Physician

Gary A Knudson, MD

According to 2025 Medicare claims, Gary Knudson, MD (NPI: 1700813441) practices orthopedic surgery in the Waterloo-Cedar Falls, IA market, with the plurality of this provider's patient population coming from Black Hawk, IA. This provider's primary affiliated billing organization is COVENANT MEDICAL CENTER INC (NPI: 1548288160; TIN: 421264647) and primary practice location at 50702-5401. Knudson is affiliated with the Genesis Accountable Care Organization, LLC. (ACO ID: A4799), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), Main Street Rural Health Willow ACO LLC (ACO ID: A5404), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Knudson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 513 traditional Medicare patients, billed 1,892 HCPCS/CPT codes, and received $137,158 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 125 prescription claims across 67 beneficiaries totaling $253 in drug costs, led by Amoxicillin (Amoxicillin). 2022 DME data shows 11 claims. Open Payments data shows 15 records totaling $384. 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. Concurrently, Part D prescription costs have fallen sharply in recent years, from $4,374 to $253. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $2,393 and ending at $3,918.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	593	2,718	$178,372
2016	571	2,531	$185,126
2017	573	2,266	$171,671
2018	563	2,429	$172,379
2019	504	2,297	$157,946
2020	403	1,828	$135,411
2021	448	2,195	$157,888
2022	413	1,673	$134,927
2023	401	1,599	$143,548
2024	513	1,892	$137,158

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	122	229	$4,374
2016	144	261	$6,121
2017	146	289	$6,632
2018	172	320	$6,931
2019	72	133	$2,367
2020	63	93	$710
2021	73	111	$901
2022	81	147	$1,739
2023	72	139	$255
2024	67	125	$253

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	35	38	$1,967
2016	27	27	$1,373
2017	11	11	$503
2018	27	27	$3,954
2019	46	46	$8,807
2020	N/R	11	$87
2021	N/R	N/R	N/R
2022	11	11	$3,199
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	97	97	$79
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	300	$66
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	170	209	$44
20610	Aspiration and/or injection of fluid from large joint	223	356	$31
73564	X-ray of knee, 4 or more views	111	136	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Amoxicillin	Amoxicillin	86	136	$95
Clindamycin Hcl	Clindamycin Hcl	24	29	$17

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$384	DePuy Synthes Sales 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 Gary A. Knudson, MD?

Tedicare shows public-source Medicare data for Gary A. Knudson, MD (NPI 1700813441), 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 Gary A. Knudson, MD have ACO affiliation data?

Gary A. Knudson, MD is shown with ACO affiliation data for Genesis Accountable Care Organization, LLC. (MSSP, ACO ID A4799), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), Main Street Rural Health Willow ACO LLC (MSSP, ACO ID A5404), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Gary A. Knudson, MD?

Gary A. Knudson, MD is linked to COVENANT MEDICAL CENTER INC (billing NPI 1548288160) in the available physician profile data.

Does Gary A. Knudson, MD have Open Payments data?

Gary A. Knudson, MD has 15 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.