Physician

Mark Donald Fleming, MD

According to 2025 Medicare claims, Mark Fleming, MD (NPI: 1841255932) practices vascular surgery in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is HEART HOSPITAL OF SOUTH DAKOTA LLC (NPI: 1407109705; TIN: 562143771) and primary practice location at 57108-8148. Fleming is affiliated with the Prairie Vista Care Organization (ACO ID: A3578) and Avera Prairie View ACO (ACO ID: A4692), participating under the MSSP model.

Fleming's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 891 traditional Medicare patients, billed 2,624 HCPCS/CPT codes, and received $246,442 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 363 prescription claims across 108 beneficiaries totaling $56,629 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 42 records totaling $16,291. 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 up and down with repeated peaks and valleys, starting at $116,456 and ending at $246,442. Concurrently, Part D prescription costs have risen steadily, from $244 to $56,629. 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$123K$246K2015 Medicare payment: $116,456 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $85,114 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $59,609 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $55,354 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $97,081 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $97,298 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $64,852 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $73,219 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $102,146 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $246,442 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015256761$116,456
2016216478$85,114
2017180426$59,609
2018234564$55,354
2019315830$97,081
2020333860$97,298
2021309657$64,852
2022303623$73,219
20235211,196$102,146
20248912,624$246,442

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$28K$57K2015 Drug cost: $244 (USD; Tot_Drug_Cst)2016 Drug cost: $3,085 (USD; Tot_Drug_Cst)2017 Drug cost: $828 (USD; Tot_Drug_Cst)2018 Drug cost: $2,477 (USD; Tot_Drug_Cst)2019 Drug cost: $1,734 (USD; Tot_Drug_Cst)2020 Drug cost: $5,884 (USD; Tot_Drug_Cst)2021 Drug cost: $2,459 (USD; Tot_Drug_Cst)2022 Drug cost: $11,752 (USD; Tot_Drug_Cst)2023 Drug cost: $11,510 (USD; Tot_Drug_Cst)2024 Drug cost: $56,629 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R22$244
20161335$3,085
20172247$828
20183280$2,477
201946104$1,734
20204299$5,884
20213472$2,459
20222778$11,752
202354173$11,510
2024108363$56,629

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more155155$115
93880Ultrasound of both sides of head and neck blood flow222226$35
93970Ultrasound study of arm or leg veins with compression and maneuvers138138$32
93971Ultrasound study of one arm or leg veins with compression and maneuvers171179$17
93922Ultrasound study of arm and leg arteries202267$15

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban451,754$33,386
XareltoRivaroxaban351,103$20,293
ClopidogrelClopidogrel Bisulfate1208,551$1,020
Atorvastatin CalciumAtorvastatin Calcium613,662$561
Rosuvastatin CalciumRosuvastatin Calcium504,020$509

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.42$16,291Medtronic, 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 Mark Donald Fleming, MD?

Tedicare shows public-source Medicare data for Mark Donald Fleming, MD (NPI 1841255932), 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 Donald Fleming, MD have ACO affiliation data?

Mark Donald Fleming, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578) and Avera Prairie View ACO (MSSP, ACO ID A4692).

What billing organization is linked to Mark Donald Fleming, MD?

Mark Donald Fleming, MD is linked to HEART HOSPITAL OF SOUTH DAKOTA LLC (billing NPI 1407109705) in the available physician profile data.

Does Mark Donald Fleming, MD have Open Payments data?

Mark Donald Fleming, MD has 42 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.