Physician

Michele A Holder, MD

According to 2025 Medicare claims, Michele Holder, MD (NPI: 1598741803) practices dermatology in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (NPI: 1730126392; TIN: 391127163) and primary practice location at 54952-1161. Holder is affiliated with the THEDACARE ACO (ACO ID: A4988) and Ascension Care Management Health Partners Wisconsin, LLC (ACO ID: A5329), participating under the MSSP model.

Holder's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 844 traditional Medicare patients, billed 3,549 HCPCS/CPT codes, and received $141,282 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 3,936 prescription claims across 1,308 beneficiaries totaling $778,353 in drug costs, led by Otezla (Apremilast). Open Payments data shows 1 records totaling $99. 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 $205,231 to $778,353. 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	865	5,308	$189,605
2016	856	5,912	$190,821
2017	836	5,213	$179,547
2018	911	5,417	$182,327
2019	926	4,843	$177,497
2020	842	4,172	$147,895
2021	886	4,320	$173,258
2022	953	4,095	$164,194
2023	889	3,659	$173,964
2024	844	3,549	$141,282

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	800	2,329	$205,231
2016	852	2,547	$233,777
2017	858	2,325	$165,039
2018	982	2,721	$306,184
2019	1,062	2,965	$401,514
2020	1,122	3,180	$586,364
2021	1,139	3,308	$563,268
2022	1,280	3,678	$915,415
2023	1,385	3,952	$1,180,112
2024	1,308	3,936	$778,353

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	490	$72
17110	Destruction of skin growth, 1-14 growths	209	231	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	437	514	$54
17000	Destruction of precancer skin growth, 1 growth	255	302	$32
17003	Destruction of precancer skin growth, 2-14 growths	165	770	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Otezla	Apremilast	28	840	$147,218
Humira(Cf) Pen	Adalimumab	12	336	$77,380
Dupixent Pen	Dupilumab	16	434	$60,763
Clobetasol Propionate	Clobetasol Propionate	422	10,267	$14,757
Fluorouracil	Fluorouracil	132	3,614	$10,315

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.	1	$99	Janssen Biotech, 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 Michele A. Holder, MD?

Tedicare shows public-source Medicare data for Michele A. Holder, MD (NPI 1598741803), 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 Michele A. Holder, MD have ACO affiliation data?

Michele A. Holder, MD is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988) and Ascension Care Management Health Partners Wisconsin, LLC (MSSP, ACO ID A5329).

What billing organization is linked to Michele A. Holder, MD?

Michele A. Holder, MD is linked to ASCENSION MEDICAL GROUP-FOX VALLEY WISCONSIN, INC (billing NPI 1730126392) in the available physician profile data.

Does Michele A. Holder, MD have Open Payments data?

Michele A. Holder, MD has 1 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.