Physician

Yeshitila Gugsa Mengesha, MD

According to 2025 Medicare claims, Yeshitila Mengesha, MD (NPI: 1518298728) practices gastroenterology in the Bismarck, ND market, with the plurality of this provider's patient population coming from Burleigh, ND. This provider's primary affiliated billing organization is SANFORD BISMARCK (NPI: 1811941172; TIN: 450226700) and primary practice location at 58501-4439. Mengesha is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Mengesha's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 866 traditional Medicare patients, billed 1,289 HCPCS/CPT codes, and received $153,998 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 1,207 prescription claims across 782 beneficiaries totaling $825,888 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 12 records totaling $198. 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 $65,939 to $153,998. Similarly, Part D prescription costs have risen steadily, from $44,792 to $825,888. 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$77K$154K2015 Medicare payment: $65,939 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $80,330 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $90,905 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $108,553 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $110,235 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $131,073 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $138,711 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $135,671 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $132,301 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $153,998 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015301700$65,939
2016370880$80,330
20175021,127$90,905
20186281,258$108,553
20196061,224$110,235
20207041,446$131,073
20217571,506$138,711
20227271,484$135,671
20237091,363$132,301
20248661,289$153,998

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$413K$826K2015 Drug cost: $44,792 (USD; Tot_Drug_Cst)2016 Drug cost: $106,468 (USD; Tot_Drug_Cst)2017 Drug cost: $135,450 (USD; Tot_Drug_Cst)2018 Drug cost: $93,588 (USD; Tot_Drug_Cst)2019 Drug cost: $198,971 (USD; Tot_Drug_Cst)2020 Drug cost: $162,083 (USD; Tot_Drug_Cst)2021 Drug cost: $214,030 (USD; Tot_Drug_Cst)2022 Drug cost: $510,714 (USD; Tot_Drug_Cst)2023 Drug cost: $638,377 (USD; Tot_Drug_Cst)2024 Drug cost: $825,888 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015194403$44,792
2016179439$106,468
2017218512$135,450
2018267634$93,588
2019295722$198,971
2020334867$162,083
2021370930$214,030
2022423932$510,714
20235521,085$638,377
20247821,207$825,888

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 snare418422$185
45380Biopsy of large bowel using a flexible endoscope7879$86
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope111115$76
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope136140$73
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6567$44

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab13364$94,979
LinzessLinaclotide251,020$17,810
Octreotide AcetateOctreotide Acetate12360$10,368
Gavilyte-GPeg3350/Sod Sulf,bicarb,cl/Kcl408455$7,666
UrsodiolUrsodiol23859$4,347

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.12$198ABBVIE 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 Yeshitila Gugsa Mengesha, MD?

Tedicare shows public-source Medicare data for Yeshitila Gugsa Mengesha, MD (NPI 1518298728), 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 Yeshitila Gugsa Mengesha, MD have ACO affiliation data?

Yeshitila Gugsa Mengesha, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Yeshitila Gugsa Mengesha, MD?

Yeshitila Gugsa Mengesha, MD is linked to SANFORD BISMARCK (billing NPI 1811941172) in the available physician profile data.

Does Yeshitila Gugsa Mengesha, MD have Open Payments data?

Yeshitila Gugsa Mengesha, MD has 12 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.