Physician

Gaurav Pahouja

According to 2025 Medicare claims, Gaurav Pahouja (NPI: 1760922538) practices urology 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 SPRINGFIELD UROLOGY LLC (NPI: 1992922025; TIN: 208629620) and primary practice location at 45503-2726. Pahouja is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Pahouja's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 324 traditional Medicare patients, billed 1,739 HCPCS/CPT codes, and received $425,585 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 962 prescription claims across 331 beneficiaries totaling $83,621 in drug costs, led by Gemtesa (Vibegron). Open Payments data shows 36 records totaling $1,338. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,595 and ending at $83,621. 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	N/R	N/R	N/R
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	60	177	$15,706
2024	324	1,739	$425,585

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	115	183	$3,595
2019	170	381	$17,736
2020	42	79	$9,410
2021	29	59	$17,592
2022	14	23	$3,451
2023	72	123	$4,372
2024	331	962	$83,621

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
52000	Diagnostic exam of bladder and urethra using an endoscope	60	64	$132
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	104	104	$116
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	299	$91
51798	Ultrasound measurement of bladder capacity after voiding	96	141	$8
81002	Urinalysis, manual test	150	257	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gemtesa	Vibegron	48	1,623	$25,297
Myrbetriq	Mirabegron	29	1,650	$24,633
Tamsulosin Hcl	Tamsulosin Hcl	331	20,312	$5,040
Estradiol	Estradiol	44	1,715	$2,201
Finasteride	Finasteride	98	8,189	$1,162

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.	36	$1,338	Dendreon Pharmaceuticals LLC
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 Gaurav Pahouja?

Tedicare shows public-source Medicare data for Gaurav Pahouja (NPI 1760922538), 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 Gaurav Pahouja have ACO affiliation data?

Gaurav Pahouja is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Gaurav Pahouja?

Gaurav Pahouja is linked to SPRINGFIELD UROLOGY LLC (billing NPI 1992922025) in the available physician profile data.

Does Gaurav Pahouja have Open Payments data?

Gaurav Pahouja has 36 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.