Physician

Derek Semaan, M.D

According to 2025 Medicare claims, Derek Semaan, M.D (NPI: 1679922876) practices orthopedic surgery in the Jackson, MI market, with the plurality of this provider's patient population coming from Jackson, MI. This provider's primary affiliated billing organization is W.A. FOOTE MEMORIAL HOSPITAL, INC (NPI: 1356888549; TIN: 382027689) and primary practice location at 49201-1753. Semaan is affiliated with the POM ACO (ACO ID: A1297), Healthcare Solutions Network (ACO ID: A3283), and Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Semaan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 276 traditional Medicare patients, billed 612 HCPCS/CPT codes, and received $136,438 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 263 prescription claims across 119 beneficiaries totaling $2,153 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). DME data shows 39 claims. Open Payments data shows 4 records totaling $136. 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 have moved up and down with repeated peaks and valleys, starting at $2,983 and ending at $2,153. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	125	156	$17,280
2022	177	224	$31,049
2023	186	388	$90,068
2024	276	612	$136,438

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	13	20	$2,983
2017	36	60	$2,018
2018	17	19	$192
2019	17	25	$565
2020	16	18	$382
2021	14	22	$839
2022	57	194	$4,100
2023	104	231	$2,078
2024	119	263	$2,153

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	18	18	$1,138
2024	39	39	$1,911

* / # = 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
27447	Replacement of knee joint, both sides of knee	41	42	$967
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$87
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	139	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	85	102	$47
20610	Aspiration and/or injection of fluid from large joint	91	146	$39

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone Hcl	Oxycodone Hcl	66	385	$362
Meloxicam	Meloxicam	66	2,340	$177
Acetaminophen-Codeine	Acetaminophen With Codeine	12	64	$88
Celecoxib	Celecoxib	12	344	$77
Cephalexin	Cephalexin	12	91	$45

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
E0143	Walker, folding, wheeled, adjustable or fixed height	N	39	39	$1,911

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$136	Zimmer Biomet Holdings, 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 Derek Semaan, M.D?

Tedicare shows public-source Medicare data for Derek Semaan, M.D (NPI 1679922876), 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 Derek Semaan, M.D have ACO affiliation data?

Derek Semaan, M.D is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297), Healthcare Solutions Network (MSSP, ACO ID A3283), and Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Derek Semaan, M.D?

Derek Semaan, M.D is linked to W.A. FOOTE MEMORIAL HOSPITAL, INC (billing NPI 1356888549) in the available physician profile data.

Does Derek Semaan, M.D have Open Payments data?

Derek Semaan, M.D has 4 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.