Dr. Thomas Andreas Prohaska, MD
- Medicare services, 2024
- 113
- Medicare patients, 2024
- 82
- Part D claims, 2024
- 115
- Publications
- 16
- MIPS score, 2024
- 91
- Practice address
- 200 W Arbor Dr, San Diego, CA 92103
- Practice phone
- Call (619) 543-6222
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
UCSD Hillcrest Medical Center
San Diego, California
Find Dr. Prohaska's professional email, personal email and mobile number
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Dr. Thomas Andreas Prohaska is a cardiologist in San Diego, California
Dr. Prohaska practices at UCSD Hillcrest Medical Center in San Diego, California.
Dr. Prohaska's NPI, 1861889644, was assigned on April 20, 2015. Dr. Prohaska graduated from University of Vienna Faculty of Medicine in 2013. Dr. Prohaska holds California license A150882.
- NPI
- 1861889644NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5991188096
- NPI enumeration date
- April 20, 2015
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (619) 543-6222
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 39
- Medical school graduation
- 2013
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Thomas Andreas Prohaska practices at UCSD Hillcrest Medical Center in San Diego, California
Dr. Prohaska's primary practice is UCSD Hillcrest Medical Center, at 200 W Arbor Dr, San Diego, CA 92103 in San Diego County. The practice phone is (619) 543-6222.
- UCSD Hillcrest Medical Center200 W Arbor Dr, San Diego, CA 92103 · San Diego CountyPhone(619) 543-6222
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Thomas Andreas Prohaska is affiliated with 2 sites of care and 1 medical group
Dr. Prohaska's primary practice is UCSD Hillcrest Medical Center in San Diego, California. Dr. Prohaska is also affiliated with Hillcrest Medical Center. The medical group on file is UC San Diego Health.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Dr. Thomas Andreas Prohaska's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Prohaska practices. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| UCSD Hillcrest Medical Center | Available with a free account |
| +1 more affiliated site | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Thomas Andreas Prohaska is one of 2,375 cardiologists in California
Cardiovascular disease is Dr. Prohaska's primary specialty in the NPI Registry, under taxonomy code 207RC0000X. Dr. Prohaska is board certified in cardiovascular disease by the American Board of Internal Medicine. Dr. Prohaska is licensed in California.
Specialties and state licenses
- Cardiovascular disease, CaliforniaPrimary
Clinical focus
Dmand AI lists atrial fibrillation and flutter, chronic hypertension, coronary artery disease, heart failure and high cholesterol among the conditions Dr. Prohaska treats.
Cardiologists near Dr. Prohaska
Counts of cardiologists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Dr. Thomas Andreas Prohaska billed Medicare for 113 services in 2024
CMS data shows 113 Medicare services from Dr. Prohaska across 4 procedure codes in 2024, for 82 Medicare patients. Medicare paid $7,599 for them. Every service was in a facility, such as a hospital, rather than an office.
Dr. Prohaska's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Office and hospital visits
- 2023: 932024: 7717%
- Tests and treatments
- 2023: 492024: 3627%
Dr. Prohaska compared with the California median for cardiologists, 2024
- Dr. Prohaska
- California median
- Medicare services
- 113vs 1,56093% below
- Medicare patients
- 82vs 64487% below
- Part D claims
- 67vs 1,41095% below
Medians across 2,237 cardiologists in California with Dmand AI profiles that report each measure.
Dr. Prohaska's most billed Medicare procedure codes, 2024
CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.
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Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Prohaska and other cardiologists in California.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Thomas Andreas Prohaska treated 82 Medicare patients in 2024, average age 72
CMS counts 82 Medicare patients who saw Dr. Prohaska in 2024. The largest group is 65 to 74, with 36 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 46% are also on Medicaid. Their average risk score is 2.01, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Dr. Prohaska's median patient age at 69, with 44% women.
