Physician

Dafina Pruthi, M.D.

According to 2025 Medicare claims, Dafina Pruthi, M.D. (NPI: 1295174514) practices internal medicine in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is MAINEHEALTH (NPI: 1629761978; TIN: 010238552) and primary practice location at 04240-6045. Pruthi is affiliated with the MaineHealth Accountable Care Organization (ACO ID: A1290), participating under the MSSP model.

Pruthi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 538 traditional Medicare patients, billed 857 HCPCS/CPT codes, and received $38,323 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 1,242 prescription claims across 263 beneficiaries totaling $157,490 in drug costs, led by Eliquis (Apixaban). 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $16,853 to $157,490. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	418	676	$27,977
2020	825	1,402	$53,304
2021	856	1,399	$56,118
2022	699	1,170	$46,511
2023	783	1,288	$52,958
2024	538	857	$38,323

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	42	392	$16,853
2016	40	351	$15,029
2017	35	199	$8,580
2018	29	234	$17,359
2019	45	278	$21,122
2020	88	294	$23,669
2021	156	718	$52,599
2022	217	860	$110,343
2023	254	1,155	$170,657
2024	263	1,242	$157,490

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$134
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	37	84	$94
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	146	146	$52
76376	3d radiographic procedure	42	42	$7
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	249	275	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	71	4,681	$89,013
Xarelto	Rivaroxaban	18	1,560	$27,561
Metoprolol Succinate	Metoprolol Succinate	239	18,831	$3,824
Atorvastatin Calcium	Atorvastatin Calcium	167	14,340	$1,942
Isosorbide Mononitrate Er	Isosorbide Mononitrate	67	5,712	$1,266

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 Dafina Pruthi, M.D.?

Tedicare shows public-source Medicare data for Dafina Pruthi, M.D. (NPI 1295174514), 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 Dafina Pruthi, M.D. have ACO affiliation data?

Dafina Pruthi, M.D. is shown with ACO affiliation data for MaineHealth Accountable Care Organization (MSSP, ACO ID A1290).

What billing organization is linked to Dafina Pruthi, M.D.?

Dafina Pruthi, M.D. is linked to MAINEHEALTH (billing NPI 1629761978) in the available physician profile data.

Does Dafina Pruthi, M.D. 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.