Physician

Praveen Garg, M.D.

According to 2025 Medicare claims, Praveen Garg, M.D. (NPI: 1760414437) practices hematology/oncology in the Springfield, IL market, with the plurality of this provider's patient population coming from Sangamon, IL. This provider's primary affiliated billing organization is SPRINGFIELD CLINIC, LLP (NPI: 1780638478; TIN: 370701328) and primary practice location at 62703-2403. Garg is affiliated with the Springfield Clinic ACO, LLC (ACO ID: A2587) and IRCCO (ACO ID: A2619), participating under the MSSP model.

Garg's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 429 traditional Medicare patients, billed 142,686 HCPCS/CPT codes, and received $2,183,766 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 1,497 prescription claims across 276 beneficiaries totaling $3,434,265 in drug costs, led by Xtandi (Enzalutamide). 2022 DME data shows 24 claims. Open Payments data shows 4 records totaling $104. 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 risen steadily, from $50,614 to $2,183,766. Similarly, Part D prescription costs have risen steadily, from $635,169 to $3,434,265. 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$1.1M$2.2M2015 Medicare payment: $50,614 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $55,964 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $70,760 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $195,538 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,695,829 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,500,591 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,557,087 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,322,220 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,285,527 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,183,766 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015189627$50,614
2016218736$55,964
20172461,898$70,760
20181888,636$195,538
2019448125,474$1,695,829
202039995,096$1,500,591
2021462134,250$1,557,087
2022441125,181$1,322,220
202341295,189$1,285,527
2024429142,686$2,183,766

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$1.7M$3.4M2015 Drug cost: $635,169 (USD; Tot_Drug_Cst)2016 Drug cost: $994,245 (USD; Tot_Drug_Cst)2017 Drug cost: $1,033,620 (USD; Tot_Drug_Cst)2018 Drug cost: $528,409 (USD; Tot_Drug_Cst)2019 Drug cost: $669,217 (USD; Tot_Drug_Cst)2020 Drug cost: $1,242,783 (USD; Tot_Drug_Cst)2021 Drug cost: $1,290,965 (USD; Tot_Drug_Cst)2022 Drug cost: $1,472,926 (USD; Tot_Drug_Cst)2023 Drug cost: $1,467,956 (USD; Tot_Drug_Cst)2024 Drug cost: $3,434,265 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152371,316$635,169
20162781,515$994,245
20172451,280$1,033,620
2018179599$528,409
2019142633$669,217
2020161850$1,242,783
20212071,248$1,290,965
20222281,187$1,472,926
20232281,130$1,467,956
20242761,497$3,434,265

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$1.8K$3.5K2019 Medicare payment: $3,521 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,860 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,816 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R27$3,521
2020N/R34$1,860
2021N/RN/RN/R
2022N/R24$1,816
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more289754$91
96413Administration of chemotherapy into vein, 1 hour or less67336$90
36415Insertion of needle into vein for collection of blood sample229530$8
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count225607$8
J7050Infusion, normal saline solution, 250 cc95590$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XtandiEnzalutamide211,110$531,432
InlytaAxitinib19570$406,247
CabometyxCabozantinib S-Malate11390$326,973
RevlimidLenalidomide21588$306,589
IbrancePalbociclib14392$226,315

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.4$104ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Praveen Garg, M.D.?

Tedicare shows public-source Medicare data for Praveen Garg, M.D. (NPI 1760414437), 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 Praveen Garg, M.D. have ACO affiliation data?

Praveen Garg, M.D. is shown with ACO affiliation data for Springfield Clinic ACO, LLC (MSSP, ACO ID A2587) and IRCCO (MSSP, ACO ID A2619).

What billing organization is linked to Praveen Garg, M.D.?

Praveen Garg, M.D. is linked to SPRINGFIELD CLINIC, LLP (billing NPI 1780638478) in the available physician profile data.

Does Praveen Garg, M.D. have Open Payments data?

Praveen Garg, M.D. has 4 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.