Physician

Grace W Pien, MD

According to 2025 Medicare claims, Grace Pien, MD (NPI: 1427077650) practices sleep medicine in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Philadelphia, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PENN - MEDICAL GROUP (NPI: 1194829739; TIN: 232743545) and primary practice location at 19104-2614.

Pien's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 45 traditional Medicare patients, billed 94 HCPCS/CPT codes, and received $5,529 in Medicare payments. The top billing code was 95810 (Sleep study in sleep lab (6 years or older)). Part D data shows 20 prescription claims totaling $1,839 in drug costs. DME data shows 354 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 declined steadily, from $58,857 to $5,529. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,091 and ending at $1,839. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	273	595	$58,857
2016	249	534	$46,953
2017	294	669	$60,122
2018	257	452	$40,691
2019	325	558	$50,213
2020	263	545	$46,306
2021	315	499	$44,331
2022	328	467	$43,470
2023	171	187	$15,120
2024	45	94	$5,529

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	61	$1,091
2016	N/R	38	$537
2017	N/R	40	$2,696
2018	12	64	$4,136
2019	13	63	$7,238
2020	12	65	$2,268
2021	15	73	$8,464
2022	N/R	55	$2,386
2023	N/R	35	$609
2024	N/R	20	$1,839

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	304	799	$19,637
2016	339	710	$16,845
2017	405	1,117	$28,688
2018	414	850	$21,916
2019	496	915	$23,273
2020	502	1,093	$31,353
2021	581	1,300	$35,724
2022	680	1,555	$46,450
2023	502	967	$32,661
2024	128	354	$12,532

* / # = 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
95810	Sleep study in sleep lab (6 years or older)	11	11	$94
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$81
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	29	$74
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	28	32	$13

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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
A7032	Cushion for use on nasal mask interface, replacement only, each	N	14	30	$2,616
E0601	Continuous positive airway pressure (cpap) device	Y	16	81	$2,157
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	21	46	$1,696
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	17	34	$1,684
A7030	Full face mask used with positive airway pressure device, each	N	N/R	17	$1,440

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 Grace W. Pien, MD?

Tedicare shows public-source Medicare data for Grace W. Pien, MD (NPI 1427077650), 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 Grace W. Pien, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Grace W. Pien, MD?

Grace W. Pien, MD is linked to UNIVERSITY OF PENN - MEDICAL GROUP (billing NPI 1194829739) in the available physician profile data.

Does Grace W. Pien, MD 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.