Physician

Matthew J Mckenzie, MD

According to 2025 Medicare claims, Matthew Mckenzie, MD (NPI: 1720094089) practices orthopedic surgery in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is ORTHOPEDIC INSTITUTE PC (NPI: 1245263326; TIN: 460316404) and primary practice location at 57105-1012. Mckenzie is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 43 LLC (ACO ID: A4974), and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Mckenzie's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 739 traditional Medicare patients, billed 3,242 HCPCS/CPT codes, and received $261,222 in Medicare payments. The top billing code was 72148 (Mri scan of lower spinal canal without contrast). Part D data shows 460 prescription claims across 252 beneficiaries totaling $3,054 in drug costs, led by Calcitonin-Salmon (Calcitonin,salmon,synthetic). 2021 DME data shows 18 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 started with an early spike, then settled into a lower baseline, moving from $6,226 to $3,054. For DME billing, reported payments moved sharply higher in recent years, from $2,243 to $4,785.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	561	2,912	$255,095
2016	640	2,909	$310,048
2017	640	3,024	$298,760
2018	680	3,262	$308,719
2019	689	3,452	$347,142
2020	632	2,937	$305,706
2021	706	3,065	$364,326
2022	737	2,724	$344,277
2023	737	2,990	$310,035
2024	739	3,242	$261,222

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	140	268	$6,226
2016	150	311	$9,025
2017	139	275	$3,998
2018	172	332	$6,262
2019	181	374	$3,552
2020	170	344	$1,962
2021	208	413	$2,791
2022	212	430	$4,045
2023	221	427	$2,884
2024	252	460	$3,054

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	19	19	$1,653
2016	25	25	$1,251
2017	17	17	$612
2018	30	30	$1,377
2019	35	49	$2,099
2020	22	22	$1,375
2021	18	18	$1,081
2022	N/R	N/R	N/R
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
72148	Mri scan of lower spinal canal without contrast	140	140	$147
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	169	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	305	416	$64
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	131	150	$37
72110	X-ray of lower and sacral spine, minimum of 4 views	250	255	$36

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Calcitonin-Salmon	Calcitonin,salmon,synthetic	21	635	$1,277
Methylprednisolone	Methylprednisolone	55	360	$326
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	13	96	$179
Amoxicillin	Amoxicillin	197	229	$165
Gabapentin	Gabapentin	26	830	$149

Top 5 DME services in 2024

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

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 Matthew J. Mckenzie, MD?

Tedicare shows public-source Medicare data for Matthew J. Mckenzie, MD (NPI 1720094089), 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 Matthew J. Mckenzie, MD have ACO affiliation data?

Matthew J. Mckenzie, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Avera Prairie View ACO (MSSP, ACO ID A4692), Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Matthew J. Mckenzie, MD?

Matthew J. Mckenzie, MD is linked to ORTHOPEDIC INSTITUTE PC (billing NPI 1245263326) in the available physician profile data.

Does Matthew J. Mckenzie, 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.