Physician

Brian J Malloy, MD

According to 2025 Medicare claims, Brian Malloy, MD (NPI: 1902807860) practices urology in the Great Falls, MT market, with the plurality of this provider's patient population coming from Cascade, MT. This provider's primary affiliated billing organization is BENEFIS HOSPITALS INC (NPI: 1780968974; TIN: 810232122) and primary practice location at 59405-5183. Malloy is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Malloy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 735 traditional Medicare patients, billed 1,808 HCPCS/CPT codes, and received $136,209 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 2,017 prescription claims across 430 beneficiaries totaling $177,699 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 214 claims. Open Payments data shows 15 records totaling $345. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $98,480 to $177,699. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $2,181 to $1,726.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	692	1,701	$133,910
2016	718	1,904	$152,284
2017	685	1,725	$136,680
2018	739	1,951	$168,768
2019	698	2,118	$167,241
2020	615	1,548	$124,780
2021	664	1,734	$143,392
2022	788	1,834	$145,419
2023	788	1,652	$119,075
2024	735	1,808	$136,209

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	287	1,752	$98,480
2016	327	1,726	$103,364
2017	346	2,133	$145,558
2018	400	2,157	$140,377
2019	378	1,876	$198,056
2020	321	1,693	$124,071
2021	356	1,589	$108,020
2022	456	1,935	$177,062
2023	451	2,145	$204,302
2024	430	2,017	$177,699

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	35	229	$8,314
2016	16	272	$14,367
2017	N/R	216	$11,490
2018	N/R	209	$9,858
2019	12	179	$12,288
2020	N/R	133	$9,395
2021	N/R	78	$4,112
2022	N/R	115	$5,840
2023	31	211	$11,459
2024	35	214	$14,809

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$95
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	311	422	$68
52000	Diagnostic exam of bladder and urethra using an endoscope	101	134	$56
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	465	525	$43
76872	Ultrasound scan of pelvic region through rectum	49	50	$22

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	186	7,898	$133,188
Potassium Citrate Er	Potassium Citrate	121	6,133	$14,007
Tamsulosin Hcl	Tamsulosin Hcl	751	47,261	$12,074
Oxybutynin Chloride Er	Oxybutynin Chloride	189	9,577	$3,441
Finasteride	Finasteride	202	14,325	$2,470

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	11	41	$9,440
A4349	Male external catheter, with or without adhesive, disposable, each	N	N/R	12	$1,278
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	12	44	$990
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	12	42	$956
A4314	Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.)	N	N/R	15	$876

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$345	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Brian J. Malloy, MD?

Tedicare shows public-source Medicare data for Brian J. Malloy, MD (NPI 1902807860), 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 Brian J. Malloy, MD have ACO affiliation data?

Brian J. Malloy, MD is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Brian J. Malloy, MD?

Brian J. Malloy, MD is linked to BENEFIS HOSPITALS INC (billing NPI 1780968974) in the available physician profile data.

Does Brian J. Malloy, MD have Open Payments data?

Brian J. Malloy, MD has 15 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.