Physician

Frank La Marca, MD

According to 2025 Medicare claims, Frank Marca, MD (NPI: 1548367808) practices neurosurgery in the Jackson, MI market, with the plurality of this provider's patient population coming from Jackson, MI. This provider's primary affiliated billing organization is W.A. FOOTE MEMORIAL HOSPITAL, INC (NPI: 1396282356; TIN: 382027689) and primary practice location at 49201-1753. Marca is affiliated with the POM ACO (ACO ID: A1297), Mosaic ACO (ACO ID: A5033), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Marca's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 241 traditional Medicare patients, billed 725 HCPCS/CPT codes, and received $233,254 in Medicare payments. The top billing code was 22853 (Insertion of cage or mesh device to spine bone and disc space during spine fusion). Part D data shows 24 prescription claims across 12 beneficiaries totaling $306 in drug costs. DME data shows 22 claims. Open Payments data shows 67 records totaling $560,380. 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 moved up and down with repeated peaks and valleys, starting at $210,502 and ending at $233,254. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $4,038 to $306. For DME billing, reported payments moved sharply higher in recent years, from $572 to $92,032.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	217	574	$210,502
2016	213	642	$234,684
2017	284	766	$228,018
2018	321	1,050	$351,808
2019	308	1,097	$414,139
2020	182	521	$180,375
2021	190	718	$266,604
2022	198	563	$196,842
2023	180	570	$203,681
2024	241	725	$233,254

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	33	80	$4,038
2016	23	54	$1,470
2017	23	34	$895
2018	14	21	$237
2019	11	12	$169
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	15	23	$285
2023	43	76	$1,042
2024	12	24	$306

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	N/R	N/R
2017	N/R	N/R	N/R
2018	11	11	$476
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	23	23	$93,300
2024	22	22	$91,564

* / # = 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
22853	Insertion of cage or mesh device to spine bone and disc space during spine fusion	37	55	$199
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	40	40	$123
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$99
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	69	$98
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	38	$65

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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
E0748	Osteogenesis stimulator, electrical, non-invasive, spinal applications	N	22	22	$91,564

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	66	$560,380	Globus Medical, 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.	1	$30,447	Expanding Innovations, Inc.

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FAQ

What Medicare data is available for Frank La Marca, MD?

Tedicare shows public-source Medicare data for Frank La Marca, MD (NPI 1548367808), 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 Frank La Marca, MD have ACO affiliation data?

Frank La Marca, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297), Mosaic ACO (MSSP, ACO ID A5033), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Frank La Marca, MD?

Frank La Marca, MD is linked to W.A. FOOTE MEMORIAL HOSPITAL, INC (billing NPI 1396282356) in the available physician profile data.

Does Frank La Marca, MD have Open Payments data?

Frank La Marca, MD has 67 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.