Physician

Justin W Mansfield, M.D.

According to 2025 Medicare claims, Justin Mansfield, M.D. (NPI: 1699707059) practices internal medicine in the Ogden, UT market, with the plurality of this provider's patient population coming from Weber, UT. This provider's primary affiliated billing organization is TANNER MEMORIAL CLINIC (NPI: 1447239355; TIN: 870218917) and primary practice location at 84041-5356. Mansfield is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Aledade 48 National MSSP (ACO ID: A4671), Aledade 57 Western Sky MSSP Enhanced (ACO ID: A4756), Aledade 201 National MSSP (ACO ID: A5522), and Advanced Illness Partners, LLC (ACO ID: D0097), participating under both the MSSP and REACH models.

Mansfield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 906 traditional Medicare patients, billed 42,785 HCPCS/CPT codes, and received $408,192 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 12,880 prescription claims across 811 beneficiaries totaling $1,081,687 in drug costs, led by Ozempic (Semaglutide). DME data shows 486 claims. Open Payments data shows 184 records totaling $809,442. 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 sharply higher in recent years, from $124,068 to $408,192. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $48,102 and ending at $42,807.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	588	3,130	$124,068
2016	713	25,315	$221,856
2017	870	59,656	$270,819
2018	1,040	68,535	$354,282
2019	1,023	55,114	$317,150
2020	1,329	56,752	$485,671
2021	755	42,308	$281,461
2022	1,200	40,411	$639,796
2023	1,356	46,873	$734,153
2024	906	42,785	$408,192

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	621	9,280	$729,334
2016	760	10,829	$852,817
2017	841	16,293	$1,045,728
2018	929	21,114	$1,401,778
2019	910	20,504	$1,490,864
2020	773	11,455	$972,279
2021	713	11,166	$1,046,879
2022	678	11,283	$1,044,118
2023	690	11,416	$1,055,876
2024	811	12,880	$1,081,687

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	170	704	$41,861
2016	158	583	$30,632
2017	98	458	$15,172
2018	223	793	$26,016
2019	242	948	$42,865
2020	199	824	$46,309
2021	165	613	$31,822
2022	142	525	$32,300
2023	88	364	$23,780
2024	95	486	$39,686

* / # = 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	371	371	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	415	700	$82
80053	Blood test, comprehensive group of blood chemicals	337	373	$10
83036	Hemoglobin a1c level	354	538	$10
36415	Insertion of needle into vein for collection of blood sample	355	455	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	48	2,688	$92,381
Xarelto	Rivaroxaban	69	4,662	$84,930
Eliquis	Apixaban	83	3,846	$74,285
Myrbetriq	Mirabegron	64	3,660	$55,031
Linzess	Linaclotide	37	1,970	$33,497

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	14	90	$22,879
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	63	$4,178
A7031	Face mask interface, replacement for full face mask, each	N	11	25	$2,148
A7030	Full face mask used with positive airway pressure device, each	N	N/R	25	$2,005
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	16	36	$1,319

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	150	$2,444	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	34	$806,998	ModernaTX, Inc.
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 Justin W. Mansfield, M.D.?

Tedicare shows public-source Medicare data for Justin W. Mansfield, M.D. (NPI 1699707059), 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 Justin W. Mansfield, M.D. have ACO affiliation data?

Justin W. Mansfield, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Aledade 48 National MSSP (MSSP, ACO ID A4671), Aledade 57 Western Sky MSSP Enhanced (MSSP, ACO ID A4756), Aledade 201 National MSSP (MSSP, ACO ID A5522), and Advanced Illness Partners, LLC (REACH, ACO ID D0097).

What billing organization is linked to Justin W. Mansfield, M.D.?

Justin W. Mansfield, M.D. is linked to TANNER MEMORIAL CLINIC (billing NPI 1447239355) in the available physician profile data.

Does Justin W. Mansfield, M.D. have Open Payments data?

Justin W. Mansfield, M.D. has 184 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.