Physician

Aleksey A Prok, M.D

According to 2025 Medicare claims, Aleksey Prok, M.D (NPI: 1912942400) practices pain management in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI: 1457474900; TIN: 341935236) and primary practice location at 45804-1868.

Prok's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 166 traditional Medicare patients, billed 697 HCPCS/CPT codes, and received $56,366 in Medicare payments. The top billing code was 64493 (Injection of lower or sacral spine facet joint using imaging guidance, single level). Part D data shows 1,217 prescription claims across 227 beneficiaries totaling $43,201 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). 2023 DME data shows 29 claims. Open Payments data shows 15 records totaling $315. 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 fallen sharply in recent years, from $191,876 to $56,366. Similarly, Part D prescription costs have fallen sharply in recent years, from $501,287 to $43,201. 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	525	3,270	$191,876
2016	567	3,439	$198,703
2017	581	3,307	$205,481
2018	590	3,025	$184,143
2019	595	2,920	$176,447
2020	575	2,844	$163,932
2021	534	2,418	$168,637
2022	483	2,204	$157,468
2023	284	466	$26,246
2024	166	697	$56,366

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	603	6,353	$501,287
2016	628	7,004	$690,412
2017	688	7,589	$416,949
2018	753	8,385	$416,113
2019	782	7,444	$374,665
2020	804	7,049	$414,139
2021	850	6,977	$375,276
2022	848	7,767	$396,997
2023	598	1,609	$78,333
2024	227	1,217	$43,201

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	18	$841
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	13	$481
2023	N/R	29	$1,084
2024	N/R	N/R	N/R

* / # = 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
64493	Injection of lower or sacral spine facet joint using imaging guidance, single level	35	57	$101
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$96
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	95	$67
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	92	186	$51

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	238	5,844	$6,697
Xtampza Er	Oxycodone Myristate	13	367	$6,651
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	261	6,080	$5,873
Pregabalin	Pregabalin	49	2,310	$5,604
Gabapentin	Gabapentin	104	4,929	$2,121

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.	15	$315	Medtronic, Inc.
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 Aleksey A. Prok, M.D?

Tedicare shows public-source Medicare data for Aleksey A. Prok, M.D (NPI 1912942400), 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 Aleksey A. Prok, M.D have ACO affiliation data?

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

What billing organization is linked to Aleksey A. Prok, M.D?

Aleksey A. Prok, M.D is linked to LIMA MEMORIAL PROFESSIONAL CORPORATION (billing NPI 1457474900) in the available physician profile data.

Does Aleksey A. Prok, M.D have Open Payments data?

Aleksey A. Prok, M.D has 15 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.