Physician

Walter John Marbach, MD

According to 2025 Medicare claims, Walter Marbach, MD (NPI: 1891703591) practices rheumatology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is METRO INFECTIOUS DISEASE CONSULTANTS, LLC (NPI: 1235125717; TIN: 363966745) and primary practice location at 60445-1824. Marbach is affiliated with the IRCCO (ACO ID: A2619) and American Choice Healthcare, LLC (ACO ID: D0086), participating under both the MSSP and REACH models.

Marbach's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 553 traditional Medicare patients, billed 354,350 HCPCS/CPT codes, and received $2,786,922 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 1,614 prescription claims across 122 beneficiaries totaling $584,658 in drug costs, led by Enbrel (Etanercept). Open Payments data shows 35 records totaling $953. 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 from a lower plateau to a higher plateau, from $472,793 to $2,786,922. Similarly, Part D prescription costs have risen steadily, from $439,543 to $584,658. 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$1.6M$3.3M2015 Medicare payment: $472,793 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $482,441 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $492,682 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,165,224 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,562,170 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $3,024,112 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,169,992 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,262,029 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,759,281 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,786,922 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201519520,545$472,793
201623928,912$482,441
201719821,675$492,682
2018380139,791$1,165,224
2019530256,729$2,562,170
2020481259,074$3,024,112
2021427236,631$3,169,992
2022464262,178$3,262,029
2023486263,086$2,759,281
2024553354,350$2,786,922

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$377K$753K2015 Drug cost: $439,543 (USD; Tot_Drug_Cst)2016 Drug cost: $520,372 (USD; Tot_Drug_Cst)2017 Drug cost: $451,316 (USD; Tot_Drug_Cst)2018 Drug cost: $373,162 (USD; Tot_Drug_Cst)2019 Drug cost: $581,125 (USD; Tot_Drug_Cst)2020 Drug cost: $660,458 (USD; Tot_Drug_Cst)2021 Drug cost: $742,779 (USD; Tot_Drug_Cst)2022 Drug cost: $753,116 (USD; Tot_Drug_Cst)2023 Drug cost: $619,686 (USD; Tot_Drug_Cst)2024 Drug cost: $584,658 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152202,261$439,543
20162072,181$520,372
20172282,229$451,316
20182142,157$373,162
20191892,151$581,125
20201611,972$660,458
20211431,818$742,779
20221371,813$753,116
20231261,628$619,686
20241221,614$584,658

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
96413Administration of chemotherapy into vein, 1 hour or less109289$105
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more79151$62
96401Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle97244$58
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less2361,013$51
J1335Injection, ertapenem sodium, 500 mg80741$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EnbrelEtanercept23644$170,926
Humira PenAdalimumab11308$75,962
Actemra ActpenTocilizumab12336$57,162
OtezlaApremilast11330$55,811
MethotrexateMethotrexate Sodium20413,587$6,716

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.35$953Amgen 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 Walter John Marbach, MD?

Tedicare shows public-source Medicare data for Walter John Marbach, MD (NPI 1891703591), 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 Walter John Marbach, MD have ACO affiliation data?

Walter John Marbach, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and American Choice Healthcare, LLC (REACH, ACO ID D0086).

What billing organization is linked to Walter John Marbach, MD?

Walter John Marbach, MD is linked to METRO INFECTIOUS DISEASE CONSULTANTS, LLC (billing NPI 1235125717) in the available physician profile data.

Does Walter John Marbach, MD have Open Payments data?

Walter John Marbach, MD has 35 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.