Physician

Pradeep Reddy Gujja, MD

According to 2025 Medicare claims, Pradeep Gujja, MD (NPI: 1649465600) practices cardiac electrophysiology in the Springfield, OH market, with the plurality of this provider's patient population coming from Clark, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC (NPI: 1790308104; TIN: 850958357) and primary practice location at 45504-2687. Gujja is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Gujja's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 586 traditional Medicare patients, billed 3,196 HCPCS/CPT codes, and received $205,298 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 972 prescription claims across 301 beneficiaries totaling $136,360 in drug costs, led by Eliquis (Apixaban). 2015 DME data shows 11 claims. Open Payments data shows 20 records totaling $1,778. 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 $157,852 and ending at $205,298. Concurrently, Part D prescription costs have fallen sharply in recent years, from $163,333 to $136,360. 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$121K$243K2015 Medicare payment: $157,852 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $189,565 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $227,025 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $242,944 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $204,291 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $175,184 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $179,751 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $125,853 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $180,348 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $205,298 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153011,652$157,852
20164102,219$189,565
20174652,963$227,025
20185243,363$242,944
20195563,056$204,291
20205482,687$175,184
20215282,575$179,751
20224581,750$125,853
20235272,960$180,348
20245863,196$205,298

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$182K$365K2015 Drug cost: $163,333 (USD; Tot_Drug_Cst)2016 Drug cost: $259,107 (USD; Tot_Drug_Cst)2017 Drug cost: $290,567 (USD; Tot_Drug_Cst)2018 Drug cost: $364,688 (USD; Tot_Drug_Cst)2019 Drug cost: $264,055 (USD; Tot_Drug_Cst)2020 Drug cost: $205,788 (USD; Tot_Drug_Cst)2021 Drug cost: $134,787 (USD; Tot_Drug_Cst)2022 Drug cost: $115,056 (USD; Tot_Drug_Cst)2023 Drug cost: $98,875 (USD; Tot_Drug_Cst)2024 Drug cost: $136,360 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152351,262$163,333
20163371,835$259,107
20173922,038$290,567
20183792,078$364,688
20193301,316$264,055
20203181,312$205,788
2021263813$134,787
2022243690$115,056
2023303849$98,875
2024301972$136,360

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$780$1.6K2015 Medicare payment: $1,560 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R11$1,560
2016N/RN/RN/R
2017N/RN/RN/R
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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes106116$121
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more112133$88
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days192522$20
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days233640$14
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report229280$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban792,983$56,150
XareltoRivaroxaban371,623$29,839
MultaqDronedarone Hcl18540$14,233
EntrestoSacubitril/Valsartan12660$11,221
DofetilideDofetilide24993$3,515

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$278Biosense Webster, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.1$1,500ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Pradeep Reddy Gujja, MD?

Tedicare shows public-source Medicare data for Pradeep Reddy Gujja, MD (NPI 1649465600), 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 Pradeep Reddy Gujja, MD have ACO affiliation data?

Pradeep Reddy Gujja, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Pradeep Reddy Gujja, MD?

Pradeep Reddy Gujja, MD is linked to MERCY HEALTH PHYSICIANS SPRINGFIELD SPECIALTY CARE LLC (billing NPI 1790308104) in the available physician profile data.

Does Pradeep Reddy Gujja, MD have Open Payments data?

Pradeep Reddy Gujja, MD has 20 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.