Physician

Prasad Johnson Raju Pilli, M.D.

According to 2025 Medicare claims, Prasad Pilli, M.D. (NPI: 1740554088) practices family practice in the McAllen-Edinburg-Mission, TX market, with the plurality of this provider's patient population coming from Hidalgo, TX. This provider's primary affiliated billing organization is PRASAD PILLI, M.D., P.A. (NPI: 1619386919; TIN: 471499663) and primary practice location at 78503-9998.

Pilli's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 51 traditional Medicare patients, billed 1,398 HCPCS/CPT codes, and received $666,947 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 143 prescription claims across 46 beneficiaries totaling $31,469 in drug costs, led by Santyl (Collagenase Clostridium Hist.). DME data shows 41 claims. Open Payments data shows 12 records totaling $431. 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 sharply higher in recent years, from $207,467 to $666,947. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $29,621 and ending at $31,469. For DME billing, reported payments fell sharply in recent years, from $48,033 to $10,014.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	237	2,808	$207,467
2016	267	3,542	$178,775
2017	285	4,155	$204,144
2018	263	3,460	$162,993
2019	185	3,306	$148,994
2020	129	3,780	$263,152
2021	117	4,150	$327,198
2022	100	6,977	$1,472,509
2023	82	3,210	$510,585
2024	51	1,398	$666,947

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	114	227	$29,621
2016	105	264	$42,145
2017	97	198	$50,386
2018	103	187	$90,017
2019	107	254	$31,283
2020	93	183	$36,682
2021	84	173	$50,903
2022	81	175	$30,969
2023	69	167	$75,114
2024	46	143	$31,469

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	75	187	$30,921
2016	152	268	$49,260
2017	277	528	$56,531
2018	167	288	$22,553
2019	90	136	$9,118
2020	29	80	$7,104
2021	N/R	40	$4,248
2022	31	108	$10,551
2023	13	43	$5,651
2024	11	41	$3,318

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$97
11042	Removal of skin and tissue, 20.0 sq cm or less	42	303	$68
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	37	131	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Santyl	Collagenase Clostridium Hist.	28	788	$17,818
Gentamicin Sulfate	Gentamicin Sulfate	40	968	$2,271
Lidocaine	Lidocaine	16	425	$599
Tramadol Hcl	Tramadol Hcl	11	92	$51

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A6196	Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing	N	N/R	12	$2,871
A4452	Tape, waterproof, per 18 square inches	N	N/R	14	$359
A6216	Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing	N	11	15	$87

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$431	Smith+Nephew, 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 Prasad Johnson Raju Pilli, M.D.?

Tedicare shows public-source Medicare data for Prasad Johnson Raju Pilli, M.D. (NPI 1740554088), 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 Prasad Johnson Raju Pilli, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Prasad Johnson Raju Pilli, M.D.?

Prasad Johnson Raju Pilli, M.D. is linked to PRASAD PILLI, M.D., P.A. (billing NPI 1619386919) in the available physician profile data.

Does Prasad Johnson Raju Pilli, M.D. have Open Payments data?

Prasad Johnson Raju Pilli, M.D. has 12 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.