Physician

Priyanka Shah O'Brien, M.D.

According to 2025 Medicare claims, Priyanka O'Brien, M.D. (NPI: 1326306317) practices otolaryngology in the Longview-Kelso, WA market, with the plurality of this provider's patient population coming from Cowlitz, WA. This provider's primary affiliated billing organization is PEACEHEALTH (NPI: 1720056187; TIN: 910564987) and primary practice location at 98632-3271. O'Brien is affiliated with the Southcoast Accountable Care Organization, LLC (ACO ID: A1522), PSW ACO (ACO ID: A5323), and PeaceHealth Direct Contracting LLC (ACO ID: D0152), participating under both the MSSP and REACH models.

O'Brien's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 685 traditional Medicare patients, billed 2,164 HCPCS/CPT codes, and received $111,697 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 998 prescription claims across 422 beneficiaries totaling $16,696 in drug costs, led by Fluticasone Propionate (Fluticasone Propionate). 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 risen steadily, from $2,271 to $16,696. 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$79K$157K2017 Medicare payment: $58,269 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $127,090 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $124,494 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $115,779 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $157,189 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $134,215 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $119,066 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $111,697 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017455772$58,269
20181,0762,011$127,090
20197942,464$124,494
20207361,914$115,779
20217672,454$157,189
20226942,044$134,215
20236521,986$119,066
20246852,164$111,697

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$11K$22K2015 Drug cost: $2,271 (USD; Tot_Drug_Cst)2016 Drug cost: $1,035 (USD; Tot_Drug_Cst)2017 Drug cost: $3,706 (USD; Tot_Drug_Cst)2018 Drug cost: $9,440 (USD; Tot_Drug_Cst)2019 Drug cost: $15,804 (USD; Tot_Drug_Cst)2020 Drug cost: $18,506 (USD; Tot_Drug_Cst)2021 Drug cost: $21,703 (USD; Tot_Drug_Cst)2022 Drug cost: $17,792 (USD; Tot_Drug_Cst)2023 Drug cost: $17,442 (USD; Tot_Drug_Cst)2024 Drug cost: $16,696 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152843$2,271
20162544$1,035
201781150$3,706
2018201379$9,440
2019283573$15,804
2020294744$18,506
2021322913$21,703
2022322811$17,792
2023393962$17,442
2024422998$16,696

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more167167$111
31575Diagnostic exam of voice box using a flexible endoscope110118$90
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more246246$70
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more199246$63
69210Removal of impacted ear wax170219$31

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Fluticasone PropionateFluticasone Propionate20710,821$2,741
Ipratropium BromideIpratropium Bromide622,950$2,077
OfloxacinOfloxacin95987$2,026
OmeprazoleOmeprazole1566,279$1,881
Azelastine HclAzelastine Hcl542,670$1,667

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.

FAQ

What Medicare data is available for Priyanka Shah O'Brien, M.D.?

Tedicare shows public-source Medicare data for Priyanka Shah O'Brien, M.D. (NPI 1326306317), 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 Priyanka Shah O'Brien, M.D. have ACO affiliation data?

Priyanka Shah O'Brien, M.D. is shown with ACO affiliation data for Southcoast Accountable Care Organization, LLC (MSSP, ACO ID A1522), PSW ACO (MSSP, ACO ID A5323), and PeaceHealth Direct Contracting LLC (REACH, ACO ID D0152).

What billing organization is linked to Priyanka Shah O'Brien, M.D.?

Priyanka Shah O'Brien, M.D. is linked to PEACEHEALTH (billing NPI 1720056187) in the available physician profile data.

Does Priyanka Shah O'Brien, 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.