Physician

Samuel J Pruden, MD

According to 2025 Medicare claims, Samuel Pruden, MD (NPI: 1871593996) practices dermatology in the Lexington-Fayette, KY market, with the plurality of this provider's patient population coming from Fayette, KY. This provider's primary affiliated billing organization is REGIONAL DERMATOLOGY PLLC (NPI: 1255851200; TIN: 464901353) and primary practice location at 40513-1175.

Pruden's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 235 traditional Medicare patients, billed 13,171 HCPCS/CPT codes, and received $296,387 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 397 prescription claims across 201 beneficiaries totaling $169,837 in drug costs, led by Erivedge (Vismodegib). 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 has risen steadily, from $87,447 to $296,387. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $17,343 and ending at $169,837. 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	419	1,494	$87,447
2016	460	1,943	$95,833
2017	385	1,646	$98,927
2018	274	1,391	$129,839
2019	266	1,570	$142,625
2020	167	1,069	$91,181
2021	197	1,251	$111,019
2022	216	1,674	$131,069
2023	222	6,880	$158,378
2024	235	13,171	$296,387

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	105	218	$17,343
2016	115	212	$47,684
2017	153	361	$133,415
2018	145	348	$29,744
2019	159	348	$43,788
2020	163	322	$40,658
2021	185	380	$15,779
2022	184	350	$9,993
2023	194	384	$81,893
2024	201	397	$169,837

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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	73	73	$65
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	136	242	$58
17000	Destruction of precancer skin growth, 1 growth	103	139	$32
88305	Pathology examination of tissue using a microscope, intermediate complexity	95	203	$27
17003	Destruction of precancer skin growth, 2-14 growths	71	391	$4

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Erivedge	Vismodegib	11	330	$160,705
Fluorouracil	Fluorouracil	28	638	$2,219
Hydroxychloroquine Sulfate	Hydroxychloroquine Sulfate	24	840	$836
Fluocinonide	Fluocinonide	22	645	$672
Triamcinolone Acetonide	Triamcinolone Acetonide	33	1,304	$609

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

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 Samuel J. Pruden, MD?

Tedicare shows public-source Medicare data for Samuel J. Pruden, MD (NPI 1871593996), 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 Samuel J. Pruden, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Samuel J. Pruden, MD?

Samuel J. Pruden, MD is linked to REGIONAL DERMATOLOGY PLLC (billing NPI 1255851200) in the available physician profile data.

Does Samuel J. Pruden, MD 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.