Physician

Prabal K. Guha, M.D.

According to 2025 Medicare claims, Prabal Guha, M.D. (NPI: 1043277304) practices cardiac electrophysiology in the Florence, SC market, with the plurality of this provider's patient population coming from Florence, SC. This provider's primary affiliated billing organization is MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC (NPI: 1154371433; TIN: 570370242) and primary practice location at 29506-2617. Guha is affiliated with the McLeod Healthcare Network, LLC (ACO ID: A3677), participating under the MSSP model.

Guha's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,088 traditional Medicare patients, billed 9,577 HCPCS/CPT codes, and received $485,164 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 5,051 prescription claims across 1,078 beneficiaries totaling $1,361,505 in drug costs, led by Eliquis (Apixaban). DME data shows 117 claims. Open Payments data shows 73 records totaling $2,158. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $249,305 to $1,361,505. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $111,110 and ending at $179,089.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,936	6,812	$430,296
2016	1,855	7,371	$437,371
2017	2,007	8,737	$484,587
2018	2,393	10,657	$529,153
2019	3,380	14,697	$690,223
2020	3,453	15,760	$682,353
2021	2,839	12,696	$574,682
2022	2,474	10,875	$509,263
2023	2,086	9,402	$470,102
2024	2,088	9,577	$485,164

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	400	2,651	$249,305
2016	455	3,116	$292,440
2017	555	3,844	$460,346
2018	687	4,601	$709,401
2019	825	4,779	$957,750
2020	937	4,666	$1,396,113
2021	890	4,869	$1,405,153
2022	905	4,400	$1,343,718
2023	901	4,226	$1,276,907
2024	1,078	5,051	$1,361,505

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	40	225	$108,551
2016	27	216	$153,776
2017	101	245	$135,461
2018	36	192	$184,269
2019	42	197	$258,512
2020	26	103	$154,350
2021	16	55	$118,418
2022	22	68	$151,874
2023	16	56	$79,178
2024	23	117	$178,423

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	621	679	$79
93280	Programming of dual lead pacemaker system	338	363	$45
93295	Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days	629	1,190	$23
93294	Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days	1,145	2,167	$19
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	662	763	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	750	37,112	$710,423
Xarelto	Rivaroxaban	225	12,443	$228,768
Entresto	Sacubitril/Valsartan	105	5,874	$124,445
Dofetilide	Dofetilide	729	34,182	$96,042
Multaq	Dronedarone Hcl	58	2,346	$60,758

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
K0606	Automatic external defibrillator, with integrated electrocardiogram analysis, garment type	Y	23	71	$176,449
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	22	$1,599
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	24	$375

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	73	$2,158	BIOTRONIK INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
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 Prabal K. Guha, M.D.?

Tedicare shows public-source Medicare data for Prabal K. Guha, M.D. (NPI 1043277304), 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 Prabal K. Guha, M.D. have ACO affiliation data?

Prabal K. Guha, M.D. is shown with ACO affiliation data for McLeod Healthcare Network, LLC (MSSP, ACO ID A3677).

What billing organization is linked to Prabal K. Guha, M.D.?

Prabal K. Guha, M.D. is linked to MCLEOD REGIONAL MEDICAL CENTER OF THE PEE DEE, INC (billing NPI 1154371433) in the available physician profile data.

Does Prabal K. Guha, M.D. have Open Payments data?

Prabal K. Guha, M.D. has 73 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.