Physician

Sonya R Eiben, MD

According to 2025 Medicare claims, Sonya Eiben, MD (NPI: 1710916812) practices internal medicine in the Appleton, WI market, with the plurality of this provider's patient population coming from Outagamie, WI. This provider's primary affiliated billing organization is PRIMARY CARE ASSOCIATES OF APPLETON, LTD (NPI: 1659305654; TIN: 391988565) and primary practice location at 54913-6957. Eiben is affiliated with the THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Eiben's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 316 traditional Medicare patients, billed 8,774 HCPCS/CPT codes, and received $165,610 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 14,148 prescription claims across 916 beneficiaries totaling $1,090,923 in drug costs, led by Eliquis (Apixaban). DME data shows 37 claims. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $756,023 to $1,090,923. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $5,154 and ending at $9,369.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	296	9,500	$141,567
2016	300	8,209	$129,738
2017	319	8,849	$131,836
2018	351	7,437	$145,214
2019	342	8,517	$141,075
2020	334	7,549	$123,719
2021	383	7,636	$149,679
2022	325	7,808	$145,687
2023	310	7,139	$146,923
2024	316	8,774	$165,610

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	670	12,198	$756,023
2016	741	12,962	$781,923
2017	767	13,089	$744,012
2018	830	13,228	$732,552
2019	834	13,094	$795,445
2020	866	13,321	$805,036
2021	866	12,560	$826,747
2022	856	13,010	$890,478
2023	877	13,578	$1,101,484
2024	916	14,148	$1,090,923

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	28	137	$2,475
2016	24	135	$2,319
2017	19	141	$4,009
2018	22	166	$7,371
2019	25	174	$4,334
2020	18	109	$1,925
2021	17	84	$2,249
2022	16	64	$1,800
2023	17	111	$5,324
2024	N/R	37	$6,196

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	362	$81
80061	Blood test, lipids (cholesterol and triglycerides)	201	280	$13
36415	Insertion of needle into vein for collection of blood sample	249	782	$9
80048	Blood test, basic group of blood chemicals (calcium, total)	216	369	$8
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	214	373	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	317	15,458	$286,314
Xarelto	Rivaroxaban	87	4,765	$85,810
Jardiance	Empagliflozin	78	4,274	$81,626
Ozempic	Semaglutide	56	2,712	$72,144
Mounjaro	Tirzepatide	51	1,848	$63,779

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	N/R	12	$5,903
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	25	$293

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Sonya R. Eiben, MD?

Tedicare shows public-source Medicare data for Sonya R. Eiben, MD (NPI 1710916812), 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 Sonya R. Eiben, MD have ACO affiliation data?

Sonya R. Eiben, MD is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Sonya R. Eiben, MD?

Sonya R. Eiben, MD is linked to PRIMARY CARE ASSOCIATES OF APPLETON, LTD (billing NPI 1659305654) in the available physician profile data.

Does Sonya R. Eiben, MD 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.