Physician

Joel W Niebuhr, D.O.

According to 2025 Medicare claims, Joel Niebuhr, D.O. (NPI: 1902015167) practices pulmonary disease in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53142-7884. Niebuhr is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), Ascension Care Management Health Partners Wisconsin, LLC (ACO ID: A5329), and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Niebuhr's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 369 traditional Medicare patients, billed 1,547 HCPCS/CPT codes, and received $123,001 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 1,098 prescription claims across 128 beneficiaries totaling $1,728,913 in drug costs, led by Orenitram Er (Treprostinil Diolamine). DME data shows 297 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $298,335 and ending at $1,728,913. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $39,365 and ending at $24,738.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	448	1,503	$83,227
2016	383	1,404	$71,028
2017	405	1,561	$82,202
2018	308	1,202	$69,062
2019	253	959	$61,398
2020	173	591	$55,539
2021	331	1,080	$69,982
2022	327	1,180	$94,638
2023	330	1,401	$110,539
2024	369	1,547	$123,001

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	115	939	$298,335
2016	141	1,172	$734,170
2017	146	1,288	$1,675,166
2018	140	1,491	$1,863,557
2019	149	1,499	$1,740,500
2020	133	1,173	$1,716,199
2021	170	819	$878,612
2022	125	826	$1,060,765
2023	119	1,006	$1,788,357
2024	128	1,098	$1,728,913

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	48	465	$31,249
2016	37	506	$36,850
2017	33	378	$13,574
2018	40	490	$28,605
2019	37	429	$23,431
2020	19	336	$23,676
2021	52	295	$19,580
2022	11	366	$31,332
2023	39	364	$34,294
2024	13	297	$33,475

* / # = 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
99291	Critical care, first 30-74 minutes	69	182	$154
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	165	$125
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	444	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	61	117	$63
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	355	$56

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Orenitram Er	Treprostinil Diolamine	103	2,880	$597,964
Adempas	Riociguat	38	1,140	$536,529
Opsumit	Macitentan	11	330	$140,041
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	89	4,470	$95,889
Ambrisentan	Ambrisentan	40	1,200	$49,777

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	13	$11,361
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	14	$10,702
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	13	87	$6,696
J7605	Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms	N	N/R	15	$1,003
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	37	$931

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 Joel W. Niebuhr, D.O.?

Tedicare shows public-source Medicare data for Joel W. Niebuhr, D.O. (NPI 1902015167), 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 Joel W. Niebuhr, D.O. have ACO affiliation data?

Joel W. Niebuhr, D.O. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033), Ascension Care Management Health Partners Wisconsin, LLC (MSSP, ACO ID A5329), and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Joel W. Niebuhr, D.O.?

Joel W. Niebuhr, D.O. is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Joel W. Niebuhr, D.O. 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.