Physician

Krishna Prahalad Shanmugam, M.D.

According to 2025 Medicare claims, Krishna Shanmugam, M.D. (NPI: 1518286558) practices ophthalmology in the College Station-Bryan, TX market, with the plurality of this provider's patient population coming from Brazos, TX. This provider's primary affiliated billing organization is BCS EYE ASSOCIATES, INC. (NPI: 1447877345; TIN: 851483502) and primary practice location at 77802-3486.

Shanmugam's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 327 traditional Medicare patients, billed 1,538 HCPCS/CPT codes, and received $163,980 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,129 prescription claims across 398 beneficiaries totaling $222,623 in drug costs, led by Lotemax Sm (Loteprednol Etabonate). Open Payments data shows 9 records totaling $258. 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 $1,291 and ending at $163,980. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $654 to $222,623. 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.

Year	Patients	Clm Lines	Payment
2015	18	34	$1,291
2016	204	431	$40,529
2017	388	1,235	$109,819
2018	398	1,869	$203,352
2019	403	2,032	$208,964
2020	150	380	$21,296
2021	147	869	$86,181
2022	269	1,626	$159,662
2023	325	1,832	$195,355
2024	327	1,538	$163,980

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	13	17	$654
2016	100	262	$22,506
2017	202	1,084	$111,255
2018	257	1,366	$124,014
2019	300	1,876	$154,165
2020	203	1,178	$89,265
2021	158	572	$51,550
2022	239	1,248	$216,222
2023	339	1,923	$398,222
2024	398	2,129	$222,623

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	129	129	$109
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	386	$87
92136	Measurement of corneal curvature and depth of eye	135	168	$33
92133	Imaging of optic nerve	241	271	$25
76514	Ultrasound scan of cornea to determine thickness	111	111	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lotemax Sm	Loteprednol Etabonate	199	4,614	$48,897
Prolensa	Bromfenac Sodium	136	5,956	$46,065
Vyzulta	Latanoprostene Bunod	97	3,364	$31,910
Lumigan	Bimatoprost	28	1,660	$15,131
Combigan	Brimonidine Tartrate/Timolol	40	1,830	$13,886

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$258	Bausch & Lomb Americas 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 Krishna Prahalad Shanmugam, M.D.?

Tedicare shows public-source Medicare data for Krishna Prahalad Shanmugam, M.D. (NPI 1518286558), 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 Krishna Prahalad Shanmugam, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Krishna Prahalad Shanmugam, M.D.?

Krishna Prahalad Shanmugam, M.D. is linked to BCS EYE ASSOCIATES, INC. (billing NPI 1447877345) in the available physician profile data.

Does Krishna Prahalad Shanmugam, M.D. have Open Payments data?

Krishna Prahalad Shanmugam, M.D. has 9 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.