Physician

Mazen I Madhoun, MD

According to 2025 Medicare claims, Mazen Madhoun, MD (NPI: 1518127927) practices family practice in the Roanoke, VA market, with the plurality of this provider's patient population coming from Roanoke City, VA. This provider's primary affiliated billing organization is MAZEN MADHOUN MD LLC (NPI: 1679904338; TIN: 46-4248254) and primary practice location at 24153-1961. Madhoun is affiliated with the Doctors Connected (ACO ID: A4949) and Provider Partners Connect Care, LLC (ACO ID: D0252), participating under both the MSSP and REACH models.

Madhoun's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,208 traditional Medicare patients, billed 7,584 HCPCS/CPT codes, and received $358,917 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 67,552 prescription claims across 2,464 beneficiaries totaling $4,881,068 in drug costs, led by Eliquis (Apixaban). DME data shows 1,110 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,372,706 to $4,881,068. In contrast, DME billing represents a smaller volume and rose steadily, from $64,436 to $83,874.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	912	2,801	$205,382
2016	1,034	3,713	$244,063
2017	1,246	4,202	$296,681
2018	1,226	5,291	$306,305
2019	1,344	5,295	$307,654
2020	1,164	7,144	$347,072
2021	923	5,557	$247,007
2022	768	4,482	$199,270
2023	955	4,918	$231,407
2024	1,208	7,584	$358,917

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	760	30,966	$1,372,706
2016	890	37,412	$1,668,935
2017	1,003	43,220	$1,881,139
2018	1,138	41,281	$2,037,849
2019	1,383	48,854	$2,633,771
2020	1,169	45,142	$2,578,370
2021	1,067	40,649	$2,547,351
2022	1,211	44,096	$3,097,135
2023	1,698	55,364	$4,158,490
2024	2,464	67,552	$4,881,068

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	304	988	$87,585
2016	346	1,278	$66,940
2017	404	1,445	$48,122
2018	321	1,573	$62,511
2019	494	2,844	$95,691
2020	261	1,746	$70,826
2021	251	943	$70,442
2022	292	1,683	$106,519
2023	456	1,979	$111,660
2024	241	1,110	$69,119

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	522	620	$136
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	254	373	$77
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	375	660	$49
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	888	3,480	$41
99307	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	420	1,496	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	2,548	42,355	$878,645
Trulicity	Dulaglutide	355	5,499	$203,713
Austedo	Deutetrabenazine	42	588	$201,644
Ingrezza	Valbenazine Tosylate	45	650	$190,513
Xifaxan	Rifaximin	107	1,318	$148,686

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,052
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	23	50	$11,941
A6021	Collagen dressing, sterile, size 16 sq. in. or less, each	N	N/R	21	$11,070
A6212	Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing	N	18	32	$6,295
K0001	Standard wheelchair	Y	41	234	$4,733

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 Mazen I. Madhoun, MD?

Tedicare shows public-source Medicare data for Mazen I. Madhoun, MD (NPI 1518127927), 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 Mazen I. Madhoun, MD have ACO affiliation data?

Mazen I. Madhoun, MD is shown with ACO affiliation data for Doctors Connected (MSSP, ACO ID A4949) and Provider Partners Connect Care, LLC (REACH, ACO ID D0252).

What billing organization is linked to Mazen I. Madhoun, MD?

Mazen I. Madhoun, MD is linked to MAZEN MADHOUN MD LLC (billing NPI 1679904338) in the available physician profile data.

Does Mazen I. Madhoun, MD 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.