Physician

Lauren Michelle Berry, MD

According to 2025 Medicare claims, Lauren Berry, MD (NPI: 1932660404) practices rheumatology in the Green Bay, WI market, with the plurality of this provider's patient population coming from Brown, WI. This provider's primary affiliated billing organization is ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC (NPI: 1760670145; TIN: 261132759) and primary practice location at 54311-6213. Berry is affiliated with the OSF Healthcare System (ACO ID: A3289) and THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Berry's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 56 traditional Medicare patients, billed 2,353 HCPCS/CPT codes, and received $66,809 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 724 prescription claims across 124 beneficiaries totaling $1,080,264 in drug costs, led by Ofev (Nintedanib Esylate). Open Payments data shows 12 records totaling $410. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,059 to $1,080,264. 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$33K$67K2024 Medicare payment: $66,809 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
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
2024562,353$66,809

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$900K$1.8M2019 Drug cost: $1,059 (USD; Tot_Drug_Cst)2020 Drug cost: $5,808 (USD; Tot_Drug_Cst)2021 Drug cost: $13,422 (USD; Tot_Drug_Cst)2022 Drug cost: $267,458 (USD; Tot_Drug_Cst)2023 Drug cost: $1,800,256 (USD; Tot_Drug_Cst)2024 Drug cost: $1,080,264 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20191344$1,059
202053168$5,808
202134159$13,422
202265230$267,458
202394763$1,800,256
2024124724$1,080,264

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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 more3131$120
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1517$94
73120X-ray of hand, 2 views1818$47
73620X-ray of foot, 2 views1313$43
J7050Infusion, normal saline solution, 250 cc1516$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OfevNintedanib Esylate27810$296,610
RinvoqUpadacitinib12420$89,436
Taltz AutoinjectorIxekizumab11308$74,853
ActemraTocilizumab13420$71,895
Actemra ActpenTocilizumab14392$66,684

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.12$410ABBVIE 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 Lauren Michelle Berry, MD?

Tedicare shows public-source Medicare data for Lauren Michelle Berry, MD (NPI 1932660404), 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 Lauren Michelle Berry, MD have ACO affiliation data?

Lauren Michelle Berry, MD is shown with ACO affiliation data for OSF Healthcare System (MSSP, ACO ID A3289) and THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Lauren Michelle Berry, MD?

Lauren Michelle Berry, MD is linked to ORTHOPEDIC & SPORTS MEDICINE SPECIALISTS OF GREEN BAY, SC (billing NPI 1760670145) in the available physician profile data.

Does Lauren Michelle Berry, MD have Open Payments data?

Lauren Michelle Berry, MD has 12 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.