Dr. Prohaska's Medicare patients by age, 2024
CMS leaves out age groups with fewer than 11 patients.
Dr. Prohaska's Medicare patients by sex, 2024
- Women4454%
- Men3846%
Chronic conditions among Dr. Prohaska's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis56%
- Diabetes46%
- Ischemic heart disease39%
- Chronic kidney disease34%
- Heart failure33%
- Anxiety32%
Share of Medicare patients with each condition. A patient can have several.
Dr. Prohaska's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 69
Patient panel by sex, all payers
- Women44%
- Men54%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Thomas Andreas Prohaska wrote 115 Medicare Part D claims in 2024
In 2024, Dr. Prohaska wrote 115 Medicare Part D claims for 41 patients. 91% of them were for generic drugs. CMS names the drug for 67 of them, across 4 drugs with 11 or more claims each, at $835 in total drug cost. In 2023, CMS named 27 claims across 2 drugs.
Dr. Prohaska's Part D claims by kind of drug, 2024
- Generic105 claims91%
- Brand-name and other10 claims9%
Dr. Prohaska's most prescribed drugs by claims, 2024
CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.
Part D claims for drugs CMS names, 2023 to 2024
- 2023
- 2024
- Claims for drugs CMS names
- 2023: 272024: 67148%
Drugs named by CMS: 4 in 2024, 2 in 2023.
Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data
Dr. Thomas Andreas Prohaska scored 91 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Prohaska for performance year 2024, reported as part of a group. Dr. Prohaska accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Dr. Prohaska's MIPS scores, performance year 2024
- 91of 100Final score
- 84.1of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 74of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Thomas Andreas Prohaska has 16 publications on record
Dmand AI links 16 papers to Dr. Prohaska, published from 2012 to 2025. 2018 was the busiest year, with 2. The most frequent topics are Hypertriglyceridemia, Oligonucleotides and Triglycerides. Dr. Prohaska has published most often in N Engl J Med. Dr. Prohaska's most frequent co-authors are Sotirios Tsimikas, MD, Joseph L. Witztum, MD and Veronica Alexander, MD.
Dr. Prohaska's papers by year, 2012 to 2025
Topics Dr. Prohaska writes about most
- Hypertriglyceridemia
- Oligonucleotides
- Triglycerides
- Apolipoprotein C-III
- Mice, Inbred C57BL
- Double-Blind Method
- Immunoglobulin M
- Inflammation
Dr. Prohaska's most frequent co-authors
- Sotirios Tsimikas, MD11 shared papers
- Joseph L. Witztum, MD9 shared papers
- Veronica Alexander, MD5 shared papers
Recent publications by Dr. Prohaska
N Engl J Med
N Engl J Med
J Clin Lipidol
See who Dr. Prohaska researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Prohaska works with, so you can find a warm path to the right cardiologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Thomas Andreas Prohaska received $330 in industry payments in 2018
CMS Open Payments shows 3 general payments to Dr. Prohaska from 3 drug and device companies in 2018. Food and beverage make up the largest share, 100% of the total. Regeneron Pharmaceuticals, Inc. paid the most, $128.
Companies that paid Dr. Prohaska the most, 2018 to 2018
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Thomas Andreas Prohaska graduated from University of Vienna Faculty of Medicine
Dr. Prohaska graduated from University of Vienna Faculty of Medicine in 2013.
- Medical school
- Board certified in cardiovascular disease
- Board certified in internal medicine
Source: Dmand AI Professional Profile Data
Dr. Thomas Andreas Prohaska accepts plans from 14 insurance carriers
Dr. Prohaska is in network with 14 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
- Aetna
- Blue Cross Blue Shield of Michigan
- United Healthcare
- Elevance
- Blue Cross Blue Shield of Massachusetts
- HCSC
- Molina
- Regence Health Plans
- +6 more carriersWith a free account
Plan types Dr. Prohaska accepts, by number of carriers
- PPO9
- Medicare8
- HMO6
- EPO4
- POS3
Source: Dmand AI Insurance Network Data
Sources for Dr. Thomas Andreas Prohaska's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Thomas Andreas Prohaska
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What is Dr. Thomas Andreas Prohaska's NPI number?
