Physician

Alicia Prowse, MD

According to 2025 Medicare claims, Alicia Prowse, MD (NPI: 1104908268) practices geriatric medicine in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Bergen, NJ. This provider's primary affiliated billing organization is VALLEY PHYSICIAN SERVICES PC (NPI: 1467815928; TIN: 465285330) and primary practice location at 07450-5200. Prowse is affiliated with the ColigoCare, LLC (ACO ID: A3591), participating under the MSSP model.

Prowse's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 213 traditional Medicare patients, billed 961 HCPCS/CPT codes, and received $77,125 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 1,966 prescription claims across 197 beneficiaries totaling $146,785 in drug costs, led by Eliquis (Apixaban). 2023 DME data shows 53 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $119,980 and ending at $146,785. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,474 and ending at $703.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	252	1,460	$107,777
2016	278	1,522	$122,475
2017	237	1,195	$103,850
2018	309	1,061	$99,970
2019	248	1,033	$95,939
2020	225	1,126	$106,468
2021	241	1,086	$99,707
2022	250	1,014	$79,699
2023	266	1,055	$90,082
2024	213	961	$77,125

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	176	2,380	$119,980
2016	195	2,602	$142,089
2017	144	2,368	$113,972
2018	102	1,641	$95,242
2019	147	1,664	$110,674
2020	158	1,978	$109,431
2021	212	2,181	$128,362
2022	213	2,208	$176,675
2023	200	2,372	$186,280
2024	197	1,966	$146,785

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	58	$1,793
2016	N/R	111	$2,407
2017	N/R	249	$8,049
2018	N/R	195	$7,006
2019	N/R	144	$4,539
2020	N/R	148	$3,454
2021	11	186	$4,972
2022	N/R	116	$3,646
2023	N/R	53	$2,112
2024	N/R	N/R	N/R

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	74	92	$160
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	73	$155
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	69	69	$152
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	122	$105
36415	Insertion of needle into vein for collection of blood sample	95	159	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	52	2,077	$40,483
Xarelto	Rivaroxaban	24	975	$18,199
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	12	360	$7,736
Memantine Hcl Er	Memantine Hcl	29	1,243	$3,301
Mirtazapine	Mirtazapine	45	2,640	$1,453

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.

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FAQ

What Medicare data is available for Alicia Prowse, MD?

Tedicare shows public-source Medicare data for Alicia Prowse, MD (NPI 1104908268), 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 Alicia Prowse, MD have ACO affiliation data?

Alicia Prowse, MD is shown with ACO affiliation data for ColigoCare, LLC (MSSP, ACO ID A3591).

What billing organization is linked to Alicia Prowse, MD?

Alicia Prowse, MD is linked to VALLEY PHYSICIAN SERVICES PC (billing NPI 1467815928) in the available physician profile data.

Does Alicia Prowse, 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.