Active NPI 1609828367 Individual Practitioner Female Practitioner

Dr. Aruna K Prattipati , MD

Internal Medicine • Troy, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Aruna Prattipati, MD is a certified Internal Medicine practicing in Troy, OH. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Prattipati delivers high-quality medical care to the local community at 3006 N COUNTY ROAD 25A.

Dr. Prattipati maintains professional affiliations with Mvhe Inc, Upper Valley Professional Corporation, Sinclair Physician Services, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3006 N County Road 25a
101

Troy, OH 453731373

Telephone 9373399030

Associated Practice Facility / Clinic

🏢 Cardiology Care Inc Facility NPI 1477585495

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Troy, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +10.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Troy, OH (5516 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Prattipati (30 Years) 30 Yrs

Troy Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	440	164	$548.58	$107.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	250	131	$339.48	$71.17
99239 Hospital discharge day management, more than 30 minutes	182	173	$600.75	$102.92
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	73	$967.14	$157.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	72	31	$156.00	$97.16
99238 Hospital discharge day management, 30 minutes or less	29	29	$368.45	$73.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	20	12	$111.00	$68.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	342	95	$156.00	$102.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	123	63	$120.00	$75.81
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	96	51	$165.66	$114.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	66	53	$140.00	$121.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	60	25	$111.00	$71.28
99306 Initial nursing facility visit, typically 45 minutes per day	59	56	$212.00	$175.08
99239 Hospital discharge day management, more than 30 minutes	58	57	$182.69	$108.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	41	$300.00	$167.58
99213 Established patient office or other outpatient visit, typically 15 minutes	40	33	$120.00	$86.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$212.00	$122.52
99238 Hospital discharge day management, 30 minutes or less	15	15	$125.00	$77.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	513	136	$156.00	$87.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	211	97	$140.00	$122.30
99213 Established patient office or other outpatient visit, typically 15 minutes	116	69	$121.12	$87.08
99306 Initial nursing facility visit, typically 45 minutes per day	94	85	$212.00	$159.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	56	27	$111.00	$66.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$212.00	$125.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	23	$100.00	$50.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$151.00	$148.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	521	134	$156.00	$88.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	131	$140.00	$125.20
99213 Established patient office or other outpatient visit, typically 15 minutes	121	84	$120.00	$85.41
99306 Initial nursing facility visit, typically 45 minutes per day	112	97	$212.00	$162.51
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	73	73	$212.00	$128.66
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	18	$75.00	$39.53
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	28	26	$100.00	$51.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	23	14	$111.00	$67.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	653	167	$156.00	$90.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	145	$140.00	$106.00
99213 Established patient office or other outpatient visit, typically 15 minutes	153	101	$120.00	$72.77
99306 Initial nursing facility visit, typically 45 minutes per day	85	83	$212.00	$167.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	59	59	$212.00	$113.67
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	41	21	$75.00	$39.83
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	39	36	$100.00	$52.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	37	30	$111.00	$65.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	801	178	$155.66	$90.08
99213 Established patient office or other outpatient visit, typically 15 minutes	491	269	$120.00	$71.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	350	151	$140.00	$104.85
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	216	101	$111.00	$67.71
99306 Initial nursing facility visit, typically 45 minutes per day	109	100	$212.00	$163.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$212.00	$112.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	28	$80.00	$43.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	21	$100.00	$51.63
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	15	$75.00	$39.70
81002 Urinalysis, manual test	22	18	$10.00	$3.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	20	16	$117.32	$89.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$205.00	$160.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$204.00	$105.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	667	145	$151.55	$89.10
99213 Established patient office or other outpatient visit, typically 15 minutes	508	292	$120.00	$70.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	169	$140.00	$103.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	301	50	$117.32	$88.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	107	107	$212.00	$111.77
99306 Initial nursing facility visit, typically 45 minutes per day	59	55	$212.00	$162.93
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	59	27	$109.86	$67.39
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	45	$100.00	$51.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	48	13	$88.59	$67.44
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	35	33	$167.82	$127.30
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	18	$75.00	$39.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	12	$198.00	$102.14
81002 Urinalysis, manual test	20	19	$10.00	$3.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	15	$260.00	$198.71
99239 Hospital discharge day management, more than 30 minutes	17	15	$202.00	$105.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$204.00	$103.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,112	249	$155.33	$88.35
99213 Established patient office or other outpatient visit, typically 15 minutes	509	306	$120.00	$69.36
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	508	259	$140.00	$101.92
99306 Initial nursing facility visit, typically 45 minutes per day	158	142	$212.00	$161.09
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	149	51	$111.00	$66.87
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	97	45	$144.74	$88.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	89	85	$100.00	$51.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	74	64	$80.00	$41.41
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	61	35	$75.00	$39.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$212.00	$110.51
99316 Nursing facility discharge management, more than 30 minutes	34	33	$166.00	$102.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$205.00	$158.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$204.00	$103.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	13	12	$96.85	$66.32

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35083448

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2475245 (OH)

Commercial Insurance / Payer ID Bc/bs

000000385871 (OH)

Commercial Insurance / Payer ID Bcbs

000000336860 (OH)

Hospital & Practice Group Affiliations

Mvhe Inc

2400 Miami Valley Dr, Centerville, OH 454594774

Phone: 9372088394

Mvhe Inc

1 Wyoming St, Dayton, OH 454092722

Phone: 9372088394

Mvhe Inc

2451 Wayne Ave, Dayton, OH 454201893

Phone: 9372521831

Hisey Physician Services, Llc

3130 N Country Rd, Troy, OH 453731337

Phone: 9374404000

Sinclair Physician Services, Llc

2400 Miami Valley Dr, Centerville, OH 454594774

Phone: 9374382400

Upper Valley Professional Corporation

3130 N Country Rd, Troy, OH 453731337

Phone: 9374404466

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Jill Cyphers , FNP

Nurse Practitioner - Family

NPI 1578748612

Family Nurse Practitioner

Josefina Ferree , APRN-FNP-C

Nurse Practitioner - Family

NPI 1699247072

APRNFNPC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location May 29, 2008

Registered at 3006 N COUNTY ROAD 25A, 101, TROY, OH 453731373 (Tel: 9373399030)

📍

Updated Business Mailing Address May 29, 2008

Registered at PO BOX 1013, TROY, OH 453738013 (Tel: 9373359998)

👤

Provider Name / Credentials Updated May 29, 2008

Recorded as ARUNA PRATTIPATI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Internal Medicine (License #35083448 in OH)

🟢

Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609828367

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2006

Last Update: May 29, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 1013

Troy, OH 453738013

Phone: 9373359998

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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