Physician

Prabodh Mishra

According to 2025 Medicare claims, Prabodh Mishra (NPI: 1245681659) practices cardiology in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Montgomery, TN. This provider's primary affiliated billing organization is SAINT THOMAS MEDICAL PARTNERS (NPI: 1437194669; TIN: 621529858) and primary practice location at 37040-5165. Mishra is affiliated with the Ascension Care Management (ACO ID: A1061), participating under the MSSP model.

Mishra's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 881 traditional Medicare patients, billed 3,550 HCPCS/CPT codes, and received $201,295 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 2,384 prescription claims across 407 beneficiaries totaling $369,744 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 39 records totaling $802. 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 $9,245 to $369,744. 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$102K$205K2022 Medicare payment: $48,855 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $204,868 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $201,295 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022207659$48,855
20236832,758$204,868
20248813,550$201,295

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$185K$370K2016 Drug cost: $9,245 (USD; Tot_Drug_Cst)2017 Drug cost: $31,288 (USD; Tot_Drug_Cst)2018 Drug cost: $38,900 (USD; Tot_Drug_Cst)2019 Drug cost: $29,496 (USD; Tot_Drug_Cst)2020 Drug cost: $9,771 (USD; Tot_Drug_Cst)2021 Drug cost: $1,866 (USD; Tot_Drug_Cst)2022 Drug cost: $9,898 (USD; Tot_Drug_Cst)2023 Drug cost: $150,810 (USD; Tot_Drug_Cst)2024 Drug cost: $369,744 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
201622109$9,245
201769484$31,288
2018106504$38,900
201980464$29,496
20203474$9,771
2021N/R32$1,866
202239107$9,898
2023209981$150,810
20244072,384$369,744

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function296299$87
A9500Technetium tc-99m sestamibi, diagnostic, per study dose158315$86
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more369596$81
93015Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician151152$50
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report347412$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1929,458$180,038
EntrestoSacubitril/Valsartan502,130$45,588
XareltoRivaroxaban371,987$37,034
Repatha SureclickEvolocumab551,540$29,153
JardianceEmpagliflozin341,200$22,699

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.39$802Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Prabodh Mishra?

Tedicare shows public-source Medicare data for Prabodh Mishra (NPI 1245681659), 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 Prabodh Mishra have ACO affiliation data?

Prabodh Mishra is shown with ACO affiliation data for Ascension Care Management (MSSP, ACO ID A1061).

What billing organization is linked to Prabodh Mishra?

Prabodh Mishra is linked to SAINT THOMAS MEDICAL PARTNERS (billing NPI 1437194669) in the available physician profile data.

Does Prabodh Mishra have Open Payments data?

Prabodh Mishra has 39 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.