Physician

Marc J Mihalko, M.D.

According to 2025 Medicare claims, Marc Mihalko, M.D. (NPI: 1568459345) practices orthopedic surgery in the Memphis, TN-MS-AR market, with the plurality of this provider's patient population coming from De Soto, MS. This provider's primary affiliated billing organization is CAMPBELL CLINIC, PC (NPI: 1003835141; TIN: 620811256) and primary practice location at 38671-5806. Mihalko is affiliated with the Aledade 155 National MSSP (ACO ID: A5358), participating under the MSSP model.

Mihalko's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,187 traditional Medicare patients, billed 64,628 HCPCS/CPT codes, and received $321,084 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 919 prescription claims across 322 beneficiaries totaling $5,488 in drug costs, led by Ondansetron Odt (Ondansetron). DME data shows 137 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 has risen steadily, from $187,865 to $321,084. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,371 and ending at $5,488. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $4,902 and ending at $6,705.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	780	6,680	$187,865
2016	1,041	7,369	$218,549
2017	1,168	8,046	$238,205
2018	1,157	9,382	$267,257
2019	1,370	11,975	$327,757
2020	1,134	8,569	$265,293
2021	1,231	10,170	$330,532
2022	1,305	11,614	$375,924
2023	1,284	11,324	$373,582
2024	1,187	64,628	$321,084

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	216	483	$5,371
2016	272	685	$6,748
2017	292	659	$4,168
2018	276	727	$5,260
2019	311	870	$4,892
2020	294	754	$4,563
2021	292	790	$4,494
2022	333	1,038	$7,174
2023	336	932	$6,091
2024	322	919	$5,488

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	46	47	$11,109
2016	58	72	$4,525
2017	78	81	$6,404
2018	104	104	$7,971
2019	157	180	$10,681
2020	76	77	$4,355
2021	120	120	$8,275
2022	140	140	$9,462
2023	148	162	$10,859
2024	101	137	$10,344

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	356	448	$55
20610	Aspiration and/or injection of fluid from large joint	480	982	$47
73562	X-ray of knee, 3 views	374	551	$25
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	403	1,024	$16
J1010	Injection, methylprednisolone acetate, 1 mg	380	55,423	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ondansetron Odt	Ondansetron	56	381	$755
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	97	594	$738
Methylprednisolone	Methylprednisolone	115	719	$669
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	75	381	$447
Tramadol Hcl	Tramadol Hcl	175	1,035	$390

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
L1820	Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise	N	26	26	$3,100
L1830	Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf	N	37	37	$2,756
K0825	Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds	Y	N/R	11	$2,234
E0143	Walker, folding, wheeled, adjustable or fixed height	N	38	38	$1,868
K0001	Standard wheelchair	Y	N/R	14	$254

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 Marc J. Mihalko, M.D.?

Tedicare shows public-source Medicare data for Marc J. Mihalko, M.D. (NPI 1568459345), 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 Marc J. Mihalko, M.D. have ACO affiliation data?

Marc J. Mihalko, M.D. is shown with ACO affiliation data for Aledade 155 National MSSP (MSSP, ACO ID A5358).

What billing organization is linked to Marc J. Mihalko, M.D.?

Marc J. Mihalko, M.D. is linked to CAMPBELL CLINIC, PC (billing NPI 1003835141) in the available physician profile data.

Does Marc J. Mihalko, M.D. 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.