Physician

Pranjal Thakuria, MD

According to 2025 Medicare claims, Pranjal Thakuria, MD (NPI: 1285830323) practices ophthalmology in the Providence-Warwick, RI-MA market, with the plurality of this provider's patient population coming from Washington, RI. This provider's primary affiliated billing organization is REFOCUS EYE HEALTH OF RI, LLC (NPI: 1043938772; TIN: 874175575) and primary practice location at 02879-8274. Thakuria is affiliated with the Lifespan Health Alliance, LLC (ACO ID: A3336), participating under the MSSP model.

Thakuria's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 500 traditional Medicare patients, billed 5,220 HCPCS/CPT codes, and received $931,778 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 255 prescription claims across 71 beneficiaries totaling $23,316 in drug costs, led by Prolensa (Bromfenac Sodium). Open Payments data shows 5 records totaling $341. 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 $381,260 to $931,778. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $16,451 to $23,316. 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$495K$990K2015 Medicare payment: $381,260 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $476,637 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $563,952 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $990,311 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $954,075 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $842,403 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $909,997 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $950,004 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $919,925 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $931,778 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155773,620$381,260
20165744,100$476,637
20176184,464$563,952
20186836,001$990,311
20196686,095$954,075
20205754,950$842,403
20215415,252$909,997
20225605,260$950,004
20235425,343$919,925
20245005,220$931,778

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$15K$31K2015 Drug cost: $16,451 (USD; Tot_Drug_Cst)2016 Drug cost: $11,651 (USD; Tot_Drug_Cst)2017 Drug cost: $10,196 (USD; Tot_Drug_Cst)2018 Drug cost: $20,203 (USD; Tot_Drug_Cst)2019 Drug cost: $17,922 (USD; Tot_Drug_Cst)2020 Drug cost: $17,725 (USD; Tot_Drug_Cst)2021 Drug cost: $25,862 (USD; Tot_Drug_Cst)2022 Drug cost: $30,751 (USD; Tot_Drug_Cst)2023 Drug cost: $24,427 (USD; Tot_Drug_Cst)2024 Drug cost: $23,316 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201555165$16,451
201660180$11,651
201753177$10,196
201880256$20,203
201983226$17,922
202053193$17,725
202172263$25,862
202277290$30,751
202374231$24,427
202471255$23,316

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
J0178Injection, aflibercept, 1 mg79958$655
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4821,290$95
67028Injection of drug into eye123643$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5971$72
92134Imaging of retina4701,677$31

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ProlensaBromfenac Sodium26899$9,039
Bromfenac SodiumBromfenac Sodium19660$5,274
Prednisolone AcetatePrednisolone Acetate452,258$2,212
DifluprednateDifluprednate17523$2,042
FluorometholoneFluorometholone17574$1,296

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.5$341Harrow Eye, LLC
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 Pranjal Thakuria, MD?

Tedicare shows public-source Medicare data for Pranjal Thakuria, MD (NPI 1285830323), 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 Pranjal Thakuria, MD have ACO affiliation data?

Pranjal Thakuria, MD is shown with ACO affiliation data for Lifespan Health Alliance, LLC (MSSP, ACO ID A3336).

What billing organization is linked to Pranjal Thakuria, MD?

Pranjal Thakuria, MD is linked to REFOCUS EYE HEALTH OF RI, LLC (billing NPI 1043938772) in the available physician profile data.

Does Pranjal Thakuria, MD have Open Payments data?

Pranjal Thakuria, MD has 5 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.