Physician

Michael Edward Prater, M.D.

According to 2025 Medicare claims, Michael Prater, M.D. (NPI: 1598723173) practices otolaryngology in the Lake Havasu City-Kingman, AZ market, with the plurality of this provider's patient population coming from Mohave, AZ. This provider's primary affiliated billing organization is SOUTHWEST EAR, NOSE & THROAT, PLLC (NPI: 1861020703; TIN: 850548695) and primary practice location at 86403-6889.

Prater's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,394 traditional Medicare patients, billed 12,253 HCPCS/CPT codes, and received $1,144,336 in Medicare payments. The top billing code was 31231 (Diagnostic exam of nasal passages using an endoscope). Part D data shows 2,144 prescription claims across 665 beneficiaries totaling $303,024 in drug costs, led by Dupixent Pen (Dupilumab). DME data shows 1,122 claims. Open Payments data shows 14 records totaling $331. 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 $622,051 to $1,144,336. Similarly, Part D prescription costs have risen steadily, from $25,176 to $303,024. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $38,889 to $51,218.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,376	10,557	$622,051
2016	1,495	11,989	$611,205
2017	1,399	10,400	$391,265
2018	1,505	9,654	$521,942
2019	1,521	11,228	$577,117
2020	1,433	10,150	$539,440
2021	1,490	12,426	$709,215
2022	1,549	10,923	$671,343
2023	1,527	13,867	$1,071,345
2024	1,394	12,253	$1,144,336

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	288	982	$25,176
2016	308	1,060	$31,522
2017	287	932	$28,296
2018	342	1,036	$22,143
2019	335	1,017	$27,642
2020	386	1,270	$71,017
2021	498	1,520	$119,578
2022	544	1,620	$228,320
2023	580	1,918	$346,550
2024	665	2,144	$303,024

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	261	505	$37,386
2016	234	564	$21,251
2017	151	346	$9,797
2018	151	366	$11,640
2019	249	625	$24,179
2020	317	756	$29,344
2021	468	1,103	$54,502
2022	467	1,159	$60,135
2023	457	1,131	$62,143
2024	475	1,122	$60,150

* / # = 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
31231	Diagnostic exam of nasal passages using an endoscope	433	606	$140
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	446	446	$83
76536	Ultrasound scan of head and neck soft tissue	345	382	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	670	880	$68
69210	Removal of impacted ear wax	203	252	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Dupixent Pen	Dupilumab	48	1,568	$219,081
Levothyroxine Sodium	Levothyroxine Sodium	523	30,531	$3,780
Fluticasone Propionate	Fluticasone Propionate	255	12,465	$3,454
Ipratropium Bromide	Ipratropium Bromide	133	3,021	$3,139
Famotidine	Famotidine	377	21,630	$1,778

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
A7030	Full face mask used with positive airway pressure device, each	N	35	81	$6,965
A7031	Face mask interface, replacement for full face mask, each	N	32	77	$6,907
A7032	Cushion for use on nasal mask interface, replacement only, each	N	23	58	$6,185
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	N	N/R	14	$5,935
A7508	Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each	N	N/R	12	$5,713

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$331	GENZYME CORPORATION
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 Michael Edward Prater, M.D.?

Tedicare shows public-source Medicare data for Michael Edward Prater, M.D. (NPI 1598723173), 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 Michael Edward Prater, 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 Michael Edward Prater, M.D.?

Michael Edward Prater, M.D. is linked to SOUTHWEST EAR, NOSE & THROAT, PLLC (billing NPI 1861020703) in the available physician profile data.

Does Michael Edward Prater, M.D. have Open Payments data?

Michael Edward Prater, M.D. has 14 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.