Physician

Markus Ploesser, MD

According to 2025 Medicare claims, Markus Ploesser, MD (NPI: 1669662755) practices psychiatry in the San Diego-Chula Vista-Carlsbad, CA market, with the plurality of this provider's patient population coming from San Diego, CA. This provider's primary affiliated billing organization is DATNGUYEN MD INC (NPI: 1215977723; TIN: 83-0450889) and primary practice location at 92103-4913. Ploesser is affiliated with the Care Partners ACO, LLC (ACO ID: A5350), participating under the MSSP model.

Ploesser's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,131 traditional Medicare patients, billed 17,626 HCPCS/CPT codes, and received $1,085,746 in Medicare payments. The top billing code was 90792 (Psychiatric diagnostic evaluation with medical services). Part D data shows 742 prescription claims across 70 beneficiaries totaling $214,019 in drug costs, led by Lybalvi (Olanzapine/Samidorphan Malate). Open Payments data shows 104 records totaling $34,747. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. 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$543K$1.1M2021 Medicare payment: $25,366 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $84,816 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $265,530 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,085,746 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
202128422$25,366
2022128832$84,816
20233865,092$265,530
20241,13117,626$1,085,746

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$251K$502K2017 Drug cost: $48,185 (USD; Tot_Drug_Cst)2018 Drug cost: $178,260 (USD; Tot_Drug_Cst)2019 Drug cost: $501,931 (USD; Tot_Drug_Cst)2020 Drug cost: $478,285 (USD; Tot_Drug_Cst)2021 Drug cost: $273,617 (USD; Tot_Drug_Cst)2022 Drug cost: $314,708 (USD; Tot_Drug_Cst)2023 Drug cost: $324,320 (USD; Tot_Drug_Cst)2024 Drug cost: $214,019 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
201774453$48,185
20181111,016$178,260
20191301,569$501,931
20201421,568$478,285
20211101,330$273,617
20221091,365$314,708
202383841$324,320
202470742$214,019

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
90792Psychiatric diagnostic evaluation with medical services281286$144
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes3372,091$126
90791Psychiatric diagnostic evaluation582605$117
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes4922,609$89
90833Psychotherapy with evaluation and management visit, 30 minutes8063,809$54

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LybalviOlanzapine/Samidorphan Malate501,500$76,224
UzedyRisperidone16644$55,853
VivitrolNaltrexone Microspheres11324$18,419
AripiprazoleAripiprazole341,020$2,744
Bupropion XlBupropion Hcl702,100$1,205

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.104$34,747Alkermes, 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 Markus Ploesser, MD?

Tedicare shows public-source Medicare data for Markus Ploesser, MD (NPI 1669662755), 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 Markus Ploesser, MD have ACO affiliation data?

Markus Ploesser, MD is shown with ACO affiliation data for Care Partners ACO, LLC (MSSP, ACO ID A5350).

What billing organization is linked to Markus Ploesser, MD?

Markus Ploesser, MD is linked to DATNGUYEN MD INC (billing NPI 1215977723) in the available physician profile data.

Does Markus Ploesser, MD have Open Payments data?

Markus Ploesser, MD has 104 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.