Physician

David Provenzano, MD

According to 2025 Medicare claims, David Provenzano, MD (NPI: 1790796233) practices interventional pain management (ipm) in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is PAIN DIAGNOSTICS & INTERVENTIONAL CARE LLC (NPI: 1548692031; TIN: 462391546) and primary practice location at 15143-1300. Provenzano is affiliated with the Heritage Valley Healthcare Network ACO, LLC (ACO ID: A3730), participating under the MSSP model.

Provenzano's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 364 traditional Medicare patients, billed 2,101 HCPCS/CPT codes, and received $106,137 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 1,478 prescription claims across 486 beneficiaries totaling $27,325 in drug costs, led by Gabapentin (Gabapentin). DME data shows 13 claims. Open Payments data shows 98 records totaling $94,698. 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 $61,900 to $106,137. In contrast, Part D prescription costs have moved from a higher plateau to a lower plateau, from $53,684 to $27,325. 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$61K$123K2015 Medicare payment: $61,900 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $67,562 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $101,913 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $82,556 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $101,133 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $87,201 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $98,773 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $108,258 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $122,526 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $106,137 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015177845$61,900
2016217935$67,562
20172551,218$101,913
20182511,096$82,556
20192921,364$101,133
20203051,252$87,201
20213391,230$98,773
20223441,364$108,258
20233581,522$122,526
20243642,101$106,137

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$33K$66K2015 Drug cost: $53,684 (USD; Tot_Drug_Cst)2016 Drug cost: $53,584 (USD; Tot_Drug_Cst)2017 Drug cost: $66,275 (USD; Tot_Drug_Cst)2018 Drug cost: $37,700 (USD; Tot_Drug_Cst)2019 Drug cost: $31,151 (USD; Tot_Drug_Cst)2020 Drug cost: $17,697 (USD; Tot_Drug_Cst)2021 Drug cost: $11,299 (USD; Tot_Drug_Cst)2022 Drug cost: $25,441 (USD; Tot_Drug_Cst)2023 Drug cost: $31,345 (USD; Tot_Drug_Cst)2024 Drug cost: $27,325 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015229725$53,684
2016265711$53,584
20173411,385$66,275
2018254694$37,700
2019307804$31,151
2020272661$17,697
2021308713$11,299
20224041,030$25,441
20234401,262$31,345
20244861,478$27,325

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$1.0K$2.1K2023 Medicare payment: $2,071 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $862 (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/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R29$2,071
2024N/R13$862

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more9999$115
64493Injection of lower or sacral spine facet joint using imaging guidance, single level3245$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more196348$89
62323Injection of substance into lower spine canal using imaging guidance112145$73
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more190271$61

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin45619,592$5,858
BuprenorphineBuprenorphine15413$3,966
Duloxetine HclDuloxetine Hcl1918,118$3,194
PregabalinPregabalin1565,892$2,231
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1323,095$1,430

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0745Neuromuscular stimulator, electronic shock unitYN/R13$862

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.78$31,834Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.20$62,865Avanos Medical
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for David Provenzano, MD?

Tedicare shows public-source Medicare data for David Provenzano, MD (NPI 1790796233), 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 David Provenzano, MD have ACO affiliation data?

David Provenzano, MD is shown with ACO affiliation data for Heritage Valley Healthcare Network ACO, LLC (MSSP, ACO ID A3730).

What billing organization is linked to David Provenzano, MD?

David Provenzano, MD is linked to PAIN DIAGNOSTICS & INTERVENTIONAL CARE LLC (billing NPI 1548692031) in the available physician profile data.

Does David Provenzano, MD have Open Payments data?

David Provenzano, MD has 98 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.