Physician

Todd M Butler, MD

According to 2025 Medicare claims, Todd Butler, MD (NPI: 1710964994) practices internal medicine in the Cedar Rapids, IA market, with the plurality of this provider's patient population coming from Linn, IA. This provider's primary affiliated billing organization is IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (NPI: 1366425274; TIN: 421411630) and primary practice location at 52233-1237. Butler is affiliated with the UnityPoint Accountable Care, L.C. (ACO ID: A5170), Aledade 155 National MSSP (ACO ID: A5358), and Main Street Rural Health Willow ACO LLC (ACO ID: A5404), participating under the MSSP model.

Butler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 492 traditional Medicare patients, billed 3,236 HCPCS/CPT codes, and received $205,086 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 11,978 prescription claims across 831 beneficiaries totaling $924,540 in drug costs, led by Ozempic (Semaglutide). DME data shows 807 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 risen steadily, from $118,732 to $205,086. Similarly, Part D prescription costs have risen steadily, from $613,324 to $924,540. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $33,090 and ending at $41,544.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	403	1,967	$118,732
2016	375	1,965	$115,054
2017	403	2,040	$130,529
2018	445	2,270	$142,994
2019	434	1,941	$127,509
2020	421	1,755	$118,814
2021	1,618	3,437	$219,899
2022	522	2,376	$184,504
2023	495	2,625	$236,753
2024	492	3,236	$205,086

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	580	9,454	$613,324
2016	582	9,342	$495,313
2017	618	8,971	$560,996
2018	718	9,301	$578,130
2019	777	8,935	$537,935
2020	822	10,282	$720,857
2021	955	11,526	$968,639
2022	937	12,063	$880,581
2023	831	11,915	$1,039,966
2024	831	11,978	$924,540

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	262	746	$29,592
2016	298	736	$19,854
2017	269	610	$15,045
2018	268	652	$14,348
2019	224	512	$14,984
2020	227	464	$17,217
2021	294	655	$27,519
2022	314	710	$34,155
2023	315	749	$39,418
2024	346	807	$39,403

* / # = 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	357	357	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	432	971	$78
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	243	349	$57
G0008	Administration of influenza virus vaccine	79	79	$30
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	362	638	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	151	6,714	$216,661
Jardiance	Empagliflozin	63	4,774	$84,439
Mounjaro	Tirzepatide	56	2,240	$81,022
Eliquis	Apixaban	68	3,761	$71,194
Xarelto	Rivaroxaban	36	2,434	$43,542

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	37	$15,272
A7031	Face mask interface, replacement for full face mask, each	N	25	53	$4,149
A7030	Full face mask used with positive airway pressure device, each	N	29	56	$4,084
A7032	Cushion for use on nasal mask interface, replacement only, each	N	17	36	$3,120
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	21	49	$2,419

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 Todd M. Butler, MD?

Tedicare shows public-source Medicare data for Todd M. Butler, MD (NPI 1710964994), 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 Todd M. Butler, MD have ACO affiliation data?

Todd M. Butler, MD is shown with ACO affiliation data for UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170), Aledade 155 National MSSP (MSSP, ACO ID A5358), and Main Street Rural Health Willow ACO LLC (MSSP, ACO ID A5404).

What billing organization is linked to Todd M. Butler, MD?

Todd M. Butler, MD is linked to IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (billing NPI 1366425274) in the available physician profile data.

Does Todd M. Butler, 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.