Physician

Madhavi Reddy, MD

According to 2025 Medicare claims, Madhavi Reddy, MD (NPI: 1457341570) practices interventional pain management (ipm) in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is LANCASTER GENERAL HOSPITAL (NPI: 1699202671; TIN: 232777286) and primary practice location at 17601-2644. Reddy is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), participating under the MSSP model.

Reddy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 295 traditional Medicare patients, billed 5,379 HCPCS/CPT codes, and received $92,608 in Medicare payments. The top billing code was 64493 (Injection of lower or sacral spine facet joint using imaging guidance, single level). Part D data shows 315 prescription claims across 89 beneficiaries totaling $34,159 in drug costs, led by Belbuca (Buprenorphine Hcl). Open Payments data shows 2 records totaling $96. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $30,129 to $34,159. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$69K$139K2015 Medicare payment: $77,597 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $84,364 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $110,683 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $118,809 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $138,858 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $115,603 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $90,931 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $91,939 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $81,477 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $92,608 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153511,314$77,597
20163541,360$84,364
20174711,652$110,683
20184442,781$118,809
20193864,370$138,858
20203353,537$115,603
20212533,366$90,931
20222764,366$91,939
20232904,286$81,477
20242955,379$92,608

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$31K$62K2015 Drug cost: $30,129 (USD; Tot_Drug_Cst)2016 Drug cost: $61,767 (USD; Tot_Drug_Cst)2017 Drug cost: $61,812 (USD; Tot_Drug_Cst)2018 Drug cost: $35,767 (USD; Tot_Drug_Cst)2019 Drug cost: $29,317 (USD; Tot_Drug_Cst)2020 Drug cost: $27,785 (USD; Tot_Drug_Cst)2021 Drug cost: $29,143 (USD; Tot_Drug_Cst)2022 Drug cost: $23,205 (USD; Tot_Drug_Cst)2023 Drug cost: $44,255 (USD; Tot_Drug_Cst)2024 Drug cost: $34,159 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201599247$30,129
2016117413$61,767
201790253$61,812
201864188$35,767
201998236$29,317
202081233$27,785
202183239$29,143
202290267$23,205
2023116282$44,255
202489315$34,159

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
64493Injection of lower or sacral spine facet joint using imaging guidance, single level6093$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more8498$84
62323Injection of substance into lower spine canal using imaging guidance7081$69
64494Injection of lower or sacral spine facet joint using imaging guidance, second level5075$52
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes6294$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BelbucaBuprenorphine Hcl34865$25,165
Methadone HclMethadone Hcl17510$928
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen16457$808
Duloxetine HclDuloxetine Hcl431,770$604
GabapentinGabapentin592,033$529

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$96SPR Therapeutics, Inc
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Madhavi Reddy, MD?

Tedicare shows public-source Medicare data for Madhavi Reddy, MD (NPI 1457341570), 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 Madhavi Reddy, MD have ACO affiliation data?

Madhavi Reddy, MD is shown with ACO affiliation data for Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019).

What billing organization is linked to Madhavi Reddy, MD?

Madhavi Reddy, MD is linked to LANCASTER GENERAL HOSPITAL (billing NPI 1699202671) in the available physician profile data.

Does Madhavi Reddy, MD have Open Payments data?

Madhavi Reddy, MD has 2 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.