Physician

Yagya Prasad Tiwari, M.D

According to 2025 Medicare claims, Yagya Tiwari, M.D (NPI: 1457793341) practices infectious disease in the Pittsfield, MA market, with the plurality of this provider's patient population coming from Berkshire, MA. This provider's primary affiliated billing organization is BERKSHIRE FACULTY SERVICES INC (NPI: 1548212939; TIN: 042995053) and primary practice location at 01201-4109. Tiwari is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Tiwari's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 427 traditional Medicare patients, billed 1,798 HCPCS/CPT codes, and received $151,659 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 707 prescription claims across 184 beneficiaries totaling $506,834 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). DME data shows 91 claims. Open Payments data shows 1 records totaling $20. 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 sharply higher in recent years, from $373 to $151,659. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $2,427 to $1,160.

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	18	33	$373
2019	29	33	$430
2020	35	45	$479
2021	58	89	$825
2022	211	576	$34,446
2023	401	1,738	$126,615
2024	427	1,798	$151,659

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	36	120	$3,424
2016	21	33	$546
2017	N/R	68	$58,740
2018	229	1,121	$722,236
2019	345	4,723	$1,418,913
2020	369	6,434	$1,405,552
2021	429	6,893	$1,934,060
2022	515	7,183	$3,018,098
2023	249	780	$487,281
2024	184	707	$506,834

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	49	112	$1,299
2020	52	126	$1,273
2021	53	150	$1,324
2022	59	235	$4,187
2023	N/R	N/R	N/R
2024	91	91	$502,896

* / # = 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	257	292	$135
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	189	429	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	251	$74
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	226	562	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	94	163	$52

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Biktarvy	Bictegrav/Emtricit/Tenofov Ala	64	1,920	$245,761
Isentress	Raltegravir Potassium	32	960	$63,234
Descovy	Emtricitabine/Tenofov Alafenam	22	660	$50,980
Tivicay	Dolutegravir Sodium	15	450	$44,701
Etravirine	Etravirine	12	360	$10,541

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
A4353	Intermittent urinary catheter, with insertion supplies	N	91	91	$502,896

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$20	Merck Sharp & Dohme LLC
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 Yagya Prasad Tiwari, M.D?

Tedicare shows public-source Medicare data for Yagya Prasad Tiwari, M.D (NPI 1457793341), 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 Yagya Prasad Tiwari, M.D have ACO affiliation data?

Yagya Prasad Tiwari, M.D is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Yagya Prasad Tiwari, M.D?

Yagya Prasad Tiwari, M.D is linked to BERKSHIRE FACULTY SERVICES INC (billing NPI 1548212939) in the available physician profile data.

Does Yagya Prasad Tiwari, M.D have Open Payments data?

Yagya Prasad Tiwari, M.D 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.