Physician

J Michael Bacharach, MD

According to 2025 Medicare claims, J. Bacharach, MD (NPI: 1972566172) practices peripheral vascular disease in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is HEART HOSPITAL OF SOUTH DAKOTA LLC (NPI: 1407109705; TIN: 562143771) and primary practice location at 57108-8148. Bacharach is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), and Aledade 103 Upper Midwest MSSP (ACO ID: A5003), participating under the MSSP model.

Bacharach's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,451 traditional Medicare patients, billed 3,650 HCPCS/CPT codes, and received $293,163 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 774 prescription claims across 186 beneficiaries totaling $96,922 in drug costs, led by Eliquis (Apixaban). 2021 DME data shows 14 claims. Open Payments data shows 43 records totaling $15,090. 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 risen steadily, from $58,260 to $96,922. 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$193K$386K2015 Medicare payment: $341,180 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $366,608 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $365,357 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $385,639 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $354,281 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $319,028 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $302,879 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $308,019 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $240,028 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $293,163 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,2163,725$341,180
20161,2643,813$366,608
20171,3914,253$365,357
20181,5514,563$385,639
20191,6794,317$354,281
20201,4623,732$319,028
20211,6713,862$302,879
20221,5823,770$308,019
20231,3873,294$240,028
20241,4513,650$293,163

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$54K$108K2015 Drug cost: $58,260 (USD; Tot_Drug_Cst)2016 Drug cost: $66,656 (USD; Tot_Drug_Cst)2017 Drug cost: $72,413 (USD; Tot_Drug_Cst)2018 Drug cost: $68,593 (USD; Tot_Drug_Cst)2019 Drug cost: $90,975 (USD; Tot_Drug_Cst)2020 Drug cost: $82,809 (USD; Tot_Drug_Cst)2021 Drug cost: $108,124 (USD; Tot_Drug_Cst)2022 Drug cost: $77,073 (USD; Tot_Drug_Cst)2023 Drug cost: $84,043 (USD; Tot_Drug_Cst)2024 Drug cost: $96,922 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152741,315$58,260
20162981,413$66,656
20173221,506$72,413
20183281,510$68,593
20193691,592$90,975
20203041,373$82,809
20212941,244$108,124
2022202887$77,073
2023163742$84,043
2024186774$96,922

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$610$1.2K2021 Medicare payment: $1,220 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
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/R14$1,220
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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 more203203$98
93880Ultrasound of both sides of head and neck blood flow536571$26
93971Ultrasound study of one arm or leg veins with compression and maneuvers141144$15
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes156189$9
93922Ultrasound study of arm and leg arteries300361$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban923,313$62,815
BrilintaTicagrelor201,122$15,917
Repatha SureclickEvolocumab13364$7,178
XareltoRivaroxaban13380$6,752
ClopidogrelClopidogrel Bisulfate29713,525$1,792

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.41$4,362Contego Medical, Inc
Research PaymentsReported research-related payment or transfer-of-value amount.2$10,728InspireMD Ltd
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for J. Michael Bacharach, MD?

Tedicare shows public-source Medicare data for J. Michael Bacharach, MD (NPI 1972566172), 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 J. Michael Bacharach, MD have ACO affiliation data?

J. Michael Bacharach, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Avera Prairie View ACO (MSSP, ACO ID A4692), and Aledade 103 Upper Midwest MSSP (MSSP, ACO ID A5003).

What billing organization is linked to J. Michael Bacharach, MD?

J. Michael Bacharach, MD is linked to HEART HOSPITAL OF SOUTH DAKOTA LLC (billing NPI 1407109705) in the available physician profile data.

Does J. Michael Bacharach, MD have Open Payments data?

J. Michael Bacharach, MD has 43 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.