Physician

Nicholas Loafman, D.O

According to 2025 Medicare claims, Nicholas Loafman, D.O (NPI: 1598998288) practices orthopedic surgery in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P (NPI: 1104913094; TIN: 320080721) and primary practice location at 49085-9146. Loafman is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Loafman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 371 traditional Medicare patients, billed 4,712 HCPCS/CPT codes, and received $189,571 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 1,059 prescription claims across 377 beneficiaries totaling $5,763 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 18 claims. Open Payments data shows 19 records totaling $2,354. 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 from a higher plateau to a lower plateau, from $11,708 to $5,763. 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	377	3,566	$135,638
2016	310	3,255	$151,833
2017	359	4,078	$142,559
2018	262	1,717	$110,265
2019	406	3,979	$157,608
2020	369	4,257	$137,474
2021	368	3,299	$155,091
2022	375	3,082	$163,952
2023	386	3,622	$167,593
2024	371	4,712	$189,571

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	157	404	$11,708
2016	215	1,051	$25,671
2017	239	939	$28,401
2018	156	323	$6,209
2019	243	498	$4,712
2020	238	495	$4,775
2021	241	497	$4,144
2022	260	527	$3,838
2023	342	729	$4,403
2024	377	1,059	$5,763

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	11	$645
2016	N/R	N/R	N/R
2017	13	24	$1,702
2018	12	12	$1,014
2019	24	25	$5,453
2020	29	30	$4,683
2021	12	12	$3,035
2022	23	24	$3,781
2023	N/R	N/R	N/R
2024	18	18	$1,553

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	74	74	$78
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	224	369	$63
20610	Aspiration and/or injection of fluid from large joint	176	361	$46
73564	X-ray of knee, 4 or more views	98	153	$34
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	199	1,711	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	254	1,523	$1,541
Celecoxib	Celecoxib	60	1,556	$1,211
Meloxicam	Meloxicam	175	5,426	$475
Cephalexin	Cephalexin	291	551	$462
Prochlorperazine Maleate	Prochlorperazine Maleate	56	165	$254

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
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	18	18	$1,553

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	19	$2,354	MEDACTA USA, 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 Nicholas Loafman, D.O?

Tedicare shows public-source Medicare data for Nicholas Loafman, D.O (NPI 1598998288), 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 Nicholas Loafman, D.O have ACO affiliation data?

Nicholas Loafman, D.O is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Nicholas Loafman, D.O?

Nicholas Loafman, D.O is linked to SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P (billing NPI 1104913094) in the available physician profile data.

Does Nicholas Loafman, D.O have Open Payments data?

Nicholas Loafman, D.O has 19 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.