Physician

Vasantha P Pai, M.D

According to 2025 Medicare claims, Vasantha Pai, M.D (NPI: 1306921218) practices gastroenterology in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from St. Clair, IL. This provider's primary affiliated billing organization is VASANTHA PAI M.D. P.C. (NPI: 1558553024) and primary practice location at 62223-5007. Pai is affiliated with the IRCCO (ACO ID: A2619), SSM IL ACO, LLC (ACO ID: A4832), and IHCI ACO Midwest LLC (ACO ID: A5516), participating under the MSSP model.

Pai's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,587 traditional Medicare patients, billed 5,218 HCPCS/CPT codes, and received $619,078 in Medicare payments. The top billing code was 43239 (Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope). Part D data shows 5,954 prescription claims across 1,423 beneficiaries totaling $1,049,618 in drug costs, led by Linzess (Linaclotide). 2020 DME data shows 35 claims. Open Payments data shows 153 records totaling $4,096. 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. Concurrently, Part D prescription costs have risen steadily, from $734,605 to $1,049,618. 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	1,834	5,744	$715,288
2016	1,874	8,835	$779,495
2017	2,011	8,955	$851,396
2018	1,873	8,677	$742,114
2019	2,122	7,916	$827,728
2020	1,947	6,155	$694,248
2021	2,026	5,977	$796,403
2022	1,762	4,988	$652,619
2023	1,623	4,511	$590,783
2024	1,587	5,218	$619,078

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	642	3,055	$734,605
2016	807	3,392	$454,945
2017	822	3,425	$371,813
2018	871	3,577	$524,352
2019	1,047	4,219	$591,832
2020	1,183	4,827	$714,718
2021	1,258	4,902	$851,256
2022	1,246	4,819	$840,472
2023	1,217	4,779	$775,373
2024	1,423	5,954	$1,049,618

DME Billing Trend

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

Year	Patients	Claims	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	N/R	34	$2,927
2020	N/R	35	$3,278
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	460	467	$148
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	468	$91
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	745	745	$68
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	669	1,140	$65
96365	Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	825	851	$48

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Linzess	Linaclotide	201	10,890	$199,770
Creon	Lipase/Protease/Amylase	45	1,884	$136,623
Zenpep	Lipase/Protease/Amylase	31	1,375	$114,414
Ibsrela	Tenapanor Hcl	27	990	$61,357
Mesalamine	Mesalamine	108	7,153	$52,176

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	153	$4,096	Olympus America 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

Explore More Providers

FAQ

What Medicare data is available for Vasantha P. Pai, M.D?

Tedicare shows public-source Medicare data for Vasantha P. Pai, M.D (NPI 1306921218), 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 Vasantha P. Pai, M.D have ACO affiliation data?

Vasantha P. Pai, M.D is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), SSM IL ACO, LLC (MSSP, ACO ID A4832), and IHCI ACO Midwest LLC (MSSP, ACO ID A5516).

What billing organization is linked to Vasantha P. Pai, M.D?

Vasantha P. Pai, M.D is linked to VASANTHA PAI M.D. P.C. (billing NPI 1558553024) in the available physician profile data.

Does Vasantha P. Pai, M.D have Open Payments data?

Vasantha P. Pai, M.D has 153 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.