Physician

Stephen Holmes, MD

According to 2025 Medicare claims, Stephen Holmes, MD (NPI: 1831132240) practices internal medicine in the Springfield, MO market, with the plurality of this provider's patient population coming from Greene, MO. This provider's primary affiliated billing organization is LESTER E COX MEDICAL CENTERS (NPI: 1760405864; TIN: 542183221) and primary practice location at 65807-5155.

Holmes' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 519 traditional Medicare patients, billed 6,743 HCPCS/CPT codes, and received $190,613 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 16,446 prescription claims across 1,043 beneficiaries totaling $1,255,936 in drug costs, led by Eliquis (Apixaban). DME data shows 578 claims. Open Payments data shows 127 records totaling $2,030. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $852,882 to $1,255,936. For DME billing, reported payments moved sharply higher in recent years, from $17,450 to $55,247.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	598	8,458	$228,698
2016	554	7,948	$193,326
2017	535	7,375	$192,559
2018	527	5,964	$163,548
2019	580	6,131	$175,730
2020	546	5,723	$164,774
2021	1,072	7,223	$228,291
2022	571	6,154	$189,417
2023	503	5,706	$178,883
2024	519	6,743	$190,613

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	715	17,358	$852,882
2016	733	17,121	$863,345
2017	717	15,065	$779,981
2018	736	12,845	$809,749
2019	847	13,611	$950,817
2020	901	14,179	$984,040
2021	1,008	14,989	$1,203,091
2022	1,055	15,489	$1,252,733
2023	1,053	15,697	$1,464,599
2024	1,043	16,446	$1,255,936

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	78	434	$17,898
2016	58	312	$12,139
2017	62	269	$9,151
2018	67	260	$9,635
2019	93	224	$4,130
2020	80	254	$6,334
2021	177	419	$15,783
2022	208	468	$18,325
2023	186	452	$20,536
2024	219	578	$29,367

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	384	384	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	356	586	$71
80053	Blood test, comprehensive group of blood chemicals	405	542	$10
36415	Insertion of needle into vein for collection of blood sample	447	771	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	360	447	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	235	12,955	$252,297
Ozempic	Semaglutide	92	3,458	$107,930
Mounjaro	Tirzepatide	80	2,720	$102,312
Jardiance	Empagliflozin	96	4,920	$94,195
Farxiga	Dapagliflozin Propanediol	93	4,790	$87,834

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	N/R	24	$10,268
A7031	Face mask interface, replacement for full face mask, each	N	14	37	$3,217
A7030	Full face mask used with positive airway pressure device, each	N	18	37	$2,996
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	23	46	$2,496
A7033	Pillow for use on nasal cannula type interface, replacement only, pair	N	11	28	$2,408

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	127	$2,030	Lilly USA, LLC
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 Stephen Holmes, MD?

Tedicare shows public-source Medicare data for Stephen Holmes, MD (NPI 1831132240), 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 Stephen Holmes, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Stephen Holmes, MD?

Stephen Holmes, MD is linked to LESTER E COX MEDICAL CENTERS (billing NPI 1760405864) in the available physician profile data.

Does Stephen Holmes, MD have Open Payments data?

Stephen Holmes, MD has 127 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.