Physician

Mounika Tummala, MD

According to 2025 Medicare claims, Mounika Tummala, MD (NPI: 1437462413) practices internal medicine in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is CITY HOSPITAL, INC. (NPI: 1336657493; TIN: 550383321) and primary practice location at 25401-3402. Tummala is affiliated with the UVA Community Health Accountable Care Organization, LLC (ACO ID: A3507) and Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Tummala's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 242 traditional Medicare patients, billed 937 HCPCS/CPT codes, and received $73,717 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). Part D data shows 466 prescription claims across 182 beneficiaries totaling $29,966 in drug costs, led by Eliquis (Apixaban). DME data shows 127 claims. Open Payments data shows 1 records totaling $19. 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 $133,575 and ending at $73,717. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $8,451 to $29,966. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $525 and ending at $12,511.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	651	1,592	$133,575
2016	362	961	$76,487
2017	490	1,391	$104,131
2018	534	1,891	$137,181
2019	468	1,745	$139,383
2020	348	1,348	$109,990
2021	338	1,355	$107,708
2022	281	1,134	$87,403
2023	284	943	$78,446
2024	242	937	$73,717

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	55	118	$8,451
2016	59	144	$6,187
2017	128	342	$7,907
2018	196	519	$32,202
2019	226	518	$30,482
2020	166	441	$31,056
2021	151	346	$22,531
2022	144	415	$56,616
2023	163	461	$58,772
2024	182	466	$29,966

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	13	52	$1,835
2018	N/R	121	$3,112
2019	34	257	$9,149
2020	45	271	$11,947
2021	51	255	$13,878
2022	13	201	$10,088
2023	27	153	$9,289
2024	N/R	127	$6,855

* / # = 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	74	76	$128
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	169	368	$88
99239	Hospital discharge day management, more than 30 minutes	121	134	$84
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	312	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	14	420	$7,897
Cefuroxime	Cefuroxime Axetil	36	166	$283
Pantoprazole Sodium	Pantoprazole Sodium	21	745	$144
Hydralazine Hcl	Hydralazine Hcl	17	510	$97
Metoprolol Tartrate	Metoprolol Tartrate	18	561	$76

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	56	$4,833
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	45	$835
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	14	$666
E0630	Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)	Y	N/R	12	$522

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$19	Janssen 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 Mounika Tummala, MD?

Tedicare shows public-source Medicare data for Mounika Tummala, MD (NPI 1437462413), 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 Mounika Tummala, MD have ACO affiliation data?

Mounika Tummala, MD is shown with ACO affiliation data for UVA Community Health Accountable Care Organization, LLC (MSSP, ACO ID A3507) and Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Mounika Tummala, MD?

Mounika Tummala, MD is linked to CITY HOSPITAL, INC. (billing NPI 1336657493) in the available physician profile data.

Does Mounika Tummala, MD have Open Payments data?

Mounika Tummala, MD 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.