Physician

Alan Proia

According to 2025 Medicare claims, Alan Proia (NPI: 1609950591) practices pathology, with the plurality of this provider's patient population coming from Macon, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27705-4699. Proia is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Proia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 143 traditional Medicare patients, billed 359 HCPCS/CPT codes, and received $10,477 in Medicare payments. The top billing code was 88321 (Surgical pathology consultation and report on referred slides prepared elsewhere). No Open Payments records. 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 from a lower plateau to a higher plateau, from $6,274 to $10,477. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$13K$25K2015 Medicare payment: $6,274 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $8,821 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $10,790 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $18,992 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $18,189 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $25,491 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $21,050 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $20,757 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $18,400 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $10,477 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015127231$6,274
2016179338$8,821
2017198424$10,790
2018376737$18,992
2019265641$18,189
2020306863$25,491
2021322787$21,050
2022320751$20,757
2023269700$18,400
2024143359$10,477

Part D Events Trend

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

No connected Part D records

No connected Part D records

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
88321Surgical pathology consultation and report on referred slides prepared elsewhere2021$61
88307Pathology examination of tissue using a microscope, moderately high complexity2140$53
88305Pathology examination of tissue using a microscope, intermediate complexity99150$27
88342Special stained specimen slides to examine tissue, initial procedure2547$25
88304Pathology examination of tissue using a microscope, moderately low complexity2024$8

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

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Alan Proia?

Tedicare shows public-source Medicare data for Alan Proia (NPI 1609950591), 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 Alan Proia have ACO affiliation data?

Alan Proia is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Alan Proia?

Alan Proia is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Alan Proia have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.