Physician

Stephen J Welka, DO

According to 2025 Medicare claims, Stephen Welka, DO (NPI: 1508973561) practices cardiology 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 53105-1828. Welka 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.

Welka's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,331 traditional Medicare patients, billed 6,478 HCPCS/CPT codes, and received $199,037 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 6,606 prescription claims across 924 beneficiaries totaling $1,304,659 in drug costs, led by Eliquis (Apixaban). 2016 DME data shows 11 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $354,913 to $1,304,659. 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$141K$282K2015 Medicare payment: $255,506 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $212,347 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $259,462 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $272,927 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $281,810 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $220,144 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $259,219 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $225,149 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $179,066 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $199,037 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,9376,194$255,506
20162,2545,893$212,347
20172,4537,152$259,462
20182,5797,375$272,927
20192,6547,536$281,810
20202,0156,006$220,144
20212,2316,585$259,219
20222,0386,130$225,149
20231,8034,963$179,066
20242,3316,478$199,037

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$725K$1.4M2015 Drug cost: $354,913 (USD; Tot_Drug_Cst)2016 Drug cost: $408,084 (USD; Tot_Drug_Cst)2017 Drug cost: $381,363 (USD; Tot_Drug_Cst)2018 Drug cost: $452,174 (USD; Tot_Drug_Cst)2019 Drug cost: $574,568 (USD; Tot_Drug_Cst)2020 Drug cost: $742,693 (USD; Tot_Drug_Cst)2021 Drug cost: $956,992 (USD; Tot_Drug_Cst)2022 Drug cost: $1,151,475 (USD; Tot_Drug_Cst)2023 Drug cost: $1,449,787 (USD; Tot_Drug_Cst)2024 Drug cost: $1,304,659 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153933,335$354,913
20163803,037$408,084
20174363,171$381,363
20185123,370$452,174
20195834,053$574,568
20207425,308$742,693
20218716,497$956,992
20228926,757$1,151,475
20239117,731$1,449,787
20249246,606$1,304,659

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$1.1K$2.3K2015 Medicare payment: $2,251 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $402 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R34$2,251
2016N/R11$402
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more454543$83
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function659667$66
93356Heart muscle strain imaging467482$12
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,0181,277$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,1421,871$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban88247,998$928,956
XareltoRivaroxaban826,669$123,393
Repatha SureclickEvolocumab913,332$64,258
EntrestoSacubitril/Valsartan432,070$43,361
BrilintaTicagrelor211,230$18,491

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Stephen J. Welka, DO?

Tedicare shows public-source Medicare data for Stephen J. Welka, DO (NPI 1508973561), 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 Stephen J. Welka, DO have ACO affiliation data?

Stephen J. Welka, DO 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 Stephen J. Welka, DO?

Stephen J. Welka, DO is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Stephen J. Welka, DO 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.