Physician

David Henry Daniels, M.D.

According to 2025 Medicare claims, David Daniels, M.D. (NPI: 1538394952) practices urology in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is SIOUXLAND UROLOGY ASSOCIATES PC (NPI: 1366462814; TIN: 420982360) and primary practice location at 57049-5327. Daniels is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Bryan Health Connect ACO, LLC (ACO ID: A4573), and UnityPoint Accountable Care, L.C. (ACO ID: A5170), participating under the MSSP model.

Daniels' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 673 traditional Medicare patients, billed 27,175 HCPCS/CPT codes, and received $334,909 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 2,617 prescription claims across 600 beneficiaries totaling $1,316,426 in drug costs, led by Xtandi (Enzalutamide). DME data shows 245 claims. Open Payments data shows 37 records totaling $531. 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 $29,378 to $1,316,426. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $404 and ending at $232.

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$189K$378K2015 Medicare payment: $204,947 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $299,290 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $307,508 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $348,718 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $344,007 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $311,158 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $370,645 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $345,886 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $378,329 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $334,909 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201561514,158$204,947
201677719,147$299,290
201779022,937$307,508
201883627,216$348,718
201987932,383$344,007
202078119,631$311,158
202175929,474$370,645
202277922,235$345,886
202381025,451$378,329
202467327,175$334,909

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$658K$1.3M2015 Drug cost: $29,378 (USD; Tot_Drug_Cst)2016 Drug cost: $44,870 (USD; Tot_Drug_Cst)2017 Drug cost: $72,291 (USD; Tot_Drug_Cst)2018 Drug cost: $137,795 (USD; Tot_Drug_Cst)2019 Drug cost: $281,661 (USD; Tot_Drug_Cst)2020 Drug cost: $322,926 (USD; Tot_Drug_Cst)2021 Drug cost: $337,835 (USD; Tot_Drug_Cst)2022 Drug cost: $261,970 (USD; Tot_Drug_Cst)2023 Drug cost: $742,657 (USD; Tot_Drug_Cst)2024 Drug cost: $1,316,426 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015130474$29,378
2016210693$44,870
20173341,286$72,291
20183731,565$137,795
20193961,629$281,661
20204762,151$322,926
20215262,362$337,835
20225192,248$261,970
20235362,242$742,657
20246002,617$1,316,426

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$36K$72K2015 Medicare payment: $6,388 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $15,653 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $11,156 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $12,009 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $20,246 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $18,423 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $27,827 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $36,595 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $52,638 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $71,531 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R33$6,388
2016N/R95$15,653
2017N/R87$11,156
2018N/R95$12,009
2019N/R140$20,246
2020N/R84$18,423
2021N/R111$27,827
2022N/R181$36,595
202312273$52,638
202423245$71,531

* / # = 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 more356476$86
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's341410$12
36415Insertion of needle into vein for collection of blood sample197291$8
51798Ultrasound measurement of bladder capacity after voiding294347$8
81003Automated urinalysis test192259$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XtandiEnzalutamide471,410$643,259
ErleadaApalutamide15450$218,892
NubeqaDarolutamide13390$179,993
MyrbetriqMirabegron1936,062$92,072
OrgovyxRelugolix27810$69,393

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachN1179$62,291
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R25$7,580
A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachN1242$486
A4340Indwelling catheter; specialty type, (e.g., coude, mushroom, wing, etc.), eachNN/R31$382
A4358Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, eachNN/R36$284

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.37$531Sumitomo Pharma America, 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 David Henry Daniels, M.D.?

Tedicare shows public-source Medicare data for David Henry Daniels, M.D. (NPI 1538394952), 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 David Henry Daniels, M.D. have ACO affiliation data?

David Henry Daniels, M.D. is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573), and UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170).

What billing organization is linked to David Henry Daniels, M.D.?

David Henry Daniels, M.D. is linked to SIOUXLAND UROLOGY ASSOCIATES PC (billing NPI 1366462814) in the available physician profile data.

Does David Henry Daniels, M.D. have Open Payments data?

David Henry Daniels, M.D. has 37 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.