Physician

Rene Mario Loyola, M.D.

According to 2025 Medicare claims, Rene Loyola, M.D. (NPI: 1528066941) practices undersea and hyperbaric medicine in the Port St. Lucie, FL market, with the plurality of this provider's patient population coming from St. Lucie, FL. This provider's primary affiliated billing organization is PALM BEACH GENERAL SURGERY LLC (NPI: 1235326760; TIN: 141977089) and primary practice location at 34952-7585.

Loyola's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 52 traditional Medicare patients, billed 330 HCPCS/CPT codes, and received $18,543 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 63 prescription claims across 32 beneficiaries totaling $11,225 in drug costs, led by Santyl (Collagenase Clostridium Hist.). 2017 DME data shows 11 claims. Open Payments data shows 4 records totaling $103. 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 fallen sharply in recent years, from $148,089 to $18,543. In contrast, Part D prescription costs have moved sharply higher in recent years, from $3,844 to $11,225. 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.

Year	Patients	Clm Lines	Payment
2015	490	975	$148,089
2016	462	983	$175,931
2017	479	1,140	$183,459
2018	474	1,242	$186,697
2019	433	1,024	$158,489
2020	170	320	$53,572
2021	22	96	$6,637
2022	61	275	$16,260
2023	82	385	$18,588
2024	52	330	$18,543

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	112	186	$3,844
2016	100	173	$3,404
2017	86	140	$3,284
2018	86	128	$2,351
2019	50	83	$2,142
2020	28	37	$428
2021	N/R	N/R	N/R
2022	11	16	$861
2023	17	24	$2,032
2024	32	63	$11,225

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	13	$1,212
2017	N/R	11	$999
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$67
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	22	53	$51
11042	Removal of skin and tissue, 20.0 sq cm or less	13	34	$49
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	65	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Santyl	Collagenase Clostridium Hist.	22	782	$10,698

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$103	Smith+Nephew, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Rene Mario Loyola, M.D.?

Tedicare shows public-source Medicare data for Rene Mario Loyola, M.D. (NPI 1528066941), 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 Rene Mario Loyola, M.D. have ACO affiliation data?

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

What billing organization is linked to Rene Mario Loyola, M.D.?

Rene Mario Loyola, M.D. is linked to PALM BEACH GENERAL SURGERY LLC (billing NPI 1235326760) in the available physician profile data.

Does Rene Mario Loyola, M.D. have Open Payments data?

Rene Mario Loyola, M.D. has 4 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.