Physician

Amanda K Prather, ACNS-BC

According to 2025 Medicare claims, Amanda Prather, ACNS-BC (NPI: 1861702532) practices certified clinical nurse specialist in the Bloomington, IL market, with the plurality of this provider's patient population coming from Mc Lean, IL. This provider's primary affiliated billing organization is OSF MULTI-SPECIALTY GROUP (NPI: 1922445527; TIN: 383852646) and primary practice location at 61726-1283. Prather is affiliated with the IRCCO (ACO ID: A2619), OSF Healthcare System (ACO ID: A3289), and Essential Health Partners ACO, LLC (ACO ID: A4707), participating under the MSSP model.

Prather's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 149 traditional Medicare patients, billed 883 HCPCS/CPT codes, and received $38,604 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 7,218 prescription claims across 770 beneficiaries totaling $483,283 in drug costs, led by Eliquis (Apixaban). DME data shows 49 claims. No Open Payments records. 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 started with an early spike, then settled into a lower baseline, moving from $72,568 to $38,604. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $194,382 and ending at $483,283. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,309 and ending at $7,717.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	587	2,412	$72,568
2016	665	2,795	$72,675
2017	146	406	$5,180
2018	113	420	$12,732
2019	240	4,471	$39,042
2020	104	1,269	$18,078
2021	N/R	N/R	N/R
2022	367	785	$39,349
2023	255	565	$19,174
2024	149	883	$38,604

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	454	2,746	$194,382
2016	551	3,792	$242,536
2017	420	1,793	$119,744
2018	218	670	$56,538
2019	273	1,221	$87,759
2020	39	105	$10,331
2021	15	37	$625
2022	515	1,691	$99,169
2023	965	4,985	$365,223
2024	770	7,218	$483,283

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	11	15	$335
2016	N/R	96	$2,189
2017	12	103	$2,032
2018	N/R	14	$782
2019	N/R	23	$320
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	12	$81
2023	N/R	32	$418
2024	12	49	$443

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$105
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	161	$61
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	80	143	$50
G0008	Administration of influenza virus vaccine	42	43	$31
36415	Insertion of needle into vein for collection of blood sample	59	64	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	66	3,460	$67,479
Jardiance	Empagliflozin	45	3,090	$60,478
Ozempic	Semaglutide	46	1,402	$43,122
Xarelto	Rivaroxaban	28	1,500	$26,776
Januvia	Sitagliptin Phosphate	21	1,290	$23,281

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
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	12	22	$274
K0001	Standard wheelchair	Y	N/R	12	$148
A4259	Lancets, per box of 100	N	N/R	15	$21

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Amanda K. Prather, ACNS-BC?

Tedicare shows public-source Medicare data for Amanda K. Prather, ACNS-BC (NPI 1861702532), 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 Amanda K. Prather, ACNS-BC have ACO affiliation data?

Amanda K. Prather, ACNS-BC is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), OSF Healthcare System (MSSP, ACO ID A3289), and Essential Health Partners ACO, LLC (MSSP, ACO ID A4707).

What billing organization is linked to Amanda K. Prather, ACNS-BC?

Amanda K. Prather, ACNS-BC is linked to OSF MULTI-SPECIALTY GROUP (billing NPI 1922445527) in the available physician profile data.

Does Amanda K. Prather, ACNS-BC have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.