Physician

Neha Pansuria, M.D.

According to 2025 Medicare claims, Neha Pansuria, M.D. (NPI: 1659534071) practices rheumatology in the Bowling Green, KY market, with the plurality of this provider's patient population coming from Warren, KY. This provider's primary affiliated billing organization is GRAVES GILBERT CLINIC PLLC (NPI: 1114948288; TIN: 610700826) and primary practice location at 42101-4000. Pansuria is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604) and GGC ValueCare LLC (ACO ID: A5611), participating under the MSSP model.

Pansuria's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 450 traditional Medicare patients, billed 71,254 HCPCS/CPT codes, and received $990,134 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 4,316 prescription claims across 685 beneficiaries totaling $4,152,420 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 190 records totaling $6,333. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $1,974,044 to $4,152,420. 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.

Year	Patients	Clm Lines	Payment
2015	648	48,172	$924,899
2016	675	50,804	$1,116,382
2017	619	65,215	$1,285,387
2018	664	69,543	$1,399,183
2019	626	59,525	$1,155,969
2020	579	73,948	$1,243,181
2021	546	67,177	$984,705
2022	487	63,304	$925,336
2023	457	62,530	$975,827
2024	450	71,254	$990,134

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	634	5,114	$1,974,044
2016	681	5,192	$2,186,314
2017	642	5,082	$2,222,324
2018	645	4,881	$2,495,334
2019	664	4,849	$3,094,122
2020	718	5,389	$3,368,074
2021	710	4,243	$3,526,790
2022	702	5,727	$4,345,855
2023	727	6,193	$5,659,481
2024	685	4,316	$4,152,420

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	378	1,123	$84
80053	Blood test, comprehensive group of blood chemicals	321	812	$10
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	317	742	$8
86140	Measurement c-reactive protein for detection of infection or inflammation	329	849	$5
85652	Red blood cell sedimentation rate, to detect inflammation, automated	296	672	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Enbrel Sureclick	Etanercept	164	4,705	$1,193,199
Humira(Cf) Pen	Adalimumab	75	2,330	$573,403
Humira Pen	Adalimumab	42	1,232	$295,243
Rinvoq	Upadacitinib	43	1,290	$276,477
Otezla	Apremilast	24	718	$113,258

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	190	$6,333	Janssen Biotech, Inc.
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 Neha Pansuria, M.D.?

Tedicare shows public-source Medicare data for Neha Pansuria, M.D. (NPI 1659534071), 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 Neha Pansuria, M.D. have ACO affiliation data?

Neha Pansuria, M.D. is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604) and GGC ValueCare LLC (MSSP, ACO ID A5611).

What billing organization is linked to Neha Pansuria, M.D.?

Neha Pansuria, M.D. is linked to GRAVES GILBERT CLINIC PLLC (billing NPI 1114948288) in the available physician profile data.

Does Neha Pansuria, M.D. have Open Payments data?

Neha Pansuria, M.D. has 190 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.