Physician

Steven H Falconer, MD

According to 2025 Medicare claims, Steven Falconer, MD (NPI: 1962517094) practices diagnostic radiology in the Fond du Lac, WI market, with the plurality of this provider's patient population coming from Fond Du Lac, WI. This provider's primary affiliated billing organization is RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC (NPI: 1477539443; TIN: 390867579) and primary practice location at 54935-4560. Falconer is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), THEDACARE ACO (ACO ID: A4988), and SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Falconer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,659 traditional Medicare patients, billed 3,440 HCPCS/CPT codes, and received $89,226 in Medicare payments. The top billing code was 77067 (Screening mammography). 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 from a higher plateau to a lower plateau, from $196,566 to $89,226. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$100K$200K2015 Medicare payment: $196,566 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $199,538 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $180,642 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $136,962 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $161,665 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $118,598 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $69,440 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $105,160 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $109,387 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $89,226 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,08612,814$196,566
20162,1169,727$199,538
20172,0359,222$180,642
20182,3805,621$136,962
20192,1874,794$161,665
20201,8453,442$118,598
20211,3502,056$69,440
20221,9037,656$105,160
20231,7643,598$109,387
20241,6593,440$89,226

Part D Events Trend

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

No connected Part D records

No connected Part D records

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
77067Screening mammography1,0981,098$33
77063Screening 3d breast mammography1,0971,097$26
77065Diagnostic mammography of 1 breast91100$23
G0279Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)124133$17
71045X-ray of chest, 1 view8284$6

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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.

FAQ

What Medicare data is available for Steven H. Falconer, MD?

Tedicare shows public-source Medicare data for Steven H. Falconer, MD (NPI 1962517094), 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 Steven H. Falconer, MD have ACO affiliation data?

Steven H. Falconer, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033), THEDACARE ACO (MSSP, ACO ID A4988), and SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Steven H. Falconer, MD?

Steven H. Falconer, MD is linked to RADIOLOGY ASSOCIATES OF THE FOX VALLEY, SC (billing NPI 1477539443) in the available physician profile data.

Does Steven H. Falconer, MD 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.