Physician

Jorge Plasencia, M.D.

According to 2025 Medicare claims, Jorge Plasencia, M.D. (NPI: 1760466346) practices family practice in the Lansing-East Lansing, MI market, with the plurality of this provider's patient population coming from Eaton, MI. This provider's primary affiliated billing organization is GREAT LAKES SPINE AND MEDICAL PLLC (NPI: 1699473033; TIN: 922340993) and primary practice location at 48813-9998. Plasencia is affiliated with the Mosaic ACO (ACO ID: A5033) and Stellar Health ACO (ACO ID: A5346), participating under the MSSP model.

Plasencia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 78 traditional Medicare patients, billed 2,690 HCPCS/CPT codes, and received $4,238,988 in Medicare payments. The top billing code was Q4275 (Esano aca, per square centimeter). Part D data shows 993 prescription claims across 271 beneficiaries totaling $77,465 in drug costs, led by Atorvastatin Calcium (Atorvastatin Calcium). DME data shows 50 claims. Open Payments data shows 1 records totaling $14. 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 moved sharply higher in recent years, from $43,215 to $4,238,988. In contrast, Part D prescription costs have fallen sharply in recent years, from $495,893 to $77,465. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $47,650 to $4,475.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$2.1M$4.2M2015 Medicare payment: $43,215 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $42,011 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $48,931 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $40,330 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $36,611 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $25,725 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $34,375 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $27,555 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $16,851 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $4,238,988 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015247774$43,215
2016269708$42,011
2017298819$48,931
2018260725$40,330
2019231604$36,611
2020191451$25,725
2021183551$34,375
2022121411$27,555
2023100240$16,851
2024782,690$4,238,988

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$277K$554K2015 Drug cost: $495,893 (USD; Tot_Drug_Cst)2016 Drug cost: $554,361 (USD; Tot_Drug_Cst)2017 Drug cost: $484,477 (USD; Tot_Drug_Cst)2018 Drug cost: $351,675 (USD; Tot_Drug_Cst)2019 Drug cost: $328,118 (USD; Tot_Drug_Cst)2020 Drug cost: $317,929 (USD; Tot_Drug_Cst)2021 Drug cost: $400,526 (USD; Tot_Drug_Cst)2022 Drug cost: $468,887 (USD; Tot_Drug_Cst)2023 Drug cost: $363,820 (USD; Tot_Drug_Cst)2024 Drug cost: $77,465 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153766,301$495,893
20163946,544$554,361
20173956,321$484,477
20183755,541$351,675
20193795,661$328,118
20203765,369$317,929
20213855,755$400,526
20223835,882$468,887
20233604,594$363,820
2024271993$77,465

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$20K$40K2015 Medicare payment: $40,275 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $20,321 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $5,487 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,134 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $7,035 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,889 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $6,801 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,573 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $4,403 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,242 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201579479$40,275
201665419$20,321
201741306$5,487
201852178$3,134
201974323$7,035
202055281$6,889
202159246$6,801
202212161$5,573
2023N/R88$4,403
2024N/R50$2,242

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
Q4275Esano aca, per square centimeter171,629$2,079
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3434$123
G0442Annual alcohol misuse screening, 5 to 15 minutes2424$18
G0444Annual depression screening, 5 to 15 minutes2424$18
G0136Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes2525$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Atorvastatin CalciumAtorvastatin Calcium615,214$1,080
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen38847$669
Albuterol Sulfate HfaAlbuterol Sulfate13472$485
Levothyroxine SodiumLevothyroxine Sodium272,430$378
ClopidogrelClopidogrel Bisulfate121,080$310

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R19$1,487
E1392Portable oxygen concentrator, rentalYN/R19$640
A7038Filter, disposable, used with positive airway pressure deviceNN/R12$115

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$14Exact Sciences Corporation
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Jorge Plasencia, M.D.?

Tedicare shows public-source Medicare data for Jorge Plasencia, M.D. (NPI 1760466346), 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 Jorge Plasencia, M.D. have ACO affiliation data?

Jorge Plasencia, M.D. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033) and Stellar Health ACO (MSSP, ACO ID A5346).

What billing organization is linked to Jorge Plasencia, M.D.?

Jorge Plasencia, M.D. is linked to GREAT LAKES SPINE AND MEDICAL PLLC (billing NPI 1699473033) in the available physician profile data.

Does Jorge Plasencia, M.D. have Open Payments data?

Jorge Plasencia, M.D. has 1 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.