Physician

Mario Kekona Sablan, D.O.

According to 2025 Medicare claims, Mario Sablan, D.O. (NPI: 1962618462) practices orthopedic surgery in the Merced, CA market, with the plurality of this provider's patient population coming from Merced, CA. This provider's primary affiliated billing organization is SABLAN ORTHOPEDICS, INC. (NPI: 1699081141; TIN: 273292019) and primary practice location at 95340-9165.

Sablan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,317 traditional Medicare patients, billed 9,592 HCPCS/CPT codes, and received $682,012 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 1,882 prescription claims across 568 beneficiaries totaling $57,315 in drug costs, led by Soma (Carisoprodol). DME data shows 110 claims. Open Payments data shows 3 records totaling $1,085. 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 have moved from a higher plateau to a lower plateau, from $94,398 to $57,315. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $11,585 to $1,610.

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$350K$701K2015 Medicare payment: $600,668 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $605,555 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $553,658 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $576,833 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $579,900 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $488,028 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $557,044 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $661,492 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $700,633 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $682,012 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,15211,488$600,668
20161,10511,796$605,555
20171,1759,575$553,658
20181,1598,715$576,833
20191,1117,597$579,900
20201,1006,865$488,028
20211,1828,694$557,044
20221,33012,271$661,492
20231,34015,155$700,633
20241,3179,592$682,012

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$51K$102K2015 Drug cost: $94,398 (USD; Tot_Drug_Cst)2016 Drug cost: $102,192 (USD; Tot_Drug_Cst)2017 Drug cost: $70,855 (USD; Tot_Drug_Cst)2018 Drug cost: $69,010 (USD; Tot_Drug_Cst)2019 Drug cost: $43,917 (USD; Tot_Drug_Cst)2020 Drug cost: $39,920 (USD; Tot_Drug_Cst)2021 Drug cost: $43,286 (USD; Tot_Drug_Cst)2022 Drug cost: $48,430 (USD; Tot_Drug_Cst)2023 Drug cost: $52,965 (USD; Tot_Drug_Cst)2024 Drug cost: $57,315 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154492,124$94,398
20164722,218$102,192
20174842,355$70,855
20184792,173$69,010
20195051,913$43,917
20204872,074$39,920
20215001,901$43,286
20225822,312$48,430
20236072,168$52,965
20245681,882$57,315

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$4.3K$8.7K2015 Medicare payment: $8,543 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $7,982 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $5,370 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $6,575 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $7,416 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,109 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,327 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $7,081 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $7,270 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $8,651 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201588110$8,543
2016109158$7,982
201781108$5,370
2018103116$6,575
20199497$7,416
20204667$4,109
202117101$3,327
202252163$7,081
202366106$7,270
202483110$8,651

* / # = 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 more417417$126
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,0302,131$99
20610Aspiration and/or injection of fluid from large joint5461,136$57
73560X-ray of knee, 1-2 views198430$28
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg5691,532$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
SomaCarisoprodol12345$14,482
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen5296,693$8,182
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen3312,882$3,650
Diclofenac SodiumDiclofenac Sodium541,114$2,112
Tramadol HclTramadol Hcl3147,409$1,897

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
L3660Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelfN5860$5,956
L3670Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelfN1414$1,654
E0143Walker, folding, wheeled, adjustable or fixed heightN1111$514
K0003Lightweight wheelchairYN/R12$303
K0001Standard wheelchairYN/R13$223

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$1,085Stryker Corporation
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 Mario Kekona Sablan, D.O.?

Tedicare shows public-source Medicare data for Mario Kekona Sablan, D.O. (NPI 1962618462), 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 Mario Kekona Sablan, D.O. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Mario Kekona Sablan, D.O.?

Mario Kekona Sablan, D.O. is linked to SABLAN ORTHOPEDICS, INC. (billing NPI 1699081141) in the available physician profile data.

Does Mario Kekona Sablan, D.O. have Open Payments data?

Mario Kekona Sablan, D.O. has 3 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.