Physician

Manuel T Peralta, M.D.

According to 2025 Medicare claims, Manuel Peralta, M.D. (NPI: 1245451194) practices family practice in the Lynchburg, VA market, with the plurality of this provider's patient population coming from Lynchburg City, VA. This provider's primary affiliated billing organization is PRIVIA MEDICAL GROUP, LLC (NPI: 1013042480; TIN: 202265068) and primary practice location at 24501-1131. Peralta is affiliated with the Privia Quality Network, LLC (ACO ID: A2057), participating under the MSSP model.

Peralta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 562 traditional Medicare patients, billed 9,403 HCPCS/CPT codes, and received $254,200 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 9,949 prescription claims across 725 beneficiaries totaling $693,960 in drug costs, led by Ozempic (Semaglutide). DME data shows 640 claims. Open Payments data shows 147 records totaling $2,431. 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 moved from a lower plateau to a higher plateau, from $73,831 to $254,200. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $187,254 to $693,960. In contrast, DME billing represents a smaller volume and rose steadily, from $8,972 to $46,518.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	285	1,709	$73,831
2016	263	1,383	$59,220
2017	489	3,932	$77,713
2018	701	9,053	$297,966
2019	640	10,588	$286,395
2020	625	11,538	$278,528
2021	650	9,308	$268,672
2022	572	8,682	$254,879
2023	534	8,800	$291,717
2024	562	9,403	$254,200

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	288	2,686	$187,254
2016	266	2,543	$149,121
2017	432	2,136	$136,056
2018	703	7,733	$569,508
2019	683	9,917	$811,578
2020	688	9,863	$729,263
2021	673	9,813	$732,178
2022	726	10,027	$738,995
2023	704	9,506	$788,965
2024	725	9,949	$693,960

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	20	167	$6,100
2016	21	122	$1,436
2017	N/R	39	$938
2018	87	294	$4,809
2019	170	592	$17,689
2020	164	579	$26,248
2021	118	546	$32,902
2022	100	375	$22,473
2023	108	411	$30,753
2024	172	640	$44,493

* / # = 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	362	362	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	1,072	$79
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	372	671	$11
36415	Insertion of needle into vein for collection of blood sample	397	658	$9
82565	Blood creatinine level	345	527	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	72	3,374	$103,373
Trulicity	Dulaglutide	33	2,324	$77,111
Jardiance	Empagliflozin	48	3,560	$69,379
Eliquis	Apixaban	62	2,584	$50,340
Januvia	Sitagliptin Phosphate	26	1,680	$30,886

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	N/R	27	$12,561
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,052
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	46	$3,342
E0601	Continuous positive airway pressure (cpap) device	Y	14	96	$3,039
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	19	46	$2,217

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	147	$2,431	Novo Nordisk 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 Manuel T. Peralta, M.D.?

Tedicare shows public-source Medicare data for Manuel T. Peralta, M.D. (NPI 1245451194), 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 Manuel T. Peralta, M.D. have ACO affiliation data?

Manuel T. Peralta, M.D. is shown with ACO affiliation data for Privia Quality Network, LLC (MSSP, ACO ID A2057).

What billing organization is linked to Manuel T. Peralta, M.D.?

Manuel T. Peralta, M.D. is linked to PRIVIA MEDICAL GROUP, LLC (billing NPI 1013042480) in the available physician profile data.

Does Manuel T. Peralta, M.D. have Open Payments data?

Manuel T. Peralta, M.D. has 147 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.