Physician

Mark Richard Newton, M.D.

According to 2025 Medicare claims, Mark Newton, M.D. (NPI: 1790929354) practices urology in the Waterloo-Cedar Falls, IA market, with the plurality of this provider's patient population coming from Black Hawk, IA. This provider's primary affiliated billing organization is ALLEN MEMORIAL HOSPITAL CORPORATION (NPI: 1891772927; TIN: 420698265) and primary practice location at 50701-4543. Newton is affiliated with the UnityPoint Accountable Care, L.C. (ACO ID: A5170), Main Street Rural Health Willow ACO LLC (ACO ID: A5404), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Newton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 601 traditional Medicare patients, billed 3,670 HCPCS/CPT codes, and received $183,725 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 2,253 prescription claims across 587 beneficiaries totaling $227,844 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 48 claims. Open Payments data shows 11 records totaling $289. 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 $64,346 to $183,725. Similarly, Part D prescription costs have risen steadily, from $5,364 to $227,844. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $0 to $1,258.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	221	820	$64,346
2016	399	2,196	$127,545
2017	464	2,763	$148,381
2018	531	1,389	$106,807
2019	536	1,650	$123,452
2020	565	3,776	$164,934
2021	599	3,401	$196,835
2022	627	4,719	$208,466
2023	639	4,223	$188,253
2024	601	3,670	$183,725

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	89	225	$5,364
2016	275	996	$84,704
2017	340	1,693	$113,758
2018	385	1,817	$163,256
2019	421	1,915	$162,752
2020	416	1,850	$168,484
2021	486	2,089	$202,560
2022	492	2,177	$223,917
2023	540	2,123	$311,105
2024	587	2,253	$227,844

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	68	$3,788
2017	N/R	104	$7,683
2018	N/R	129	$10,054
2019	N/R	138	$11,829
2020	N/R	108	$18,594
2021	N/R	135	$29,156
2022	N/R	46	$13,296
2023	N/R	54	$40,235
2024	N/R	48	$42,833

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	135	147	$156
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	99	99	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	479	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	82	86	$50
81003	Automated urinalysis test	208	293	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	157	6,916	$102,949
Gemtesa	Vibegron	136	4,784	$76,842
Tamsulosin Hcl	Tamsulosin Hcl	464	27,735	$7,277
Potassium Citrate Er	Potassium Citrate	64	2,277	$6,927
Silodosin	Silodosin	71	2,687	$3,609

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	14	$32,365
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	18	$10,167
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	16	$301

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$289	Laborie Medical Technologies Corp.
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 Mark Richard Newton, M.D.?

Tedicare shows public-source Medicare data for Mark Richard Newton, M.D. (NPI 1790929354), 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 Mark Richard Newton, M.D. have ACO affiliation data?

Mark Richard Newton, M.D. is shown with ACO affiliation data for UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170), Main Street Rural Health Willow ACO LLC (MSSP, ACO ID A5404), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Mark Richard Newton, M.D.?

Mark Richard Newton, M.D. is linked to ALLEN MEMORIAL HOSPITAL CORPORATION (billing NPI 1891772927) in the available physician profile data.

Does Mark Richard Newton, M.D. have Open Payments data?

Mark Richard Newton, M.D. has 11 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.