Prashanth Reddy Rawla, M.D.
NPI 1942596077ActiveIndividual· Hospitalist· Demorest, GA
Hospitalist (M.D.) with Northeast Georgia Physicians Group Inc and 1 other group, practicing in Demorest, Georgia. In 2024 Medicare paid $58,136 for 266 patients, and Part D covered 379 of their prescriptions, 84% of them generic. Exact Sciences Corporation reported $18.26 in payments in 2024, mostly food and beverage. Lists Northeast Georgia Medical Center Habersham and 1 other hospital as hospital affiliations.
Overview
| NPI | 1942596077 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 27, 2011 |
| Last updated in NPPES | Apr 18, 2025 |
| Certified by provider | Apr 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Hospitalist Primary | 208M00000X | 95112 | GA |
| Internal Medicine | 207R00000X | MD-14659 | IA |
| Internal Medicine | 207R00000X | 0101257511 | VA |
| Hospitalist | 208M00000X | ME136128 | FL |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Hospitalist (FL); Practitioner - Hospitalist (GA); Practitioner - Internal Medicine (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 266 |
|---|---|
| Services billed | 737 across 11 procedure codes |
| Paid by Medicare | $58,136 |
Part D prescriptions in 2024
| Prescriptions (claims) | 379 · 568 30-day fills |
|---|---|
| Patients | 170 |
| Total drug cost | $34,338 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2005 |
|---|---|
| Medicare specialty | Hospitalist |
Medical groups
- Northeast Georgia Physicians Group IncGainesville, GA · 883 clinicians
- Mdcare Clinic LLCLoganville, GA · 2 clinicians
Hospital affiliations
- Northeast Georgia Medical Center HabershamDemorest, GA
- Northeast Georgia Medical Center, IncGainesville, GA
Industry payments (Open Payments)
- 2024$18.26 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Exact Sciences Corporation | $18.26 | 1 |
What the 2024 payments were for
- Food and Beverage$18.26 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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