Physician

Sirisha Thummalapenta

According to 2025 Medicare claims, Sirisha Thummalapenta (NPI: 1851740088) practices neurology in the Wichita Falls, TX market, with the plurality of this provider's patient population coming from Wichita, TX. This provider's primary affiliated billing organization is NORTH TEXAS NEUROLOGY ALLIANCE PLLC (NPI: 1598420176; TIN: 873340378) and primary practice location at 76301-5003. Thummalapenta is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Thummalapenta's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 386 traditional Medicare patients, billed 8,858 HCPCS/CPT codes, and received $423,073 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 1,798 prescription claims across 367 beneficiaries totaling $792,803 in drug costs, led by Kesimpta Pen (Ofatumumab). Open Payments data shows 190 records totaling $7,539. 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 sharply higher in recent years, from $391 to $792,803. 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$212K$423K2022 Medicare payment: $88,871 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $170,263 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $423,073 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
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
2022149783$88,871
20232742,272$170,263
20243868,858$423,073

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$396K$793K2016 Drug cost: $391 (USD; Tot_Drug_Cst)2017 Drug cost: $2,837 (USD; Tot_Drug_Cst)2018 Drug cost: $2,974 (USD; Tot_Drug_Cst)2019 Drug cost: $2,998 (USD; Tot_Drug_Cst)2020 Drug cost: $13,010 (USD; Tot_Drug_Cst)2021 Drug cost: $100,092 (USD; Tot_Drug_Cst)2022 Drug cost: $104,556 (USD; Tot_Drug_Cst)2023 Drug cost: $286,751 (USD; Tot_Drug_Cst)2024 Drug cost: $792,803 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R13$391
20172864$2,837
201829122$2,974
20191359$2,998
20204582$13,010
202179300$100,092
2022116419$104,556
20232261,087$286,751
20243671,798$792,803

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more212212$116
99487Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month108646$99
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more280467$87
95886Needle measurement of electrical activity in arm or leg muscles, complete study116339$72
99489Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month1073,202$54

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Kesimpta PenOfatumumab22660$208,949
Gamunex-CImmune Globul G/Gly/Iga Avg 4620560$143,364
NuplazidPimavanserin Tartrate17690$113,636
TysabriNatalizumab12336$99,826
Nurtec OdtRimegepant Sulfate33762$41,511

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.190$7,539NEUROPACE, 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 Sirisha Thummalapenta?

Tedicare shows public-source Medicare data for Sirisha Thummalapenta (NPI 1851740088), 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 Sirisha Thummalapenta have ACO affiliation data?

Sirisha Thummalapenta is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Sirisha Thummalapenta?

Sirisha Thummalapenta is linked to NORTH TEXAS NEUROLOGY ALLIANCE PLLC (billing NPI 1598420176) in the available physician profile data.

Does Sirisha Thummalapenta have Open Payments data?

Sirisha Thummalapenta has 190 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.