Physician

Pravardhan Rajashekar Birthi, M.D.

According to 2025 Medicare claims, Pravardhan Birthi, M.D. (NPI: 1013161082) practices pain management in the Grand Island, NE market, with the plurality of this provider's patient population coming from Hall, NE. This provider's primary affiliated billing organization is GRAND ISLAND PAIN RELIEF CENTER PC (NPI: 1346709383; TIN: 83-3780279) and primary practice location at 68803-9728. Birthi is affiliated with the NPG Health Collaborative LLC (ACO ID: A3287), Bryan Health Connect ACO, LLC (ACO ID: A4573), and Aledade 201 National MSSP (ACO ID: A5522), participating under the MSSP model.

Birthi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 429 traditional Medicare patients, billed 5,148 HCPCS/CPT codes, and received $284,826 in Medicare payments. The top billing code was 64635 (Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint). Part D data shows 822 prescription claims across 370 beneficiaries totaling $108,982 in drug costs, led by Botox (Onabotulinumtoxina). Open Payments data shows 61 records totaling $29,769. 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 lower plateau to a higher plateau, from $85,722 to $284,826. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $45,553 and ending at $108,982. 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	262	3,155	$85,722
2016	281	2,621	$98,909
2017	294	8,635	$126,150
2018	381	13,622	$183,324
2019	472	17,592	$300,758
2020	410	3,881	$293,430
2021	487	3,536	$347,308
2022	438	1,532	$245,729
2023	468	2,803	$259,132
2024	429	5,148	$284,826

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	133	876	$45,553
2016	161	1,162	$51,488
2017	174	1,319	$69,846
2018	213	1,672	$76,793
2019	259	1,484	$120,251
2020	241	653	$74,391
2021	234	406	$66,030
2022	243	411	$52,965
2023	330	547	$46,536
2024	370	822	$108,982

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
64635	Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint	61	66	$407
62323	Injection of substance into lower spine canal using imaging guidance	129	145	$172
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	101	101	$105
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	95	$82
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$79

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Botox	Onabotulinumtoxina	44	3,831	$86,390
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	111	2,540	$2,979
Gabapentin	Gabapentin	155	4,809	$1,870
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	46	1,103	$1,187
Tizanidine Hcl	Tizanidine Hcl	85	2,895	$936

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	53	$2,269	SPR Therapeutics, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	8	$27,500	Saluda Medical Americas, Inc.
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 Pravardhan Rajashekar Birthi, M.D.?

Tedicare shows public-source Medicare data for Pravardhan Rajashekar Birthi, M.D. (NPI 1013161082), 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 Pravardhan Rajashekar Birthi, M.D. have ACO affiliation data?

Pravardhan Rajashekar Birthi, M.D. is shown with ACO affiliation data for NPG Health Collaborative LLC (MSSP, ACO ID A3287), Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573), and Aledade 201 National MSSP (MSSP, ACO ID A5522).

What billing organization is linked to Pravardhan Rajashekar Birthi, M.D.?

Pravardhan Rajashekar Birthi, M.D. is linked to GRAND ISLAND PAIN RELIEF CENTER PC (billing NPI 1346709383) in the available physician profile data.

Does Pravardhan Rajashekar Birthi, M.D. have Open Payments data?

Pravardhan Rajashekar Birthi, M.D. has 61 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.