Physician

Matthew John Rachwalski, D.O.

According to 2025 Medicare claims, Matthew Rachwalski, D.O. (NPI: 1922349398) practices sports medicine in the Michigan City-La Porte, IN market, with the plurality of this provider's patient population coming from La Porte, IN. This provider's primary affiliated billing organization is FRANCISCAN PHYSICIAN NETWORK (NPI: 1225327984; TIN: 611630276) and primary practice location at 46304-1519. Rachwalski is affiliated with the Franciscan ACO, Inc. (ACO ID: A2550), participating under the MSSP model.

Rachwalski's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 837 traditional Medicare patients, billed 11,874 HCPCS/CPT codes, and received $133,385 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 686 prescription claims across 272 beneficiaries totaling $5,718 in drug costs, led by Baclofen (Baclofen). 2023 DME data shows 12 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 has moved sharply higher in recent years, from $8,460 to $133,385. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,699 and ending at $5,718. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	67	218	$8,460
2019	922	3,113	$77,203
2020	745	3,736	$76,290
2021	899	4,997	$111,563
2022	1,093	6,754	$142,100
2023	1,002	7,317	$138,507
2024	837	11,874	$133,385

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	33	161	$3,699
2016	41	256	$12,752
2017	48	264	$13,491
2018	72	114	$2,910
2019	126	316	$5,755
2020	152	456	$6,984
2021	204	504	$5,963
2022	231	606	$7,576
2023	266	657	$6,379
2024	272	686	$5,718

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	12	$403
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	179	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	289	525	$60
20610	Aspiration and/or injection of fluid from large joint	187	364	$49
71046	X-ray of chest, 2 views	180	198	$14
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	223	1,683	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Baclofen	Baclofen	28	812	$1,092
Calcitonin-Salmon	Calcitonin,salmon,synthetic	13	510	$917
Nabumetone	Nabumetone	64	1,913	$452
Prednisone	Prednisone	160	1,639	$435
Gabapentin	Gabapentin	39	1,564	$396

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Matthew John Rachwalski, D.O.?

Tedicare shows public-source Medicare data for Matthew John Rachwalski, D.O. (NPI 1922349398), 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 Matthew John Rachwalski, D.O. have ACO affiliation data?

Matthew John Rachwalski, D.O. is shown with ACO affiliation data for Franciscan ACO, Inc. (MSSP, ACO ID A2550).

What billing organization is linked to Matthew John Rachwalski, D.O.?

Matthew John Rachwalski, D.O. is linked to FRANCISCAN PHYSICIAN NETWORK (billing NPI 1225327984) in the available physician profile data.

Does Matthew John Rachwalski, 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.