Physician

Ganga Prabhakar, M.D.

According to 2025 Medicare claims, Ganga Prabhakar, M.D. (NPI: 1023109444) practices cardiac surgery in the Wheeling, WV-OH market, with the plurality of this provider's patient population coming from Belmont, OH. This provider's primary affiliated billing organization is WHEELING HOSPITAL INC (NPI: 1548923923; TIN: 55-0357057) and primary practice location at 26003-6379. Prabhakar is affiliated with the Mercy Health Corporation (ACO ID: A2097), ACO West Virginia (ACO ID: A3563), and Quality Health Partners, LLC (ACO ID: A5553), participating under the MSSP model.

Prabhakar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 127 traditional Medicare patients, billed 298 HCPCS/CPT codes, and received $90,653 in Medicare payments. The top billing code was 33533 (Coronary artery bypass using artery graft, 1 graft). Part D data shows 80 prescription claims across 36 beneficiaries totaling $1,618 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). Open Payments data shows 7 records totaling $327. 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 fallen sharply in recent years, from $298,757 to $90,653. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,220 and ending at $1,618. 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$158K$317K2015 Medicare payment: $298,757 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $283,203 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $316,657 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $298,378 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $307,925 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $196,253 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $58,203 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $104,967 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $103,529 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $90,653 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015295584$298,757
2016297556$283,203
2017333664$316,657
2018295578$298,378
2019290628$307,925
2020210579$196,253
202168168$58,203
2022100244$104,967
2023128340$103,529
2024127298$90,653

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$2.2K$4.5K2015 Drug cost: $2,220 (USD; Tot_Drug_Cst)2016 Drug cost: $1,835 (USD; Tot_Drug_Cst)2017 Drug cost: $1,018 (USD; Tot_Drug_Cst)2018 Drug cost: $1,768 (USD; Tot_Drug_Cst)2019 Drug cost: $1,964 (USD; Tot_Drug_Cst)2020 Drug cost: $602 (USD; Tot_Drug_Cst)2021 Drug cost: $4,489 (USD; Tot_Drug_Cst)2022 Drug cost: $1,954 (USD; Tot_Drug_Cst)2023 Drug cost: $258 (USD; Tot_Drug_Cst)2024 Drug cost: $1,618 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153172$2,220
20162352$1,835
20172758$1,018
20182384$1,768
20193383$1,964
20202253$602
20213981$4,489
20224775$1,954
20233955$258
20243680$1,618

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
33533Coronary artery bypass using artery graft, 1 graft2121$1,334
33361Replacement of aortic valve through the skin and femoral artery3434$589
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1919$96
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2944$60
33508Harvest of vein using an endoscope2020$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Oxycodone HclOxycodone Hcl28189$114

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.7$327ABIOMED
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 Ganga Prabhakar, M.D.?

Tedicare shows public-source Medicare data for Ganga Prabhakar, M.D. (NPI 1023109444), 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 Ganga Prabhakar, M.D. have ACO affiliation data?

Ganga Prabhakar, M.D. is shown with ACO affiliation data for Mercy Health Corporation (MSSP, ACO ID A2097), ACO West Virginia (MSSP, ACO ID A3563), and Quality Health Partners, LLC (MSSP, ACO ID A5553).

What billing organization is linked to Ganga Prabhakar, M.D.?

Ganga Prabhakar, M.D. is linked to WHEELING HOSPITAL INC (billing NPI 1548923923) in the available physician profile data.

Does Ganga Prabhakar, M.D. have Open Payments data?

Ganga Prabhakar, M.D. has 7 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.