Physician

Daniel Paul Lupash, M.D.

According to 2025 Medicare claims, Daniel Lupash, M.D. (NPI: 1619154135) practices rheumatology in the Ogden, UT market, with the plurality of this provider's patient population coming from Weber, UT. This provider's primary affiliated billing organization is IHC HEALTH SERVICES, INC (NPI: 1396773834; TIN: 94-2854057) and primary practice location at 84403-3288. Lupash is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), MountainStar Care Partners ACO (ACO ID: A5181), and Castell Accountable Care, LLC (ACO ID: D0136), participating under both the MSSP and REACH models.

Lupash's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 184 traditional Medicare patients, billed 32,504 HCPCS/CPT codes, and received $661,852 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,267 prescription claims across 211 beneficiaries totaling $1,411,044 in drug costs, led by Enbrel (Etanercept). Open Payments data shows 1 records totaling $125. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $330,668 to $1,411,044. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$697K$1.4M2015 Medicare payment: $765,103 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $920,846 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,078,951 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,184,469 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,394,146 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,176,878 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,089,128 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $886,650 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $732,915 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $661,852 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201529234,288$765,103
201631436,451$920,846
201725139,802$1,078,951
201825043,667$1,184,469
201923759,354$1,394,146
202021750,959$1,176,878
202121344,172$1,089,128
202221435,330$886,650
202320529,436$732,915
202418432,504$661,852

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$706K$1.4M2015 Drug cost: $330,668 (USD; Tot_Drug_Cst)2016 Drug cost: $507,099 (USD; Tot_Drug_Cst)2017 Drug cost: $416,403 (USD; Tot_Drug_Cst)2018 Drug cost: $453,232 (USD; Tot_Drug_Cst)2019 Drug cost: $568,999 (USD; Tot_Drug_Cst)2020 Drug cost: $588,868 (USD; Tot_Drug_Cst)2021 Drug cost: $598,293 (USD; Tot_Drug_Cst)2022 Drug cost: $756,772 (USD; Tot_Drug_Cst)2023 Drug cost: $832,175 (USD; Tot_Drug_Cst)2024 Drug cost: $1,411,044 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151741,108$330,668
20161791,144$507,099
20171521,021$416,403
20181631,084$453,232
20191681,105$568,999
20201771,048$588,868
2021162948$598,293
2022162948$756,772
20231611,031$832,175
20242111,267$1,411,044

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more87156$129
96413Administration of chemotherapy into vein, 1 hour or less35189$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more166390$81
G2211Visit 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's110220$12
36415Insertion of needle into vein for collection of blood sample101205$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EnbrelEtanercept311,316$348,563
Enbrel SureclickEtanercept351,204$334,307
RinvoqUpadacitinib16480$100,415
OrenciaAbatacept14392$89,960
Humira PenAdalimumab12336$76,255

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$125UCB, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Daniel Paul Lupash, M.D.?

Tedicare shows public-source Medicare data for Daniel Paul Lupash, M.D. (NPI 1619154135), 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 Daniel Paul Lupash, M.D. have ACO affiliation data?

Daniel Paul Lupash, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), MountainStar Care Partners ACO (MSSP, ACO ID A5181), and Castell Accountable Care, LLC (REACH, ACO ID D0136).

What billing organization is linked to Daniel Paul Lupash, M.D.?

Daniel Paul Lupash, M.D. is linked to IHC HEALTH SERVICES, INC (billing NPI 1396773834) in the available physician profile data.

Does Daniel Paul Lupash, M.D. have Open Payments data?

Daniel Paul Lupash, M.D. 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.