Physician

Prasad Pillai, MD

According to 2025 Medicare claims, Prasad Pillai, MD (NPI: 1023174380) practices hematology in the Oakland-Fremont-Berkeley, CA market, with the plurality of this provider's patient population coming from Contra Costa, CA. This provider's primary affiliated billing organization is EPIC CARE (NPI: 1780107797; TIN: 821993796) and primary practice location at 94531-8811. Pillai is affiliated with the Aledade 147 Hill Physicians MSSP Basic E (ACO ID: A5230), participating under the MSSP model.

Pillai's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 339 traditional Medicare patients, billed 131,840 HCPCS/CPT codes, and received $2,166,033 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 904 prescription claims across 186 beneficiaries totaling $2,082,095 in drug costs, led by Tagrisso (Osimertinib Mesylate). DME data shows 11 claims. Open Payments data shows 60 records totaling $1,417. 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 risen steadily, from $136,104 to $2,166,033. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $406,068 to $2,082,095. 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$1.1M$2.2M2015 Medicare payment: $136,104 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $464,395 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $788,450 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,141,494 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,632,441 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,571,517 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,997,694 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,418,365 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,410,144 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,166,033 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201527912,326$136,104
201630731,794$464,395
201729762,857$788,450
2018345122,343$1,141,494
2019326114,252$1,632,441
202030681,424$1,571,517
2021313132,453$1,997,694
2022317112,531$1,418,365
2023332108,732$1,410,144
2024339131,840$2,166,033

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$1.1M$2.1M2015 Drug cost: $406,068 (USD; Tot_Drug_Cst)2016 Drug cost: $227,191 (USD; Tot_Drug_Cst)2017 Drug cost: $545,897 (USD; Tot_Drug_Cst)2018 Drug cost: $742,739 (USD; Tot_Drug_Cst)2019 Drug cost: $1,434,347 (USD; Tot_Drug_Cst)2020 Drug cost: $1,208,411 (USD; Tot_Drug_Cst)2021 Drug cost: $1,227,231 (USD; Tot_Drug_Cst)2022 Drug cost: $1,328,468 (USD; Tot_Drug_Cst)2023 Drug cost: $2,117,012 (USD; Tot_Drug_Cst)2024 Drug cost: $2,082,095 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201589546$406,068
201672323$227,191
201767429$545,897
201888571$742,739
2019110708$1,434,347
2020103717$1,208,411
2021126915$1,227,231
2022139882$1,328,468
2023192828$2,117,012
2024186904$2,082,095

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$824$1.6K2015 Medicare payment: $1,649 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $453 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R84$1,649
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R11$453

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6673$160
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more173405$120
99443Telephone medical discussion with physician, 21-30 minutes67123$120
36415Insertion of needle into vein for collection of blood sample178479$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count153414$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TagrissoOsimertinib Mesylate18540$307,981
CalquenceAcalabrutinib Maleate16480$233,086
JakafiRuxolitinib Phosphate14420$225,232
XtandiEnzalutamide14420$165,725
XareltoRivaroxaban986,575$123,099

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J8521Capecitabine, oral, 500 mgNN/R11$453

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.60$1,417PFIZER INC.
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 Prasad Pillai, MD?

Tedicare shows public-source Medicare data for Prasad Pillai, MD (NPI 1023174380), 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 Prasad Pillai, MD have ACO affiliation data?

Prasad Pillai, MD is shown with ACO affiliation data for Aledade 147 Hill Physicians MSSP Basic E (MSSP, ACO ID A5230).

What billing organization is linked to Prasad Pillai, MD?

Prasad Pillai, MD is linked to EPIC CARE (billing NPI 1780107797) in the available physician profile data.

Does Prasad Pillai, MD have Open Payments data?

Prasad Pillai, MD has 60 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.