Physician

James Richard Palen, M.D.

According to 2025 Medicare claims, James Palen, M.D. (NPI: 1598902728) practices family practice in the Cape Girardeau, MO-IL market, with the plurality of this provider's patient population coming from Cape Girardeau, MO. This provider's primary affiliated billing organization is RIVERSIDE FAMILY MEDICINE PC (NPI: 1255610150; TIN: 452949570) and primary practice location at 63703-6364. Palen is affiliated with the Aledade 201 National MSSP (ACO ID: A5522) and Quality Health Partners, LLC (ACO ID: A5553), participating under the MSSP model.

Palen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 450 traditional Medicare patients, billed 5,249 HCPCS/CPT codes, and received $262,760 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 27,329 prescription claims across 670 beneficiaries totaling $2,274,233 in drug costs, led by Eliquis (Apixaban). DME data shows 331 claims. Open Payments data shows 79 records totaling $1,569. 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 risen steadily, from $856,026 to $2,274,233. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $73,718 to $34,880.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	680	4,883	$331,729
2016	658	4,112	$285,720
2017	719	4,244	$281,923
2018	844	5,777	$348,047
2019	655	5,718	$308,698
2020	525	4,475	$247,814
2021	471	4,360	$252,235
2022	447	3,580	$207,952
2023	440	4,091	$249,925
2024	450	5,249	$262,760

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	440	13,782	$856,026
2016	456	16,534	$1,032,766
2017	519	18,406	$1,117,621
2018	707	26,348	$1,618,482
2019	689	30,392	$2,037,475
2020	542	22,999	$1,488,440
2021	497	18,932	$1,206,511
2022	529	18,903	$1,420,060
2023	583	22,212	$1,916,560
2024	670	27,329	$2,274,233

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	69	338	$17,570
2016	83	514	$16,726
2017	86	672	$19,582
2018	157	637	$17,179
2019	104	566	$17,515
2020	56	532	$25,145
2021	70	416	$21,462
2022	12	346	$17,706
2023	N/R	321	$16,526
2024	14	331	$34,247

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	126	170	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	213	941	$75
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	194	1,160	$48
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	263	1,103	$43
G2211	Visit 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's	192	776	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	349	6,427	$134,613
Mounjaro	Tirzepatide	111	3,352	$130,213
Ozempic	Semaglutide	96	3,493	$103,447
Austedo	Deutetrabenazine	24	459	$92,619
Xarelto	Rivaroxaban	229	3,863	$76,534

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$11,422
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	14	73	$7,023
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	24	$6,115
K0823	Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds	Y	N/R	11	$1,891
B4036	Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	14	$1,676

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	79	$1,569	ABBVIE 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 James Richard Palen, M.D.?

Tedicare shows public-source Medicare data for James Richard Palen, M.D. (NPI 1598902728), 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 James Richard Palen, M.D. have ACO affiliation data?

James Richard Palen, M.D. is shown with ACO affiliation data for Aledade 201 National MSSP (MSSP, ACO ID A5522) and Quality Health Partners, LLC (MSSP, ACO ID A5553).

What billing organization is linked to James Richard Palen, M.D.?

James Richard Palen, M.D. is linked to RIVERSIDE FAMILY MEDICINE PC (billing NPI 1255610150) in the available physician profile data.

Does James Richard Palen, M.D. have Open Payments data?

James Richard Palen, M.D. has 79 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.