Physician

Prasad Polisetty, M.D

According to 2025 Medicare claims, Prasad Polisetty, M.D (NPI: 1376711291) practices internal medicine in the Beckley, WV market, with the plurality of this provider's patient population coming from Raleigh, WV. This provider's primary affiliated billing organization is PRASAD POLISETTY MD PLLC (NPI: 1649995382; TIN: 825406697) and primary practice location at 24740-2352. Polisetty is affiliated with the AdvantagePoint Health Alliance - Blue Ridge, LLC (ACO ID: A4654), participating under the MSSP model.

Polisetty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 703 traditional Medicare patients, billed 7,289 HCPCS/CPT codes, and received $638,242 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 1,077 prescription claims across 347 beneficiaries totaling $101,419 in drug costs, led by Daptomycin (Daptomycin). DME data shows 2,873 claims. 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 has moved sharply higher in recent years, from $168,415 to $638,242. Similarly, Part D prescription costs have risen steadily, from $33,027 to $101,419. For DME billing, reported payments rose steadily, from $18,245 to $179,578.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	626	2,255	$168,415
2016	712	2,582	$207,999
2017	761	2,389	$195,709
2018	1,047	2,865	$286,700
2019	1,157	4,001	$387,323
2020	839	4,264	$422,190
2021	751	3,306	$325,350
2022	911	3,894	$336,265
2023	1,102	7,584	$676,568
2024	703	7,289	$638,242

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	176	467	$33,027
2016	174	495	$29,185
2017	176	449	$15,370
2018	165	378	$15,649
2019	152	316	$30,250
2020	75	144	$15,512
2021	111	222	$15,686
2022	190	450	$84,226
2023	281	748	$187,810
2024	347	1,077	$101,419

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	12	174	$12,261
2016	12	167	$5,682
2017	N/R	164	$5,268
2018	12	168	$5,389
2019	43	221	$7,857
2020	29	205	$21,023
2021	64	309	$14,818
2022	237	642	$47,146
2023	953	2,301	$142,754
2024	1,090	2,873	$164,718

* / # = 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
99291	Critical care, first 30-74 minutes	25	76	$159
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	568	651	$123
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	588	5,553	$85
99239	Hospital discharge day management, more than 30 minutes	595	673	$81
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	278	$55

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Daptomycin	Daptomycin	12	74	$32,118
Eliquis	Apixaban	45	1,220	$24,250
Meropenem	Meropenem	12	80	$6,397
Vancomycin Hcl	Vancomycin Hcl	19	143	$1,963
Midodrine Hcl	Midodrine Hcl	42	714	$1,814

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
K0003	Lightweight wheelchair	Y	156	889	$34,214
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	45	210	$20,715
E2611	General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware	N	92	92	$19,001
E0261	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress	Y	48	244	$15,055
E0973	Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each	N	75	75	$10,239

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 Prasad Polisetty, M.D?

Tedicare shows public-source Medicare data for Prasad Polisetty, M.D (NPI 1376711291), 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 Prasad Polisetty, M.D have ACO affiliation data?

Prasad Polisetty, M.D is shown with ACO affiliation data for AdvantagePoint Health Alliance - Blue Ridge, LLC (MSSP, ACO ID A4654).

What billing organization is linked to Prasad Polisetty, M.D?

Prasad Polisetty, M.D is linked to PRASAD POLISETTY MD PLLC (billing NPI 1649995382) in the available physician profile data.

Does Prasad Polisetty, 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.