Physician

John Michael Fallucca, M.D.

According to 2025 Medicare claims, John Fallucca, M.D. (NPI: 1821208174) practices interventional radiology in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Oakland, MI. This provider's primary affiliated billing organization is MICHIGAN INSTITUTE OF UROLOGY PC (NPI: 1427027416; TIN: 381962231) and primary practice location at 48084-1744. Fallucca is affiliated with the Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Fallucca's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 166 traditional Medicare patients, billed 881 HCPCS/CPT codes, and received $346,531 in Medicare payments. The top billing code was 36247 (Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch). Part D data shows 289 prescription claims across 79 beneficiaries totaling $1,254 in drug costs, led by Methylprednisolone (Methylprednisolone). Open Payments data shows 8 records totaling $165. 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 $62,103 to $346,531. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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.

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$173K$347K2015 Medicare payment: $62,103 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $55,883 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $43,338 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $48,836 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $44,847 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $25,915 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $34,666 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $28,956 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $36,464 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $346,531 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015326743$62,103
2016270600$55,883
2017243511$43,338
2018203524$48,836
2019156484$44,847
202097268$25,915
2021109373$34,666
2022113339$28,956
2023119367$36,464
2024166881$346,531

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$627$1.3K2022 Drug cost: $155 (USD; Tot_Drug_Cst)2023 Drug cost: $222 (USD; Tot_Drug_Cst)2024 Drug cost: $1,254 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R12$155
2023N/R11$222
202479289$1,254

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
36247Insertion of tube into abdominal, pelvic, or leg artery, initial third order branch2960$558
99442Telephone medical discussion with physician, 11-20 minutes7676$70
76937Ultrasonic guidance for blood vessel access5253$22
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes8186$20
99153Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes3087$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MethylprednisoloneMethylprednisolone72431$442
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim66289$167
IbuprofenIbuprofen58420$127
FamotidineFamotidine58406$79

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.8$165PROGENICS PHARMACEUTICALS, INC.
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 John Michael Fallucca, M.D.?

Tedicare shows public-source Medicare data for John Michael Fallucca, M.D. (NPI 1821208174), 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 John Michael Fallucca, M.D. have ACO affiliation data?

John Michael Fallucca, M.D. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to John Michael Fallucca, M.D.?

John Michael Fallucca, M.D. is linked to MICHIGAN INSTITUTE OF UROLOGY PC (billing NPI 1427027416) in the available physician profile data.

Does John Michael Fallucca, M.D. have Open Payments data?

John Michael Fallucca, M.D. has 8 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.