Physician

Mark James Ivey, M.D.

According to 2025 Medicare claims, Mark Ivey, M.D. (NPI: 1962450981) practices sleep medicine in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Ottawa, MI. This provider's primary affiliated billing organization is LAKE SHORE PULMONOLOGY, PLC (NPI: 1245283696; TIN: 202725928) and primary practice location at 49456-9702. Ivey is affiliated with the POM ACO (ACO ID: A1297) and Trinity Health Integrated Care (ACO ID: A3454), participating under the MSSP model.

Ivey's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 90 traditional Medicare patients, billed 359 HCPCS/CPT codes, and received $15,218 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 635 prescription claims across 105 beneficiaries totaling $675,787 in drug costs, led by Prolastin C (Alpha-1-Proteinase Inhibitor). DME data shows 542 claims. Open Payments data shows 2 records totaling $28. 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 started with an early spike, then settled into a lower baseline, moving from $64,227 to $15,218. In contrast, Part D prescription costs have risen steadily, from $350,768 to $675,787. For DME billing, reported payments fell sharply in recent years, from $143,726 to $23,896.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	351	918	$64,227
2016	234	582	$42,458
2017	173	399	$29,174
2018	200	502	$35,998
2019	222	557	$38,336
2020	173	386	$25,684
2021	163	365	$25,674
2022	169	413	$24,812
2023	172	483	$24,482
2024	90	359	$15,218

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	117	892	$350,768
2016	98	801	$357,471
2017	94	729	$498,533
2018	100	697	$485,615
2019	105	707	$474,681
2020	107	708	$410,682
2021	104	733	$491,748
2022	99	690	$639,196
2023	97	645	$716,296
2024	105	635	$675,787

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	752	2,346	$148,294
2016	743	2,293	$123,344
2017	606	2,050	$112,885
2018	644	1,777	$115,672
2019	757	2,059	$134,105
2020	564	1,653	$113,879
2021	527	1,522	$97,142
2022	442	1,264	$84,083
2023	397	1,037	$67,648
2024	156	542	$21,836

* / # = 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	60	78	$92
94726	Test to determine lung volumes using sensors	42	43	$30
94729	Test to examine how well the lungs exchange gases	40	41	$29
G2211	Visit 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's	55	68	$12
94200	Test to measure largest amount of air breathed in an out	26	27	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolastin C	Alpha-1-Proteinase Inhibitor	34	952	$380,923
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	89	4,800	$98,108
Breo Ellipta	Fluticasone/Vilanterol	82	3,660	$46,266
Symbicort	Budesonide/Formoterol Fumarate	32	1,619	$11,246
Bevespi Aerosphere	Glycopyrrolate/Formoterol Fum	17	540	$7,295

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	73	$5,412
A7032	Cushion for use on nasal mask interface, replacement only, each	N	16	31	$2,687
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	68	$1,985
A7031	Face mask interface, replacement for full face mask, each	N	13	28	$1,840
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	17	36	$1,809

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$28	HARMONY BIOSCIENCES LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Mark James Ivey, M.D.?

Tedicare shows public-source Medicare data for Mark James Ivey, M.D. (NPI 1962450981), 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 James Ivey, M.D. have ACO affiliation data?

Mark James Ivey, M.D. is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and Trinity Health Integrated Care (MSSP, ACO ID A3454).

What billing organization is linked to Mark James Ivey, M.D.?

Mark James Ivey, M.D. is linked to LAKE SHORE PULMONOLOGY, PLC (billing NPI 1245283696) in the available physician profile data.

Does Mark James Ivey, M.D. have Open Payments data?

Mark James Ivey, M.D. has 2 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.