Physician

Charles John Lenz, MD

According to 2025 Medicare claims, Charles Lenz, MD (NPI: 1932463809) practices cardiology in the Bismarck, ND market, with the plurality of this provider's patient population coming from Burleigh, ND. This provider's primary affiliated billing organization is SANFORD BISMARCK (NPI: 1811941172; TIN: 450226700) and primary practice location at 58501-4436. Lenz is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), The Rural Advantage LLC (ACO ID: A5257), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Lenz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,354 traditional Medicare patients, billed 6,254 HCPCS/CPT codes, and received $216,817 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 9,409 prescription claims across 1,233 beneficiaries totaling $1,611,099 in drug costs, led by Eliquis (Apixaban). DME data shows 46 claims. Open Payments data shows 33 records totaling $583. 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 $12,885 to $216,817. Similarly, Part D prescription costs have risen steadily, from $26,733 to $1,611,099. 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$108K$217K2015 Medicare payment: $12,885 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $13,117 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $12,129 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $7,156 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $7,617 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,735 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $55,915 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $168,644 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $203,216 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $216,817 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015117151$12,885
2016100173$13,117
2017103170$12,129
20185781$7,156
20196589$7,617
20201719$1,735
20218551,519$55,915
20221,6013,502$168,644
20232,3104,773$203,216
20242,3546,254$216,817

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$806K$1.6M2015 Drug cost: $26,733 (USD; Tot_Drug_Cst)2016 Drug cost: $7,859 (USD; Tot_Drug_Cst)2017 Drug cost: $14,374 (USD; Tot_Drug_Cst)2018 Drug cost: $23,818 (USD; Tot_Drug_Cst)2019 Drug cost: $26,839 (USD; Tot_Drug_Cst)2020 Drug cost: $17,375 (USD; Tot_Drug_Cst)2021 Drug cost: $34,903 (USD; Tot_Drug_Cst)2022 Drug cost: $339,890 (USD; Tot_Drug_Cst)2023 Drug cost: $800,401 (USD; Tot_Drug_Cst)2024 Drug cost: $1,611,099 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201580467$26,733
20164389$7,859
201759133$14,374
201844140$23,818
201946161$26,839
20202395$17,375
202199267$34,903
20224012,499$339,890
20237864,936$800,401
20241,2339,409$1,611,099

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$1.8K$3.7K2024 Medicare payment: $3,696 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R46$3,696

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7451,130$71
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function783802$49
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's7551,156$12
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician193193$10
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only870974$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban77635,797$680,705
JardianceEmpagliflozin36616,598$308,791
XareltoRivaroxaban2088,655$153,415
Repatha SureclickEvolocumab933,500$67,468
FarxigaDapagliflozin Propanediol682,908$53,203

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 rateYN/R12$1,590
A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)NN/R11$1,200
E1392Portable oxygen concentrator, rentalYN/R12$481
J1250Injection, dobutamine hydrochloride, per 250 mgNN/R11$425

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.33$583PFIZER 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

FAQ

What Medicare data is available for Charles John Lenz, MD?

Tedicare shows public-source Medicare data for Charles John Lenz, MD (NPI 1932463809), 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 Charles John Lenz, MD have ACO affiliation data?

Charles John Lenz, MD is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), The Rural Advantage LLC (MSSP, ACO ID A5257), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Charles John Lenz, MD?

Charles John Lenz, MD is linked to SANFORD BISMARCK (billing NPI 1811941172) in the available physician profile data.

Does Charles John Lenz, MD have Open Payments data?

Charles John Lenz, MD has 33 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.