Physician

Ajita S Prabhu, MD

According to 2025 Medicare claims, Ajita Prabhu, MD (NPI: 1518034610) practices general surgery in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44195-0001. Prabhu is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Prabhu's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 75 traditional Medicare patients, billed 135 HCPCS/CPT codes, and received $40,131 in Medicare payments. The top billing code was 15734 (Creation of muscle graft to trunk). 2023 Part D data shows 12 prescription claims totaling $172 in drug costs. DME data shows 11 claims. Open Payments data shows 21 records totaling $2,362. 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 fallen sharply in recent years, from $64,011 to $40,131. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $127 and ending at $172. 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$53K$106K2015 Medicare payment: $64,011 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $60,685 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $105,793 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $88,488 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $82,518 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $97,164 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $99,707 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $43,213 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $32,763 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $40,131 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015106260$64,011
2016119206$60,685
2017161362$105,793
2018189359$88,488
2019145251$82,518
2020164315$97,164
2021149286$99,707
202283142$43,213
202376141$32,763
202475135$40,131

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$896$1.8K2015 Drug cost: $127 (USD; Tot_Drug_Cst)2016 Drug cost: $1,433 (USD; Tot_Drug_Cst)2017 Drug cost: $551 (USD; Tot_Drug_Cst)2019 Drug cost: $1,202 (USD; Tot_Drug_Cst)2021 Drug cost: $1,791 (USD; Tot_Drug_Cst)2022 Drug cost: $154 (USD; Tot_Drug_Cst)2023 Drug cost: $172 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R12$127
2016N/R17$1,433
20172535$551
2018N/RN/RN/R
2019N/R16$1,202
2020N/RN/RN/R
20211116$1,791
2022N/R12$154
2023N/R12$172
2024N/RN/RN/R

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$479$9582021 Medicare payment: $958 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $876 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R12$958
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R11$876

* / # = 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
15734Creation of muscle graft to trunk1326$855
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1212$100
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1920$45
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more1111$43
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more2020$23

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 CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachNN/R11$876

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.21$2,362Medtronic, 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 Ajita S. Prabhu, MD?

Tedicare shows public-source Medicare data for Ajita S. Prabhu, MD (NPI 1518034610), 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 Ajita S. Prabhu, MD have ACO affiliation data?

Ajita S. Prabhu, MD is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Ajita S. Prabhu, MD?

Ajita S. Prabhu, MD is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Ajita S. Prabhu, MD have Open Payments data?

Ajita S. Prabhu, MD has 21 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.