Physician

Pratibha Dua, MD

According to 2025 Medicare claims, Pratibha Dua, MD (NPI: 1235116369) practices internal medicine in the Waterloo-Cedar Falls, IA market, with the plurality of this provider's patient population coming from Black Hawk, IA. This provider's primary affiliated billing organization is IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (NPI: 1366425274; TIN: 421411630) and primary practice location at 50703-1002. Dua is affiliated with the UnityPoint Accountable Care, L.C. (ACO ID: A5170), Main Street Rural Health Willow ACO LLC (ACO ID: A5404), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Dua's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 790 traditional Medicare patients, billed 3,320 HCPCS/CPT codes, and received $160,623 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 13,267 prescription claims across 671 beneficiaries totaling $968,935 in drug costs, led by Eliquis (Apixaban). DME data shows 469 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. Similarly, Part D prescription costs have changed little. For DME billing, reported payments moved sharply higher in recent years, from $36,708 to $56,799.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,341	4,864	$190,103
2016	1,133	3,434	$135,775
2017	1,259	4,861	$156,589
2018	1,280	4,888	$178,772
2019	1,202	4,836	$159,854
2020	1,033	3,494	$127,008
2021	1,036	3,855	$156,668
2022	912	3,041	$135,979
2023	841	2,898	$149,236
2024	790	3,320	$160,623

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	652	18,194	$739,871
2016	669	14,877	$689,682
2017	844	15,670	$808,351
2018	862	15,737	$875,176
2019	800	15,371	$831,268
2020	733	14,169	$806,563
2021	674	12,792	$791,416
2022	637	12,001	$772,187
2023	671	12,405	$900,368
2024	671	13,267	$968,935

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	184	679	$36,196
2016	79	279	$12,386
2017	185	570	$12,599
2018	187	578	$15,430
2019	148	563	$22,708
2020	144	483	$26,103
2021	135	477	$31,995
2022	99	442	$33,620
2023	100	465	$37,412
2024	129	469	$48,921

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	258	258	$120
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	314	717	$83
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	146	178	$12
36415	Insertion of needle into vein for collection of blood sample	168	221	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	447	511	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	143	6,561	$124,682
Ozempic	Semaglutide	107	3,684	$117,823
Jardiance	Empagliflozin	99	4,672	$91,405
Mounjaro	Tirzepatide	54	1,736	$63,593
Rybelsus	Semaglutide	47	1,830	$57,262

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	16	67	$30,818
E0471	Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	18	$4,605
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	48	$3,632
A7031	Face mask interface, replacement for full face mask, each	N	12	31	$2,656
A7030	Full face mask used with positive airway pressure device, each	N	12	30	$2,544

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 Pratibha Dua, MD?

Tedicare shows public-source Medicare data for Pratibha Dua, MD (NPI 1235116369), 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 Pratibha Dua, MD have ACO affiliation data?

Pratibha Dua, MD is shown with ACO affiliation data for UnityPoint Accountable Care, L.C. (MSSP, ACO ID A5170), Main Street Rural Health Willow ACO LLC (MSSP, ACO ID A5404), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Pratibha Dua, MD?

Pratibha Dua, MD is linked to IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION (billing NPI 1366425274) in the available physician profile data.

Does Pratibha Dua, 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.