Physician

Alfredo Jose Mena Lora, M.D.

According to 2025 Medicare claims, Alfredo Lora, M.D. (NPI: 1639307283) practices infectious disease in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is SAINT ANTHONY HEALTH AFFILIATES (NPI: 1881086064; TIN: 364340137) and primary practice location at 60623-3501.

Lora's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 94 traditional Medicare patients, billed 125 HCPCS/CPT codes, and received $10,389 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 232 prescription claims across 30 beneficiaries totaling $597,317 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). 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 moved from a higher plateau to a lower plateau, from $23,391 to $10,389. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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$25K$49K2015 Medicare payment: $23,391 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $46,051 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $49,096 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $46,999 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $16,567 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $22,243 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $10,311 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $22,414 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $17,937 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $10,389 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015118320$23,391
2016230583$46,051
2017218621$49,096
2018254615$46,999
2019119219$16,567
2020157271$22,243
202179142$10,311
2022150293$22,414
2023115208$17,937
202494125$10,389

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$557K$1.1M2015 Drug cost: $293,752 (USD; Tot_Drug_Cst)2016 Drug cost: $532,210 (USD; Tot_Drug_Cst)2017 Drug cost: $885,611 (USD; Tot_Drug_Cst)2018 Drug cost: $1,114,074 (USD; Tot_Drug_Cst)2019 Drug cost: $889,305 (USD; Tot_Drug_Cst)2020 Drug cost: $763,558 (USD; Tot_Drug_Cst)2021 Drug cost: $620,140 (USD; Tot_Drug_Cst)2022 Drug cost: $455,667 (USD; Tot_Drug_Cst)2023 Drug cost: $555,974 (USD; Tot_Drug_Cst)2024 Drug cost: $597,317 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201533404$293,752
201654640$532,210
201751880$885,611
201857958$1,114,074
201944684$889,305
202037554$763,558
202132403$620,140
202228275$455,667
202329252$555,974
202430232$597,317

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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2323$108
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1824$97
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1515$69
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1723$45

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BiktarvyBictegrav/Emtricit/Tenofov Ala391,350$169,205
CabenuvaCabotegravir/Rilpivirine221,068$163,833
TriumeqAbacavir/Dolutegravir/Lamivudi22660$84,994
JulucaDolutegravir/Rilpivirine15450$53,733
IsentressRaltegravir Potassium15450$32,810

Top 5 DME services in 2024

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

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 Alfredo Jose Mena Lora, M.D.?

Tedicare shows public-source Medicare data for Alfredo Jose Mena Lora, M.D. (NPI 1639307283), 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 Alfredo Jose Mena Lora, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Alfredo Jose Mena Lora, M.D.?

Alfredo Jose Mena Lora, M.D. is linked to SAINT ANTHONY HEALTH AFFILIATES (billing NPI 1881086064) in the available physician profile data.

Does Alfredo Jose Mena Lora, M.D. 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.