Physician

Mark D Holm, MD

According to 2025 Medicare claims, Mark Holm, MD (NPI: 1831189240) practices endocrinology in the St. Cloud, MN market, with the plurality of this provider's patient population coming from Stearns, MN. This provider's primary affiliated billing organization is CENTRACARE CLINIC (NPI: 1407858020; TIN: 411806657) and primary practice location at 56303-5000. Holm is affiliated with the Central Minnesota ACO, LLC (ACO ID: A2844), Caravan Collaborative Pathways (ACO ID: A4604), Aledade 103 Upper Midwest MSSP (ACO ID: A5003), Caravan Health ACO 50 LLC (ACO ID: A5160), Collaborative ACO 30, LLC (ACO ID: A5483), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Holm's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 463 traditional Medicare patients, billed 15,229 HCPCS/CPT codes, and received $173,515 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,939 prescription claims across 319 beneficiaries totaling $1,265,233 in drug costs, led by Ozempic (Semaglutide). DME data shows 288 claims. Open Payments data shows 23 records totaling $21,376. 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 $37,243 to $173,515. Similarly, Part D prescription costs have risen steadily, from $924,392 to $1,265,233. For DME billing, reported payments moved sharply higher in recent years, from $2,527 to $74,120.

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$87K$174K2015 Medicare payment: $37,243 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $35,324 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $55,071 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $58,799 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $94,412 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $104,406 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $167,979 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $168,006 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $152,593 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $173,515 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153736,141$37,243
20163949,404$35,324
20174379,025$55,071
201845910,596$58,799
201961114,418$94,412
202064915,450$104,406
202157116,306$167,979
202257519,342$168,006
202354616,529$152,593
202446315,229$173,515

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$734K$1.5M2015 Drug cost: $924,392 (USD; Tot_Drug_Cst)2016 Drug cost: $895,598 (USD; Tot_Drug_Cst)2017 Drug cost: $987,908 (USD; Tot_Drug_Cst)2018 Drug cost: $1,417,009 (USD; Tot_Drug_Cst)2019 Drug cost: $1,300,632 (USD; Tot_Drug_Cst)2020 Drug cost: $1,280,213 (USD; Tot_Drug_Cst)2021 Drug cost: $1,285,273 (USD; Tot_Drug_Cst)2022 Drug cost: $1,468,550 (USD; Tot_Drug_Cst)2023 Drug cost: $1,421,928 (USD; Tot_Drug_Cst)2024 Drug cost: $1,265,233 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151681,918$924,392
20161731,961$895,598
20171952,107$987,908
20182332,556$1,417,009
20192652,456$1,300,632
20202572,493$1,280,213
20212682,600$1,285,273
20223012,823$1,468,550
20233132,874$1,421,928
20243192,939$1,265,233

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$36K$73K2015 Medicare payment: $5,118 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $4,278 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,935 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $7,262 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $38,266 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $38,619 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $57,186 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $62,331 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $63,412 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $72,827 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201555209$5,118
201651206$4,278
201730145$2,935
201855203$7,262
201954296$38,266
202045271$38,619
202138296$57,186
202238337$62,331
202340389$63,412
202440288$72,827

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more85145$126
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more127176$79
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's134155$12
77080Dxa bone density measurement of hip, pelvis, spine7878$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7373$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide25512,572$403,178
FarxigaDapagliflozin Propanediol1378,510$144,276
KerendiaFinerenone764,020$80,188
JardianceEmpagliflozin564,331$79,690
RybelsusSemaglutide392,070$59,524

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN26114$50,019
E0784External ambulatory infusion pump, insulinYN/R33$11,161
A4224Supplies for maintenance of insulin infusion catheter, per weekNN/R24$5,501
J1817Insulin for administration through dme (i.e., insulin pump) per 50 unitsNN/R35$3,361
A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, eachNN/R23$1,864

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.23$21,376Novo Nordisk 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

Explore More Providers

FAQ

What Medicare data is available for Mark D. Holm, MD?

Tedicare shows public-source Medicare data for Mark D. Holm, MD (NPI 1831189240), 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 D. Holm, MD have ACO affiliation data?

Mark D. Holm, MD is shown with ACO affiliation data for Central Minnesota ACO, LLC (MSSP, ACO ID A2844), Caravan Collaborative Pathways (MSSP, ACO ID A4604), Aledade 103 Upper Midwest MSSP (MSSP, ACO ID A5003), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), Collaborative ACO 30, LLC (MSSP, ACO ID A5483), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Mark D. Holm, MD?

Mark D. Holm, MD is linked to CENTRACARE CLINIC (billing NPI 1407858020) in the available physician profile data.

Does Mark D. Holm, MD have Open Payments data?

Mark D. Holm, MD has 23 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.