Physician

Kevin Prier

According to 2025 Medicare claims, Kevin Prier (NPI: 1801393798) practices internal medicine in the Idaho Falls, ID market, with the plurality of this provider's patient population coming from Bonneville, ID. This provider's primary affiliated billing organization is ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA (NPI: 1336220243; TIN: 82-0366217) and primary practice location at 83404-7596. Prier is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), MountainStar Care Partners ACO (ACO ID: A5181), CoreHealth Alliance LLC (ACO ID: A5645), and CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under both the MSSP and REACH models.

Prier's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 739 traditional Medicare patients, billed 12,145 HCPCS/CPT codes, and received $201,391 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 8,824 prescription claims across 955 beneficiaries totaling $2,617,192 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 1,002 claims. Open Payments data shows 74 records totaling $946,889. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $378 to $2,617,192. 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	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	109	901	$24,529
2023	562	11,125	$154,837
2024	739	12,145	$201,391

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	N/R	N/R	N/R
2018	N/R	25	$378
2019	20	103	$6,617
2020	22	94	$6,581
2021	22	69	$6,818
2022	89	298	$118,527
2023	606	3,584	$1,481,120
2024	955	8,824	$2,617,192

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	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	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	13	$2,420
2023	87	366	$73,958
2024	284	1,002	$225,718

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	563	949	$80
80061	Blood test, lipids (cholesterol and triglycerides)	412	508	$13
80053	Blood test, comprehensive group of blood chemicals	493	792	$10
83036	Hemoglobin a1c level	465	777	$9
36415	Insertion of needle into vein for collection of blood sample	606	1,081	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	585	17,969	$643,174
Ozempic	Semaglutide	528	19,132	$601,499
Jardiance	Empagliflozin	202	10,432	$202,133
Trulicity	Dulaglutide	124	4,624	$151,886
Farxiga	Dapagliflozin Propanediol	108	4,928	$89,947

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	113	412	$154,059
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	19	65	$18,857
E0784	External ambulatory infusion pump, insulin	Y	N/R	51	$16,887
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	21	56	$12,293
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	74	$6,360

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	51	$983	Lilly USA, LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	23	$945,906	Eli Lilly and Company
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 Kevin Prier?

Tedicare shows public-source Medicare data for Kevin Prier (NPI 1801393798), 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 Kevin Prier have ACO affiliation data?

Kevin Prier is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), MountainStar Care Partners ACO (MSSP, ACO ID A5181), CoreHealth Alliance LLC (MSSP, ACO ID A5645), and CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to Kevin Prier?

Kevin Prier is linked to ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA (billing NPI 1336220243) in the available physician profile data.

Does Kevin Prier have Open Payments data?

Kevin Prier has 74 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.