Physician

Peter J Franta, MD

According to 2025 Medicare claims, Peter Franta, MD (NPI: 1619967155) practices family practice in the La Crosse-Onalaska, WI-MN market, with the plurality of this provider's patient population coming from Houston, MN. This provider's primary affiliated billing organization is MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. (NPI: 1629056049; TIN: 390806374) and primary practice location at 54601-8806. Franta is affiliated with the Mayo Clinic Community ACO, LLC (ACO ID: A4617), Gundersen ACO (ACO ID: A5094), Caravan Health ACO 50 LLC (ACO ID: A5160), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Franta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 390 traditional Medicare patients, billed 1,339 HCPCS/CPT codes, and received $85,579 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 11,100 prescription claims across 731 beneficiaries totaling $866,775 in drug costs, led by Eliquis (Apixaban). DME data shows 38 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 $46,468 to $85,579. Similarly, Part D prescription costs have moved sharply higher in recent years, from $335,894 to $866,775. In contrast, DME billing represents a smaller volume and rose steadily, from $2,683 to $6,120.

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$43K$86K2015 Medicare payment: $46,468 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $43,776 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $52,887 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $55,837 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $63,611 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $52,634 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $70,948 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $83,923 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $83,794 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $85,579 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015263994$46,468
2016278954$43,776
2017281957$52,887
20182891,053$55,837
20193161,137$63,611
2020326992$52,634
2021348994$70,948
20223571,129$83,923
20233581,099$83,794
20243901,339$85,579

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$433K$867K2015 Drug cost: $335,894 (USD; Tot_Drug_Cst)2016 Drug cost: $326,649 (USD; Tot_Drug_Cst)2017 Drug cost: $313,313 (USD; Tot_Drug_Cst)2018 Drug cost: $386,000 (USD; Tot_Drug_Cst)2019 Drug cost: $440,659 (USD; Tot_Drug_Cst)2020 Drug cost: $540,913 (USD; Tot_Drug_Cst)2021 Drug cost: $607,907 (USD; Tot_Drug_Cst)2022 Drug cost: $627,793 (USD; Tot_Drug_Cst)2023 Drug cost: $792,407 (USD; Tot_Drug_Cst)2024 Drug cost: $866,775 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153268,407$335,894
20163408,670$326,649
20173738,432$313,313
20184169,126$386,000
20194469,796$440,659
20205199,674$540,913
20215668,650$607,907
20225838,741$627,793
20236749,988$792,407
202473111,100$866,775

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.1K$4.2K2015 Medicare payment: $1,000 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $685 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $578 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $743 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $1,218 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,201 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,082 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,782 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $4,199 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $233 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151874$1,000
20161871$685
20173270$578
20183876$743
20191584$1,218
202033131$3,201
202116102$3,082
202227110$2,782
2023N/R86$4,199
20241438$233

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit186186$131
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more5866$108
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more262416$66
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more175226$43
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's178281$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban2568,966$175,499
JardianceEmpagliflozin1285,200$103,275
XareltoRivaroxaban672,824$52,852
OzempicSemaglutide381,360$45,734
XifaxanRifaximin13351$38,274

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1424$219
A4259Lancets, per box of 100NN/R14$15

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Peter J. Franta, MD?

Tedicare shows public-source Medicare data for Peter J. Franta, MD (NPI 1619967155), 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 Peter J. Franta, MD have ACO affiliation data?

Peter J. Franta, MD is shown with ACO affiliation data for Mayo Clinic Community ACO, LLC (MSSP, ACO ID A4617), Gundersen ACO (MSSP, ACO ID A5094), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Peter J. Franta, MD?

Peter J. Franta, MD is linked to MAYO CLINIC HEALTH SYSTEM-SOUTHWEST WISCONSIN REGION, INC. (billing NPI 1629056049) in the available physician profile data.

Does Peter J. Franta, MD 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.