Physician

Mark A. Milton, MD

According to 2025 Medicare claims, Mark Milton, MD (NPI: 1922023951) practices cardiac electrophysiology in the Cedar Rapids, IA market, with the plurality of this provider's patient population coming from Linn, IA. This provider's primary affiliated billing organization is MERCY MEDICAL CENTER (NPI: 1669617106; TIN: 420698295) and primary practice location at 52401-2107. Milton is affiliated with the Oklahoma Health Initiatives (ACO ID: A2202), Mercycare Accountable Care Organization, LLC (ACO ID: A4649), Aledade 155 National MSSP (ACO ID: A5358), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Milton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 903 traditional Medicare patients, billed 5,114 HCPCS/CPT codes, and received $221,422 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 4,816 prescription claims across 827 beneficiaries totaling $1,619,298 in drug costs, led by Eliquis (Apixaban). 2018 DME data shows 34 claims. Open Payments data shows 32 records totaling $849. 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 declined steadily, from $256,963 to $221,422. In contrast, Part D prescription costs have moved sharply higher in recent years, from $224,088 to $1,619,298. 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$162K$325K2015 Medicare payment: $256,963 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $272,477 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $293,900 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $288,533 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $324,858 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $287,627 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $227,309 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $224,454 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $194,031 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $221,422 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0803,637$256,963
20161,1354,022$272,477
20171,2354,373$293,900
20181,2694,274$288,533
20191,3344,611$324,858
20201,2104,560$287,627
20211,1133,233$227,309
20228723,878$224,454
20236962,610$194,031
20249035,114$221,422

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$810K$1.6M2015 Drug cost: $224,088 (USD; Tot_Drug_Cst)2016 Drug cost: $310,477 (USD; Tot_Drug_Cst)2017 Drug cost: $390,452 (USD; Tot_Drug_Cst)2018 Drug cost: $487,347 (USD; Tot_Drug_Cst)2019 Drug cost: $578,591 (USD; Tot_Drug_Cst)2020 Drug cost: $776,662 (USD; Tot_Drug_Cst)2021 Drug cost: $909,538 (USD; Tot_Drug_Cst)2022 Drug cost: $1,303,719 (USD; Tot_Drug_Cst)2023 Drug cost: $1,583,882 (USD; Tot_Drug_Cst)2024 Drug cost: $1,619,298 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153852,720$224,088
20164122,941$310,477
20174823,253$390,452
20185163,457$487,347
20195373,614$578,591
20205983,997$776,662
20216934,066$909,538
20229553,985$1,303,719
20237824,439$1,583,882
20248274,816$1,619,298

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$16K$33K2015 Medicare payment: $32,871 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $25,667 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R16$32,871
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R34$25,667
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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 more127127$115
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more269361$84
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days3541,064$20
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days4651,393$14
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report373584$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban98653,777$1,019,314
XareltoRivaroxaban45828,364$512,064
EntrestoSacubitril/Valsartan17750$17,738
Metoprolol SuccinateMetoprolol Succinate93078,483$10,143
Amiodarone HclAmiodarone Hcl32124,805$6,231

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.32$849Abbott Laboratories
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 Mark A. Milton, MD?

Tedicare shows public-source Medicare data for Mark A. Milton, MD (NPI 1922023951), 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 Mark A. Milton, MD have ACO affiliation data?

Mark A. Milton, MD is shown with ACO affiliation data for Oklahoma Health Initiatives (MSSP, ACO ID A2202), Mercycare Accountable Care Organization, LLC (MSSP, ACO ID A4649), Aledade 155 National MSSP (MSSP, ACO ID A5358), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Mark A. Milton, MD?

Mark A. Milton, MD is linked to MERCY MEDICAL CENTER (billing NPI 1669617106) in the available physician profile data.

Does Mark A. Milton, MD have Open Payments data?

Mark A. Milton, MD has 32 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.