Physician

John Prokop, D.O.

According to 2025 Medicare claims, John Prokop, D.O. (NPI: 1396108676) practices family practice in the Parkersburg-Vienna, WV market, with the plurality of this provider's patient population coming from Wood, WV. This provider's primary affiliated billing organization is MARIETTA MEMORIAL HOSPITAL (NPI: 1215936927; TIN: 314379509) and primary practice location at 45714-1000. Prokop is affiliated with the ACO West Virginia (ACO ID: A3563) and Aledade 101 Regional MSSP (ACO ID: A5216), participating under the MSSP model.

Prokop's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 533 traditional Medicare patients, billed 1,362 HCPCS/CPT codes, and received $83,641 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 12,468 prescription claims across 877 beneficiaries totaling $1,701,518 in drug costs, led by Takhzyro (Lanadelumab-Flyo). DME data shows 295 claims. Open Payments data shows 1 records totaling $24. 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 up and down with repeated peaks and valleys, starting at $14,433 and ending at $83,641. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $15,259 to $1,701,518. For DME billing, reported payments rose steadily, from $167 to $24,552.

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	130	282	$14,433
2020	292	1,616	$70,952
2021	334	1,268	$50,523
2022	651	1,327	$70,175
2023	572	1,249	$78,349
2024	533	1,362	$83,641

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	59	319	$15,259
2017	90	751	$34,637
2018	106	1,402	$88,114
2019	289	1,418	$108,520
2020	471	3,611	$227,057
2021	571	4,960	$307,251
2022	1,036	8,418	$740,404
2023	913	11,558	$1,757,269
2024	877	12,468	$1,701,518

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	N/R	N/R
2020	N/R	11	$145
2021	N/R	33	$410
2022	14	61	$838
2023	37	219	$9,771
2024	38	295	$10,020

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	267	267	$120
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	252	343	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	322	486	$41
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	26	99	$37
69210	Removal of impacted ear wax	20	21	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Takhzyro	Lanadelumab-Flyo	11	364	$668,141
Eliquis	Apixaban	199	10,423	$198,131
Jardiance	Empagliflozin	79	6,210	$119,327
Ozempic	Semaglutide	68	2,540	$81,726
Trulicity	Dulaglutide	66	2,408	$80,720

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	38	$3,527
A7030	Full face mask used with positive airway pressure device, each	N	N/R	11	$1,207
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	18	$1,138
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	27	66	$811
A4362	Skin barrier; solid, 4 x 4 or equivalent; each	N	N/R	12	$713

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$24	Alexion Pharmaceuticals, 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

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FAQ

What Medicare data is available for John Prokop, D.O.?

Tedicare shows public-source Medicare data for John Prokop, D.O. (NPI 1396108676), 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 John Prokop, D.O. have ACO affiliation data?

John Prokop, D.O. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and Aledade 101 Regional MSSP (MSSP, ACO ID A5216).

What billing organization is linked to John Prokop, D.O.?

John Prokop, D.O. is linked to MARIETTA MEMORIAL HOSPITAL (billing NPI 1215936927) in the available physician profile data.

Does John Prokop, D.O. have Open Payments data?

John Prokop, D.O. has 1 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.