Physician

Pravinchandra G. Chapla, M.D.

According to 2025 Medicare claims, Pravinchandra Chapla, M.D. (NPI: 1518935501) practices internal medicine in the Williamsport, PA market, with the plurality of this provider's patient population coming from Lycoming, PA. This provider's primary affiliated billing organization is LYCOMING INTERNAL MEDICINE, INC. (NPI: 1861460867; TIN: 232828842) and primary practice location at 17745-7814. Chapla is affiliated with the Keystone ACO (ACO ID: A1552) and PA Clinical Network ACO Inc (ACO ID: A5030), participating under the MSSP model.

Chapla's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 204 traditional Medicare patients, billed 2,130 HCPCS/CPT codes, and received $134,554 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 16,234 prescription claims across 563 beneficiaries totaling $1,669,025 in drug costs, led by Eliquis (Apixaban). DME data shows 343 claims. Open Payments data shows 87 records totaling $1,522. 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 declined steadily, from $224,699 to $134,554. Concurrently, Part D prescription costs have changed little. For DME billing, reported payments moved sharply higher in recent years, from $43,110 to $46,330.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	706	5,626	$224,699
2016	612	4,513	$221,928
2017	501	4,176	$222,406
2018	507	3,887	$207,820
2019	479	3,679	$195,635
2020	390	3,327	$188,918
2021	528	3,051	$180,546
2022	380	2,752	$160,442
2023	236	2,511	$150,670
2024	204	2,130	$134,554

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	594	25,815	$1,641,986
2016	607	26,371	$1,641,163
2017	575	25,149	$1,638,556
2018	571	23,771	$1,629,661
2019	573	20,248	$1,398,663
2020	502	17,964	$1,252,887
2021	511	16,198	$1,330,426
2022	553	15,757	$1,396,915
2023	603	16,582	$1,705,322
2024	563	16,234	$1,669,025

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	148	856	$45,349
2016	139	823	$31,964
2017	92	688	$17,300
2018	68	609	$14,905
2019	48	376	$10,986
2020	74	477	$15,144
2021	66	391	$12,904
2022	16	311	$15,636
2023	53	471	$27,333
2024	12	343	$29,641

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	108	108	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	261	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	150	517	$61
G0008	Administration of influenza virus vaccine	96	98	$31
G0136	Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	129	135	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	388	10,191	$197,058
Jardiance	Empagliflozin	175	9,067	$174,364
Mounjaro	Tirzepatide	128	4,216	$150,662
Ozempic	Semaglutide	116	4,292	$136,077
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	172	6,318	$132,238

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	32	$14,527
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	36	$4,378
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	22	$3,328
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	11	$2,432
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	27	$1,871

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	87	$1,522	Lilly USA, 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 Pravinchandra G. Chapla, M.D.?

Tedicare shows public-source Medicare data for Pravinchandra G. Chapla, M.D. (NPI 1518935501), 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 Pravinchandra G. Chapla, M.D. have ACO affiliation data?

Pravinchandra G. Chapla, M.D. is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552) and PA Clinical Network ACO Inc (MSSP, ACO ID A5030).

What billing organization is linked to Pravinchandra G. Chapla, M.D.?

Pravinchandra G. Chapla, M.D. is linked to LYCOMING INTERNAL MEDICINE, INC. (billing NPI 1861460867) in the available physician profile data.

Does Pravinchandra G. Chapla, M.D. have Open Payments data?

Pravinchandra G. Chapla, M.D. has 87 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.