Physician

Sowmya Palam, MD

According to 2025 Medicare claims, Sowmya Palam, MD (NPI: 1093179483) practices gastroenterology in the Wenatchee-East Wenatchee, WA market, with the plurality of this provider's patient population coming from Douglas, WA. This provider's primary affiliated billing organization is CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (NPI: 1881642239; TIN: 910171250) and primary practice location at 98801-2028. Palam is affiliated with the CVS ACO (ACO ID: A5407) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Palam's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 409 traditional Medicare patients, billed 993 HCPCS/CPT codes, and received $83,287 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 225 prescription claims across 104 beneficiaries totaling $16,114 in drug costs, led by Mesalamine (Mesalamine). 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $155 to $16,114. 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$42K$83K2019 Medicare payment: $2,289 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $4,283 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $16,252 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $83,287 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20191128$2,289
20201548$4,283
2021N/RN/RN/R
2022N/RN/RN/R
2023100211$16,252
2024409993$83,287

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$8.1K$16K2016 Drug cost: $155 (USD; Tot_Drug_Cst)2017 Drug cost: $2,744 (USD; Tot_Drug_Cst)2020 Drug cost: $4,245 (USD; Tot_Drug_Cst)2023 Drug cost: $2,551 (USD; Tot_Drug_Cst)2024 Drug cost: $16,114 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R16$155
20171740$2,744
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R16$4,245
2021N/RN/RN/R
2022N/RN/RN/R
20232032$2,551
2024104225$16,114

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare170172$192
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3434$99
45380Biopsy of large bowel using a flexible endoscope5757$81
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope8288$64
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito304332$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MesalamineMesalamine15450$5,020
OmeprazoleOmeprazole1156,502$1,126
Gavilyte-CPeg3350/Sod Sulf,bicarb,cl/Kcl2152$434
Pantoprazole SodiumPantoprazole Sodium271,602$424

Top 5 DME services in 2024

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

Open Payments Summary

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

FAQ

What Medicare data is available for Sowmya Palam, MD?

Tedicare shows public-source Medicare data for Sowmya Palam, MD (NPI 1093179483), 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 Sowmya Palam, MD have ACO affiliation data?

Sowmya Palam, MD is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Sowmya Palam, MD?

Sowmya Palam, MD is linked to CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION (billing NPI 1881642239) in the available physician profile data.

Does Sowmya Palam, MD 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.