Physician

Shilpa Reddy

According to 2025 Medicare claims, Shilpa Reddy (NPI: 1013367416) practices family practice in the Allentown-Bethlehem-Easton, PA-NJ market, with the plurality of this provider's patient population coming from Warren, NJ. This provider's primary affiliated billing organization is ST. LUKE'S WARREN PHYSICIAN GROUP, PC (NPI: 1841564564; TIN: 22-3837316) and primary practice location at 08865-9488. Reddy is affiliated with the St. Luke's Medicare ACO (ACO ID: A3560), participating under the MSSP model.

Reddy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 403 traditional Medicare patients, billed 1,741 HCPCS/CPT codes, and received $114,455 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,213 prescription claims across 665 beneficiaries totaling $380,870 in drug costs, led by Jardiance (Empagliflozin). DME data shows 34 claims. 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 sharply higher in recent years, from $19,789 to $114,455. Similarly, Part D prescription costs have moved sharply higher in recent years, from $853 to $380,870. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $300 to $4,230.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	151	293	$19,789
2020	257	552	$43,213
2021	295	805	$71,905
2022	321	820	$79,379
2023	331	1,042	$103,792
2024	403	1,741	$114,455

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	15	$853
2017	21	103	$10,894
2018	105	464	$26,688
2019	250	722	$47,466
2020	309	1,024	$54,580
2021	411	2,013	$131,651
2022	443	3,186	$240,878
2023	506	3,831	$358,534
2024	665	5,213	$380,870

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	19	$282
2022	12	35	$402
2023	16	33	$352
2024	N/R	34	$3,676

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	137	137	$150
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	285	480	$99
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	97	109	$75
G0008	Administration of influenza virus vaccine	49	50	$36
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	261	379	$14

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	70	3,480	$68,026
Ozempic	Semaglutide	28	1,182	$38,752
Eliquis	Apixaban	21	1,605	$30,147
Januvia	Sitagliptin Phosphate	18	1,320	$24,351
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	12	720	$15,153

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	13	$3,487
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	21	$189

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Shilpa Reddy?

Tedicare shows public-source Medicare data for Shilpa Reddy (NPI 1013367416), 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 Shilpa Reddy have ACO affiliation data?

Shilpa Reddy is shown with ACO affiliation data for St. Luke's Medicare ACO (MSSP, ACO ID A3560).

What billing organization is linked to Shilpa Reddy?

Shilpa Reddy is linked to ST. LUKE'S WARREN PHYSICIAN GROUP, PC (billing NPI 1841564564) in the available physician profile data.

Does Shilpa Reddy 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.