Physician

Gregory Paul Lemense, MD

According to 2025 Medicare claims, Gregory Lemense, MD (NPI: 1912904483) practices pulmonary disease in the Bozeman, MT market, with the plurality of this provider's patient population coming from Gallatin, MT. This provider's primary affiliated billing organization is BOZEMAN HEALTH DEACONESS HOSPITAL (NPI: 1619347390; TIN: 474717998) and primary practice location at 59718-2402. Lemense is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), MountainStar Care Partners ACO (ACO ID: A5181), Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Lemense's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 702 traditional Medicare patients, billed 2,194 HCPCS/CPT codes, and received $98,861 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 1,793 prescription claims across 327 beneficiaries totaling $1,289,053 in drug costs, led by Esbriet (Pirfenidone). DME data shows 821 claims. Open Payments data shows 3 records totaling $49. 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 higher plateau to a lower plateau, from $110,669 to $98,861. In contrast, Part D prescription costs have risen steadily, from $351,304 to $1,289,053. For DME billing, reported payments moved sharply higher in recent years, from $20,240 to $64,563.

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$111K$222K2015 Medicare payment: $110,669 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $145,443 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $203,936 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $222,052 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $88,964 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $91,667 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $117,107 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $94,379 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $98,347 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $98,861 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153482,115$110,669
20163922,106$145,443
20175013,921$203,936
20185035,349$222,052
20194081,676$88,964
20205011,470$91,667
20216992,063$117,107
20225911,692$94,379
20235881,818$98,347
20247022,194$98,861

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$1.3M$2.6M2015 Drug cost: $351,304 (USD; Tot_Drug_Cst)2016 Drug cost: $480,180 (USD; Tot_Drug_Cst)2017 Drug cost: $569,125 (USD; Tot_Drug_Cst)2018 Drug cost: $439,445 (USD; Tot_Drug_Cst)2019 Drug cost: $388,750 (USD; Tot_Drug_Cst)2020 Drug cost: $1,206,023 (USD; Tot_Drug_Cst)2021 Drug cost: $2,635,137 (USD; Tot_Drug_Cst)2022 Drug cost: $2,201,546 (USD; Tot_Drug_Cst)2023 Drug cost: $957,428 (USD; Tot_Drug_Cst)2024 Drug cost: $1,289,053 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152281,428$351,304
20162111,358$480,180
20172271,431$569,125
20182291,269$439,445
2019226779$388,750
20202321,170$1,206,023
20213401,976$2,635,137
20223191,587$2,201,546
20232651,220$957,428
20243271,793$1,289,053

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$73K$147K2015 Medicare payment: $21,777 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $29,005 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $146,732 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $13,691 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $14,216 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $42,635 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $72,986 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $97,294 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $93,036 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $66,677 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201539343$21,777
201645487$29,005
201744446$146,732
201853353$13,691
201944308$14,216
202062535$42,635
2021100955$72,986
20221071,102$97,294
20231101,024$93,036
202493821$66,677

* / # = 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 more143143$102
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more301377$74
94726Test to determine lung volumes using sensors295304$15
94729Test to examine how well the lungs exchange gases296305$13
94010Test to measure expiratory airflow and volume230242$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EsbrietPirfenidone25750$256,490
Trelegy ElliptaFluticasone/Umeclidin/Vilanter1817,830$161,479
Stiolto RespimatTiotropium Br/Olodaterol Hcl883,540$55,584
Breztri AerosphereBudesonide/Glycopyr/Formoterol502,280$46,258
Breo ElliptaFluticasone/Vilanterol893,510$44,736

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY59462$36,492
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R21$18,679
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingY23157$2,801
J7606Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 microgramsNN/R19$2,790
E1392Portable oxygen concentrator, rentalY1181$2,535

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$49Janssen Biotech, 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

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FAQ

What Medicare data is available for Gregory Paul Lemense, MD?

Tedicare shows public-source Medicare data for Gregory Paul Lemense, MD (NPI 1912904483), 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 Gregory Paul Lemense, MD have ACO affiliation data?

Gregory Paul Lemense, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), MountainStar Care Partners ACO (MSSP, ACO ID A5181), Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Gregory Paul Lemense, MD?

Gregory Paul Lemense, MD is linked to BOZEMAN HEALTH DEACONESS HOSPITAL (billing NPI 1619347390) in the available physician profile data.

Does Gregory Paul Lemense, MD have Open Payments data?

Gregory Paul Lemense, MD has 3 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.