Physician

Loren M. Potter, DO

According to 2025 Medicare claims, Loren Potter, DO (NPI: 1942400544) practices orthopedic surgery in the Oshkosh-Neenah, WI market, with the plurality of this provider's patient population coming from Winnebago, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 54904-7668. Potter is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Potter's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 210 traditional Medicare patients, billed 4,058 HCPCS/CPT codes, and received $116,025 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 422 prescription claims across 265 beneficiaries totaling $1,323 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 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 changed little. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $2,527 to $1,323. 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	284	2,084	$152,137
2016	289	1,339	$118,141
2017	286	1,791	$138,447
2018	322	1,900	$152,323
2019	317	1,467	$145,883
2020	300	1,707	$143,361
2021	290	1,289	$137,537
2022	247	1,336	$105,151
2023	220	1,066	$103,446
2024	210	4,058	$116,025

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	145	297	$2,527
2016	162	311	$6,937
2017	209	441	$3,856
2018	226	446	$3,215
2019	222	397	$2,871
2020	215	358	$2,757
2021	231	370	$1,879
2022	216	326	$1,675
2023	245	377	$1,341
2024	265	422	$1,323

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	45	$125
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$70
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	80	92	$62
20610	Aspiration and/or injection of fluid from large joint	33	39	$50
J1010	Injection, methylprednisolone acetate, 1 mg	53	3,040	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	149	631	$596
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	28	134	$148
Cefadroxil	Cefadroxil	57	118	$114
Meloxicam	Meloxicam	23	1,338	$98
Tramadol Hcl	Tramadol Hcl	62	220	$88

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 Loren M. Potter, DO?

Tedicare shows public-source Medicare data for Loren M. Potter, DO (NPI 1942400544), 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 Loren M. Potter, DO have ACO affiliation data?

Loren M. Potter, DO is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Loren M. Potter, DO?

Loren M. Potter, DO is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Loren M. Potter, DO 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.