Physician

Edward C Malters, MD

According to 2025 Medicare claims, Edward Malters, MD (NPI: 1841237237) practices internal medicine in the Billings, MT market, with the plurality of this provider's patient population coming from Yellowstone, MT. This provider's primary affiliated billing organization is SCL HEALTH MEDICAL GROUP - BILLINGS LLC (NPI: 1508289703; TIN: 464056262) and primary practice location at 59106-1874. Malters is affiliated with the Rocky Mountain Accountable Health Network, Inc (ACO ID: A2217), Caravan Health ACO 50 LLC (ACO ID: A5160), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Malters' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 622 traditional Medicare patients, billed 2,843 HCPCS/CPT codes, and received $203,796 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 16,334 prescription claims across 942 beneficiaries totaling $1,087,283 in drug costs, led by Eliquis (Apixaban). DME data shows 583 claims. No Open Payments records. 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 declined steadily, from $211,850 to $203,796. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $53,859 and ending at $36,349.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	772	6,247	$211,850
2016	745	4,465	$214,320
2017	725	4,933	$204,972
2018	728	5,071	$207,905
2019	742	5,566	$197,196
2020	706	3,369	$172,795
2021	642	3,141	$167,925
2022	624	3,172	$98,064
2023	593	2,909	$148,053
2024	622	2,843	$203,796

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	625	12,387	$831,384
2016	672	13,219	$893,787
2017	685	13,107	$920,488
2018	712	13,639	$947,489
2019	716	13,714	$919,412
2020	766	14,663	$949,692
2021	773	14,577	$997,236
2022	867	14,825	$992,423
2023	811	15,310	$1,208,806
2024	942	16,334	$1,087,283

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	188	647	$36,083
2016	167	689	$24,292
2017	170	558	$14,788
2018	169	644	$15,867
2019	197	616	$14,502
2020	160	603	$17,164
2021	147	566	$17,659
2022	140	542	$22,512
2023	147	705	$27,217
2024	124	583	$31,047

* / # = 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	507	507	$128
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	541	901	$85
90662	Influenza vaccine split virus, preservative free	102	102	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	272	392	$60
G0008	Administration of influenza virus vaccine	108	108	$32

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	257	14,284	$269,462
Xarelto	Rivaroxaban	133	10,526	$185,565
Ozempic	Semaglutide	64	2,828	$89,951
Jardiance	Empagliflozin	50	2,646	$49,658
Trulicity	Dulaglutide	41	1,148	$36,872

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	15	121	$10,837
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	11	$6,345
A7030	Full face mask used with positive airway pressure device, each	N	N/R	16	$1,418
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	69	$1,374
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	16	25	$1,364

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

Explore More Providers

FAQ

What Medicare data is available for Edward C. Malters, MD?

Tedicare shows public-source Medicare data for Edward C. Malters, MD (NPI 1841237237), 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 Edward C. Malters, MD have ACO affiliation data?

Edward C. Malters, MD is shown with ACO affiliation data for Rocky Mountain Accountable Health Network, Inc (MSSP, ACO ID A2217), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Edward C. Malters, MD?

Edward C. Malters, MD is linked to SCL HEALTH MEDICAL GROUP - BILLINGS LLC (billing NPI 1508289703) in the available physician profile data.

Does Edward C. Malters, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.