Active NPI 1477786820 Individual Practitioner Male Practitioner

Dr. Prahladkumar J Agarwal , MD

General Practice • Akron, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prahladkumar Agarwal, MD is a certified General Practice practicing in Akron, OH. With approximately 62 years of clinical experience since completing medical education in 1964, Dr. Agarwal delivers high-quality medical care to the local community at 190 N UNION ST STE 203.

Dr. Agarwal is affiliated with Patheous Medical Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include imaging for evaluation of swallowing function, initial nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial nursing facility care with straightforward or low level of medical decision making, per day, 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

190 N Union St Ste 203

Akron, OH 443041362

Telephone 3309233502

Fax 3309239761

Associated Practice Facility / Clinic

🏢 Frank Dittrich Do Llc Facility NPI 1588908552

Medicare Profile & Education

Medical School

Other

Graduation Year

1964

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Akron, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

62 Yrs +27.0 yrs vs City Avg

City Avg: 35.0 Yrs

State Avg: 28.1 Yrs

Regional Practice Density

9 Specialists

Practicing in Akron, OH (336 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Agarwal (62 Years) 62 Yrs

Akron Specialty Average (35.0 Years) 35.0 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
74230 Imaging for evaluation of swallowing function	66	62	$70.00	$23.90
74230 Imaging for evaluation of swallowing function	45	23	$121.11	$57.09
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	40	38	$165.00	$125.92
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$125.00	$75.35
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	12	$165.00	$126.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	54	26	$120.00	$58.99
74230 Imaging for evaluation of swallowing function	45	43	$70.00	$24.90
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	31	31	$125.00	$77.33
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	25	25	$125.00	$77.33
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$224.00	$80.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	52	52	$70.00	$25.56
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	50	50	$125.00	$85.82
74230 Imaging for evaluation of swallowing function	33	17	$118.48	$60.81
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$125.00	$86.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	94	93	$70.00	$26.07
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	85	84	$125.00	$87.55
74230 Imaging for evaluation of swallowing function	50	26	$118.00	$61.75
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	26	26	$125.00	$87.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	45	25	$114.44	$56.24
74230 Imaging for evaluation of swallowing function	44	44	$70.00	$26.07
99306 Initial nursing facility visit, typically 45 minutes per day	40	40	$215.00	$163.19
99306 Initial nursing facility visit, typically 45 minutes per day	21	21	$215.00	$163.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	165	84	$117.88	$55.98
74230 Imaging for evaluation of swallowing function	164	159	$70.61	$25.37
99306 Initial nursing facility visit, typically 45 minutes per day	130	128	$215.00	$156.10
99306 Initial nursing facility visit, typically 45 minutes per day	74	73	$215.00	$157.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$296.00	$191.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	221	214	$70.00	$24.85
74230 Imaging for evaluation of swallowing function	179	93	$118.60	$55.19
99306 Initial nursing facility visit, typically 45 minutes per day	172	170	$215.00	$153.63
99306 Initial nursing facility visit, typically 45 minutes per day	87	87	$215.00	$151.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	39	$296.00	$187.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
74230 Imaging for evaluation of swallowing function	239	229	$70.84	$26.03
74230 Imaging for evaluation of swallowing function	168	80	$119.40	$57.18
99306 Initial nursing facility visit, typically 45 minutes per day	119	116	$215.00	$157.23
99306 Initial nursing facility visit, typically 45 minutes per day	60	57	$215.00	$157.23
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	58	$165.00	$122.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	32	$296.00	$191.83
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	25	$165.00	$122.73
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$212.00	$129.61

Medical Specialties & State Licenses

CMS Verified: 2023-11-06

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OH 35033341

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0526710 (OH)

Hospital & Practice Group Affiliations

Patheous Medical Pllc

190 N Union St, Akron, OH 443041362

Phone: 9133596021

Practice Associates & Co-Workers

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

13 Associated Practitioners

Dr. Krishna Agarwala , MD

Internal Medicine

NPI 1043208663

Doctor of Medicine (M.D.)

Dr. Lawrence Chia , MD

Emergency Medicine

NPI 1073611828

Doctor of Medicine (M.D.)

Dr. Christine Adamick , MD

Dermatology

NPI 1144297607

Doctor of Medicine (M.D.)

Dr. Anita Lawrenz , MD

Internal Medicine

NPI 1154376887

Doctor of Medicine (M.D.)

Dr. Deviprasad Tantri , MD

Plastic Surgery

NPI 1275593725

Doctor of Medicine (M.D.)

Dr. James Mottice , DO

Family Medicine

NPI 1346323003

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address November 06, 2023

Registered at 6601 COLLEGE BLVD STE 120, OVERLAND PARK, KS 662111504 (Tel: 9133596001)

📍

Updated Practice Location May 18, 2022

Registered at 190 N UNION ST STE 203, AKRON, OH 443041362 (Tel: 3309233502)

📍

Updated Practice Location January 08, 2021

Registered at 243 FURNACE ST STE 11, AKRON, OH 443041284 (Tel: 3309233502)

📍

Updated Business Mailing Address January 08, 2021

Registered at 601 E MAIN ST STE 101, MAHOMET, IL 618537460 (Tel: 9133596001)

✅

NPI Profile Active March 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 04, 2010

Registered at 2104 FRONT ST, SUITE B, CUYAHOGA FALLS, OH 442213259 (Tel: 3309233502)

📍

Updated Business Mailing Address March 04, 2010

Registered at PO BOX 1045, CUYAHOGA FALLS, OH 442230045 (Tel: 3309233502)

👤

Provider Name / Credentials Updated March 04, 2010

Recorded as PRAHLADKUMAR AGARWAL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 04, 2010

General Practice (License #35033341 in OH)

🟢

Initial NPI Registration & Enumeration September 02, 2009

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: 1477786820

Entity Type:

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

Enumeration Date: September 02, 2009

Last Update: November 06, 2023

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

6601 College Blvd Ste 120

Overland Park, KS 662111504

Phone: 9133596001

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

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.