Physician

Prashanta Koirala, M.D.

According to 2025 Medicare claims, Prashanta Koirala, M.D. (NPI: 1437368180) practices hospitalist in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Winchester City, VA. This provider's primary affiliated billing organization is WINCHESTER INTERNAL MEDICINE, INC (NPI: 1730130667; TIN: 540952457) and primary practice location at 22601-2872. Koirala is affiliated with the Sound Physicians Long Term Care Management, LLC (ACO ID: A5220) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Koirala's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 117 traditional Medicare patients, billed 304 HCPCS/CPT codes, and received $23,469 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). 2019 Part D data shows 290 prescription claims across 95 beneficiaries totaling $12,730 in drug costs. DME data shows 12 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 from a higher plateau to a lower plateau, from $60,277 to $23,469. Concurrently, Part D prescription costs have changed little. For DME billing, reported payments fell sharply in recent years, from $5,341 to $10,712.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	331	957	$60,277
2016	347	939	$63,738
2017	351	871	$65,136
2018	549	1,451	$109,901
2019	392	1,171	$87,235
2020	44	131	$11,691
2021	118	337	$28,799
2022	138	381	$30,094
2023	126	378	$25,622
2024	117	304	$23,469

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	83	248	$19,183
2016	97	306	$17,614
2017	115	307	$17,991
2018	139	382	$17,853
2019	95	290	$12,730
2020	N/R	N/R	N/R
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

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	76	$11,638
2017	N/R	124	$24,484
2018	N/R	98	$28,343
2019	N/R	117	$29,969
2020	N/R	72	$29,520
2021	N/R	33	$25,442
2022	N/R	16	$12,725
2023	N/R	12	$10,473
2024	N/R	12	$10,712

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	37	$132
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	44	$100
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	76	$60
99497	Advance care planning, first 30 minutes	44	45	$58
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	43	51	$38

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$10,712

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 Prashanta Koirala, M.D.?

Tedicare shows public-source Medicare data for Prashanta Koirala, M.D. (NPI 1437368180), 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 Prashanta Koirala, M.D. have ACO affiliation data?

Prashanta Koirala, M.D. is shown with ACO affiliation data for Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Prashanta Koirala, M.D.?

Prashanta Koirala, M.D. is linked to WINCHESTER INTERNAL MEDICINE, INC (billing NPI 1730130667) in the available physician profile data.

Does Prashanta Koirala, 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.