Physician

Rachael Hilton Kappius, M.D.

According to 2025 Medicare claims, Rachael Kappius, M.D. (NPI: 1790147783) practices dermatology in the Grand Junction, CO market, with the plurality of this provider's patient population coming from Mesa, CO. This provider's primary affiliated billing organization is MOUNTAIN WEST DERMATOLOGY, PC (NPI: 1497871073; TIN: 840611546) and primary practice location at 81501-8801. Kappius is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Kappius' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,011 traditional Medicare patients, billed 6,739 HCPCS/CPT codes, and received $233,327 in Medicare payments. The top billing code was 11102 (Biopsy of related skin growth, first growth). Part D data shows 692 prescription claims across 269 beneficiaries totaling $799,372 in drug costs, led by Rinvoq (Upadacitinib). Open Payments data shows 24 records totaling $497. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $686 to $799,372. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	196	5,468	$58,729
2021	611	23,663	$214,353
2022	814	9,243	$224,551
2023	924	5,767	$223,851
2024	1,011	6,739	$233,327

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	12	25	$686
2018	37	97	$31,028
2019	73	154	$70,129
2020	80	139	$87,836
2021	186	429	$158,403
2022	204	544	$204,585
2023	255	629	$563,799
2024	269	692	$799,372

DME Billing Trend

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

No connected DME records

* / # = 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
11102	Biopsy of related skin growth, first growth	295	338	$70
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	229	229	$62
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	644	875	$58
17000	Destruction of precancer skin growth, 1 growth	572	726	$37
17003	Destruction of precancer skin growth, 2-14 growths	424	2,381	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Rinvoq	Upadacitinib	29	930	$191,076
Dupixent Syringe	Dupilumab	11	308	$40,730
Clobetasol Propionate	Clobetasol Propionate	55	1,139	$3,169
Triamcinolone Acetonide	Triamcinolone Acetonide	89	2,341	$1,226
Fluocinonide	Fluocinonide	15	500	$1,166

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	24	$497	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Rachael Hilton Kappius, M.D.?

Tedicare shows public-source Medicare data for Rachael Hilton Kappius, M.D. (NPI 1790147783), 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 Rachael Hilton Kappius, M.D. have ACO affiliation data?

Rachael Hilton Kappius, M.D. is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Rachael Hilton Kappius, M.D.?

Rachael Hilton Kappius, M.D. is linked to MOUNTAIN WEST DERMATOLOGY, PC (billing NPI 1497871073) in the available physician profile data.

Does Rachael Hilton Kappius, M.D. have Open Payments data?

Rachael Hilton Kappius, M.D. has 24 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.