Dr. Thomas Andreas Prohaska's NPI number is 1861889644. It was assigned on April 20, 2015, and it is active in the NPI Registry.
What kind of doctor is Dr. Thomas Andreas Prohaska?
Dr. Thomas Andreas Prohaska is a cardiologist in San Diego, California. The primary specialty in the NPI Registry is Cardiovascular Disease Physician (taxonomy code 207RC0000X).
Where does Dr. Thomas Andreas Prohaska practice?
Dr. Prohaska practices at 200 W Arbor Dr, San Diego, CA 92103. Dr. Prohaska's primary practice is UCSD Hillcrest Medical Center in San Diego, California.
What is Dr. Thomas Andreas Prohaska's office phone number?
The practice phone on file for Dr. Prohaska is (619) 543-6222.
What is Dr. Thomas Andreas Prohaska's medical license number?
Dr. Prohaska holds California license A150882.
Which hospitals is Dr. Thomas Andreas Prohaska affiliated with?
Dr. Prohaska is affiliated with Hillcrest Medical Center.
What medical group is Dr. Thomas Andreas Prohaska part of?
Dr. Prohaska is linked to UC San Diego Health.
Does Dr. Thomas Andreas Prohaska accept Medicare?
Yes. CMS data shows Dr. Prohaska billed Medicare for 113 services in 2024, and Dr. Prohaska accepts Medicare assignment.
What is Dr. Thomas Andreas Prohaska's MIPS score?
Dr. Prohaska's MIPS final score for performance year 2024 is 91 out of 100, reported as part of a group.
How many Medicare patients does Dr. Thomas Andreas Prohaska see?
CMS counts 82 Medicare patients who saw Dr. Prohaska in 2024, with an average age of 72.
Show 9 more questionsShow fewer questions
Is Dr. Thomas Andreas Prohaska board certified?
Yes. Dr. Prohaska is board certified in cardiovascular disease by the American Board of Internal Medicine.
What services does Dr. Thomas Andreas Prohaska bill to Medicare?
In 2024, Dr. Prohaska's most billed Medicare services were heart test or procedure (93010), office visit, established patient (99214) and office visit, new patient (99204).
Where did Dr. Thomas Andreas Prohaska go to medical school?
Dr. Prohaska graduated from University of Vienna Faculty of Medicine in 2013.
What drugs does Dr. Thomas Andreas Prohaska prescribe most?
In 2024 Medicare Part D data, Dr. Prohaska's most prescribed drugs by claims were Metoprolol Succinate, Atorvastatin Calcium and Clopidogrel.
Has Dr. Thomas Andreas Prohaska received payments from drug or device companies?
CMS Open Payments shows $330 in general payments to Dr. Prohaska from 3 companies from 2018 to 2018. The largest total came from Regeneron Pharmaceuticals, Inc.
How long has Dr. Thomas Andreas Prohaska been practicing?
Dr. Prohaska graduated from medical school in 2013, 13 years ago.
Does Dr. Thomas Andreas Prohaska do research?
Dmand AI links 16 publications to Dr. Prohaska, published from 2012 to 2025.
Who does Dr. Thomas Andreas Prohaska publish with?
Dr. Prohaska's most frequent co-authors are Sotirios Tsimikas, MD (11 shared papers), Joseph L. Witztum, MD (9 shared papers) and Veronica Alexander, MD (5 shared papers).
What insurance does Dr. Thomas Andreas Prohaska accept?
Dr. Prohaska is in network with 14 carriers, including Aetna, Blue Cross Blue Shield of Michigan and United Healthcare. PPO plans come from the most carriers, 9. Check the plan with the practice before a visit.
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