Physician

Pradip K Mishra, M.D.

According to 2025 Medicare claims, Pradip Mishra, M.D. (NPI: 1679660096) practices cardiology in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Montgomery, TN. This provider's primary affiliated billing organization is SAINT THOMAS MEDICAL PARTNERS (NPI: 1437194669; TIN: 621529858) and primary practice location at 37040-5165. Mishra is affiliated with the Ascension Care Management (ACO ID: A1061), participating under the MSSP model.

Mishra's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,102 traditional Medicare patients, billed 4,478 HCPCS/CPT codes, and received $214,114 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 6,548 prescription claims across 846 beneficiaries totaling $1,145,136 in drug costs, led by Eliquis (Apixaban). 2015 DME data shows 12 claims. Open Payments data shows 64 records totaling $1,557. 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 declined steadily, from $570,196 to $214,114. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $313,124 to $1,145,136. 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	1,628	9,239	$570,196
2016	1,608	9,551	$556,432
2017	1,673	8,244	$513,005
2018	1,630	7,669	$410,954
2019	1,790	7,850	$468,012
2020	1,505	6,227	$392,818
2021	1,819	8,044	$532,304
2022	1,510	7,114	$448,913
2023	1,369	5,891	$343,402
2024	1,102	4,478	$214,114

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	512	4,366	$313,124
2016	565	4,737	$451,407
2017	569	4,879	$558,427
2018	627	5,489	$670,260
2019	682	5,786	$756,371
2020	716	5,911	$879,533
2021	773	6,272	$994,712
2022	795	6,337	$1,053,414
2023	810	6,514	$1,130,195
2024	846	6,548	$1,145,136

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	12	$668
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	274	276	$94
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	548	788	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	197	234	$55
93296	Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	133	405	$13
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	559	703	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	404	23,359	$460,786
Xarelto	Rivaroxaban	173	9,945	$180,036
Entresto	Sacubitril/Valsartan	100	5,255	$116,660
Repatha Sureclick	Evolocumab	103	4,312	$83,995
Farxiga	Dapagliflozin Propanediol	62	3,480	$63,235

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.	64	$1,557	Boehringer Ingelheim Pharmaceuticals, 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 Pradip K. Mishra, M.D.?

Tedicare shows public-source Medicare data for Pradip K. Mishra, M.D. (NPI 1679660096), 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 Pradip K. Mishra, M.D. have ACO affiliation data?

Pradip K. Mishra, M.D. is shown with ACO affiliation data for Ascension Care Management (MSSP, ACO ID A1061).

What billing organization is linked to Pradip K. Mishra, M.D.?

Pradip K. Mishra, M.D. is linked to SAINT THOMAS MEDICAL PARTNERS (billing NPI 1437194669) in the available physician profile data.

Does Pradip K. Mishra, M.D. have Open Payments data?

Pradip K. Mishra, M.D. has 64 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.