Physician

Paul Jensen, M.D.

According to 2025 Medicare claims, Paul Jensen, M.D. (NPI: 1851617898) practices internal medicine in the St. George, UT market, with the plurality of this provider's patient population coming from Washington, UT. This provider's primary affiliated billing organization is IHC HEALTH SERVICES, INC. (NPI: 1093246720; TIN: 942854057) and primary practice location at 84790-2097. Jensen is affiliated with the Castell Accountable Care, LLC (ACO ID: D0136), participating under the REACH model.

Jensen's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 257 traditional Medicare patients, billed 66,818 HCPCS/CPT codes, and received $810,134 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 2,544 prescription claims across 320 beneficiaries totaling $1,449,811 in drug costs, led by Enbrel Sureclick (Etanercept). 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 moved sharply higher in recent years, from $137,527 to $810,134. Similarly, Part D prescription costs have risen steadily, from $65,948 to $1,449,811. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	352	8,903	$137,527
2020	352	14,066	$149,341
2021	342	12,917	$149,520
2022	302	7,434	$116,918
2023	272	2,781	$96,275
2024	257	66,818	$810,134

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	42	189	$65,948
2016	52	254	$196,241
2017	21	152	$78,340
2018	133	529	$264,855
2019	305	1,928	$1,046,612
2020	345	2,515	$1,606,333
2021	382	2,259	$1,053,040
2022	354	2,427	$1,396,515
2023	343	2,424	$1,132,219
2024	320	2,544	$1,449,811

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	59	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	452	$86
96365	Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	42	230	$46
G2211	Visit 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's	160	272	$12
96372	Injection of drug or substance under skin or into muscle	30	65	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	36	1,008	$264,744
Benlysta	Belimumab	39	1,092	$194,045
Humira(Cf) Pen	Adalimumab	25	700	$156,325
Enbrel	Etanercept	19	532	$135,625
Cimzia (2 Pack)	Certolizumab Pegol	13	588	$128,888

Top 5 DME services in 2024

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

Open Payments Summary

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

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FAQ

What Medicare data is available for Paul Jensen, M.D.?

Tedicare shows public-source Medicare data for Paul Jensen, M.D. (NPI 1851617898), 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 Paul Jensen, M.D. have ACO affiliation data?

Paul Jensen, M.D. is shown with ACO affiliation data for Castell Accountable Care, LLC (REACH, ACO ID D0136).

What billing organization is linked to Paul Jensen, M.D.?

Paul Jensen, M.D. is linked to IHC HEALTH SERVICES, INC. (billing NPI 1093246720) in the available physician profile data.

Does Paul Jensen, M.D. 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.