Physician

Lisa A Rutstein, MD

According to 2025 Medicare claims, Lisa Rutstein, MD (NPI: 1497731269) practices general surgery in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is CENTRAL MAINE MEDICAL CENTER (NPI: 1689653487; TIN: 010211494) and primary practice location at 04240-7027. Rutstein is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290) and Community Care Partnership of Maine, LLC (ACO ID: A2831), participating under the MSSP model.

Rutstein's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 178 traditional Medicare patients, billed 411 HCPCS/CPT codes, and received $53,314 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 126 prescription claims across 71 beneficiaries totaling $91,964 in drug costs, led by Creon (Lipase/Protease/Amylase). DME data shows 52 claims. Open Payments data shows 1 records totaling $21. 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 from a higher plateau to a lower plateau, from $223,396 to $53,314. In contrast, Part D prescription costs have moved sharply higher in recent years, from $43,998 to $91,964. 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$118K$236K2015 Medicare payment: $223,396 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $236,162 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $186,981 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $160,040 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $199,632 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $147,825 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $129,351 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $88,032 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $67,763 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $53,314 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153691,112$223,396
20163871,042$236,162
20173551,036$186,981
2018259669$160,040
2019311785$199,632
2020223612$147,825
2021224605$129,351
2022199502$88,032
2023162431$67,763
2024178411$53,314

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$46K$92K2015 Drug cost: $43,998 (USD; Tot_Drug_Cst)2016 Drug cost: $14,340 (USD; Tot_Drug_Cst)2017 Drug cost: $4,018 (USD; Tot_Drug_Cst)2018 Drug cost: $987 (USD; Tot_Drug_Cst)2019 Drug cost: $99 (USD; Tot_Drug_Cst)2020 Drug cost: $5,993 (USD; Tot_Drug_Cst)2021 Drug cost: $7,119 (USD; Tot_Drug_Cst)2022 Drug cost: $17,298 (USD; Tot_Drug_Cst)2023 Drug cost: $31,543 (USD; Tot_Drug_Cst)2024 Drug cost: $91,964 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201554179$43,998
20163479$14,340
20172545$4,018
20181115$987
20191316$99
20203145$5,993
20213650$7,119
20222754$17,298
20234599$31,543
202471126$91,964

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$39K$78K2015 Medicare payment: $78,168 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $43,881 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $7,396 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $44,020 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $9,283 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $3,641 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R137$78,168
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R113$43,881
2019N/RN/RN/R
2020N/R42$7,396
2021N/RN/RN/R
2022N/R107$44,020
2023N/R88$9,283
2024N/R52$3,641

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5454$100
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4053$74
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1522$62
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6877$48
99442Telephone medical discussion with physician, 11-20 minutes3644$47

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CreonLipase/Protease/Amylase391,521$89,648
Hydromorphone HclHydromorphone Hcl1151$30

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachNN/R17$1,526
A4409Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, eachNN/R11$1,446
A5063Ostomy pouch, drainable; for use on barrier with flange (2 piece system), eachNN/R11$579
A5120Skin barrier, wipes or swabs, eachNN/R13$91

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$21ABBVIE 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 Lisa A. Rutstein, MD?

Tedicare shows public-source Medicare data for Lisa A. Rutstein, MD (NPI 1497731269), 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 Lisa A. Rutstein, MD have ACO affiliation data?

Lisa A. Rutstein, MD is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290) and Community Care Partnership of Maine, LLC (MSSP, ACO ID A2831).

What billing organization is linked to Lisa A. Rutstein, MD?

Lisa A. Rutstein, MD is linked to CENTRAL MAINE MEDICAL CENTER (billing NPI 1689653487) in the available physician profile data.

Does Lisa A. Rutstein, MD have Open Payments data?

Lisa A. Rutstein, MD 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.