Physician

Richard J Gauthier, MD

According to 2025 Medicare claims, Richard Gauthier, MD (NPI: 1710971718) practices family practice in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is AGNESIAN HEALTHCARE INC (NPI: 1730162991; TIN: 390807236) and primary practice location at 54971-8505. Gauthier is affiliated with the THEDACARE ACO (ACO ID: A4988) and SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Gauthier's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 245 traditional Medicare patients, billed 897 HCPCS/CPT codes, and received $70,240 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 12,214 prescription claims across 663 beneficiaries totaling $876,728 in drug costs, led by Eliquis (Apixaban). DME data shows 78 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. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $12,109 and ending at $6,922.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	271	1,548	$63,572
2016	286	1,949	$67,468
2017	268	1,910	$67,427
2018	268	1,462	$61,032
2019	265	1,361	$58,955
2020	253	1,023	$48,236
2021	420	1,450	$77,229
2022	289	1,244	$71,331
2023	264	1,014	$72,417
2024	245	897	$70,240

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	554	10,629	$711,210
2016	526	11,368	$724,629
2017	561	11,726	$802,082
2018	684	12,034	$883,184
2019	857	11,379	$883,381
2020	792	12,090	$862,901
2021	621	11,527	$879,517
2022	640	11,368	$896,628
2023	658	11,437	$870,017
2024	663	12,214	$876,728

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	41	241	$9,820
2016	36	248	$6,163
2017	41	219	$3,878
2018	48	225	$4,479
2019	54	230	$4,940
2020	40	185	$5,560
2021	18	159	$5,024
2022	29	153	$6,416
2023	15	89	$3,849
2024	27	78	$1,708

* / # = 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	134	134	$122
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	53	58	$117
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	131	186	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	83	128	$54
G0008	Administration of influenza virus vaccine	51	52	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	205	8,537	$160,009
Ozempic	Semaglutide	44	1,656	$47,222
Xarelto	Rivaroxaban	48	2,490	$43,566
Bydureon Bcise	Exenatide Microspheres	19	1,288	$34,034
Invokana	Canagliflozin	41	1,758	$33,361

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$810
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	15	25	$365
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	13	$336
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$180
A4259	Lancets, per box of 100	N	12	16	$17

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 Richard J. Gauthier, MD?

Tedicare shows public-source Medicare data for Richard J. Gauthier, MD (NPI 1710971718), 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 Richard J. Gauthier, MD have ACO affiliation data?

Richard J. Gauthier, MD is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988) and SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Richard J. Gauthier, MD?

Richard J. Gauthier, MD is linked to AGNESIAN HEALTHCARE INC (billing NPI 1730162991) in the available physician profile data.

Does Richard J. Gauthier, 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.