Physician

Prasanna Sugathan, M.D.

According to 2025 Medicare claims, Prasanna Sugathan, M.D. (NPI: 1598847733) practices cardiology in the Lake Charles, LA market, with the plurality of this provider's patient population coming from Calcasieu, LA. This provider's primary affiliated billing organization is IMPERIAL HEALTH, LLP (NPI: 1053352401; TIN: 721005645) and primary practice location at 70601-5724. Sugathan is affiliated with the Keystone ACO (ACO ID: A1552) and Aledade 35 Lagniappe MSSP Enhanced (ACO ID: A3899), participating under the MSSP model.

Sugathan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,594 traditional Medicare patients, billed 5,537 HCPCS/CPT codes, and received $335,651 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,897 prescription claims across 213 beneficiaries totaling $201,736 in drug costs, led by Eliquis (Apixaban). 2017 DME data shows 89 claims. Open Payments data shows 19 records totaling $571. 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 $120,197 and ending at $335,651. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $58,725 and ending at $201,736. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $13,628 to $846.

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$168K$336K2015 Medicare payment: $120,197 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $140,057 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $27,636 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $95,095 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $88,479 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $70,094 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $11,022 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $191,229 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $245,623 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $335,651 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159092,331$120,197
20161,0122,387$140,057
2017285508$27,636
20189511,789$95,095
20198291,557$88,479
20207621,297$70,094
2021120198$11,022
20226882,055$191,229
20231,1643,103$245,623
20241,5945,537$335,651

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$101K$202K2015 Drug cost: $58,725 (USD; Tot_Drug_Cst)2016 Drug cost: $60,315 (USD; Tot_Drug_Cst)2017 Drug cost: $15,016 (USD; Tot_Drug_Cst)2018 Drug cost: $25,807 (USD; Tot_Drug_Cst)2019 Drug cost: $39,750 (USD; Tot_Drug_Cst)2020 Drug cost: $62,237 (USD; Tot_Drug_Cst)2021 Drug cost: $33,315 (USD; Tot_Drug_Cst)2022 Drug cost: $21,056 (USD; Tot_Drug_Cst)2023 Drug cost: $111,144 (USD; Tot_Drug_Cst)2024 Drug cost: $201,736 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153401,926$58,725
20163112,857$60,315
20171881,021$15,016
2018119641$25,807
2019140760$39,750
2020168939$62,237
202197456$33,315
202262281$21,056
20231531,103$111,144
20242131,897$201,736

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$4.9K$9.8K2015 Medicare payment: $9,829 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $6,670 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,985 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
201595142$9,829
201685241$6,670
20172289$1,985
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more360548$85
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function326337$64
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's262584$12
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report315403$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only455692$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban703,750$72,063
EntrestoSacubitril/Valsartan712,897$63,844
JardianceEmpagliflozin12600$12,256
NexletolBempedoic Acid22900$11,941
XareltoRivaroxaban14540$10,328

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.19$571Novartis Pharmaceuticals Corporation
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 Prasanna Sugathan, M.D.?

Tedicare shows public-source Medicare data for Prasanna Sugathan, M.D. (NPI 1598847733), 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 Prasanna Sugathan, M.D. have ACO affiliation data?

Prasanna Sugathan, M.D. is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552) and Aledade 35 Lagniappe MSSP Enhanced (MSSP, ACO ID A3899).

What billing organization is linked to Prasanna Sugathan, M.D.?

Prasanna Sugathan, M.D. is linked to IMPERIAL HEALTH, LLP (billing NPI 1053352401) in the available physician profile data.

Does Prasanna Sugathan, M.D. have Open Payments data?

Prasanna Sugathan, M.D. has 19 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.