Physician

Lyle J Onstad, MD

According to 2025 Medicare claims, Lyle Onstad, MD (NPI: 1639105968) practices family practice in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. Onstad uses personal NPI as billing NPI and primary practice location at 59405-4334. Onstad is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Onstad's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 303 traditional Medicare patients, billed 1,980 HCPCS/CPT codes, and received $105,781 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 6,183 prescription claims across 335 beneficiaries totaling $458,170 in drug costs, led by Ozempic (Semaglutide). DME data shows 622 claims. Open Payments data shows 51 records totaling $923. 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. Similarly, Part D prescription costs have changed little. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $34,294 and ending at $32,751.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	353	1,727	$80,841
2016	326	1,833	$85,258
2017	384	2,112	$101,169
2018	349	1,853	$91,962
2019	336	1,718	$90,642
2020	332	1,831	$93,445
2021	382	1,974	$117,422
2022	343	2,190	$121,655
2023	321	1,981	$106,736
2024	303	1,980	$105,781

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	254	5,173	$338,303
2016	248	5,122	$358,814
2017	268	5,268	$346,426
2018	274	5,311	$340,420
2019	281	5,195	$374,244
2020	283	5,380	$398,682
2021	310	4,955	$359,069
2022	307	5,058	$410,314
2023	306	5,146	$453,258
2024	335	6,183	$458,170

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	79	538	$33,097
2016	80	474	$16,099
2017	56	423	$11,758
2018	105	575	$18,141
2019	112	589	$17,216
2020	169	646	$24,576
2021	186	603	$23,702
2022	185	590	$21,409
2023	158	595	$26,077
2024	186	622	$22,849

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	157	157	$127
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	344	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	234	399	$54
G0444	Annual depression screening, 5 to 15 minutes	155	155	$19
G0442	Annual alcohol misuse screening, 5 to 15 minutes	169	169	$19

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	64	2,240	$71,194
Eliquis	Apixaban	67	3,305	$61,020
Jardiance	Empagliflozin	29	1,920	$34,256
Januvia	Sitagliptin Phosphate	32	1,316	$23,054
Mounjaro	Tirzepatide	14	504	$18,516

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	57	$3,897
A7032	Cushion for use on nasal mask interface, replacement only, each	N	12	37	$2,645
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	19	41	$2,220
A7030	Full face mask used with positive airway pressure device, each	N	15	29	$2,126
A7031	Face mask interface, replacement for full face mask, each	N	12	39	$1,908

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$923	PFIZER 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 Lyle J. Onstad, MD?

Tedicare shows public-source Medicare data for Lyle J. Onstad, MD (NPI 1639105968), 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 Lyle J. Onstad, MD have ACO affiliation data?

Lyle J. Onstad, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Lyle J. Onstad, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Lyle J. Onstad, MD have Open Payments data?

Lyle J. Onstad, MD has 51 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.