/Mag Sulf2952$4,776

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.30$648Janssen Biotech, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mario Garretto, MD?

Tedicare shows public-source Medicare data for Mario Garretto, MD (NPI 1497701809), 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 Mario Garretto, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Mario Garretto, MD?

Mario Garretto, MD is linked to FROEDTERT SOUTH, INC. (billing NPI 1558305284) in the available physician profile data.

Does Mario Garretto, MD have Open Payments data?

Mario Garretto, MD has 30 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.