Physician

Kenneth Apollo Musana, MD

According to 2025 Medicare claims, Kenneth Musana, MD (NPI: 1952401697) practices internal medicine in the Lynchburg, VA market, with the plurality of this provider's patient population coming from Lynchburg City, VA. This provider's primary affiliated billing organization is GASTROENTEROLOGY ASSOC OF CENTRAL VIRGINIA INC (NPI: 1588748016; TIN: 541146354) and primary practice location at 24502-4272.

Musana's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 718 traditional Medicare patients, billed 1,030 HCPCS/CPT codes, and received $154,207 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 402 prescription claims across 190 beneficiaries totaling $52,177 in drug costs, led by Linzess (Linaclotide). 2019 DME data shows 12 claims. Open Payments data shows 78 records totaling $1,267. 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 declined steadily, from $245,519 to $154,207. Similarly, Part D prescription costs have declined steadily, from $97,804 to $52,177. 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	806	1,505	$245,519
2016	929	1,716	$314,579
2017	813	1,336	$254,329
2018	869	1,513	$291,981
2019	672	1,213	$263,130
2020	581	1,072	$227,382
2021	592	1,042	$241,712
2022	660	1,091	$196,352
2023	710	1,469	$143,221
2024	718	1,030	$154,207

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	325	809	$97,804
2016	463	1,051	$177,369
2017	416	1,033	$110,796
2018	462	1,070	$90,376
2019	410	835	$92,928
2020	346	753	$74,025
2021	205	598	$70,857
2022	210	532	$59,437
2023	170	398	$86,265
2024	190	402	$52,177

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	22	$597
2019	N/R	12	$45
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	108	109	$286
45380	Biopsy of large bowel using a flexible endoscope	143	143	$180
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	158	163	$123
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	78	80	$60
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	152	$39

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Linzess	Linaclotide	26	1,020	$18,217
Dexlansoprazole Dr	Dexlansoprazole	15	930	$4,221
Sucralfate	Sucralfate	27	1,039	$3,593
Pantoprazole Sodium	Pantoprazole Sodium	141	9,172	$1,705
Omeprazole	Omeprazole	52	3,504	$1,247

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.	78	$1,267	ABBVIE 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 Kenneth Apollo Musana, MD?

Tedicare shows public-source Medicare data for Kenneth Apollo Musana, MD (NPI 1952401697), 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 Kenneth Apollo Musana, 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 Kenneth Apollo Musana, MD?

Kenneth Apollo Musana, MD is linked to GASTROENTEROLOGY ASSOC OF CENTRAL VIRGINIA INC (billing NPI 1588748016) in the available physician profile data.

Does Kenneth Apollo Musana, MD have Open Payments data?

Kenneth Apollo Musana, MD has 78 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.