Physician

Vishal Riky Dhulipala, M.D.

According to 2025 Medicare claims, Vishal Dhulipala, M.D. (NPI: 1003266065) practices interventional cardiology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is PRISMA HEALTH MEDICAL GROUP-MIDLANDS (NPI: 1003307166; TIN: 471345819) and primary practice location at 29150-4949. Dhulipala is affiliated with the CVS ACO (ACO ID: A5407), participating under the MSSP model.

Dhulipala's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 353 traditional Medicare patients, billed 716 HCPCS/CPT codes, and received $35,894 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 156 prescription claims across 71 beneficiaries totaling $25,640 in drug costs, led by Losartan Potassium (Losartan Potassium). Open Payments data shows 165 records totaling $6,584. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $19,983 to $25,640. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$18K$36K2024 Medicare payment: $35,894 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024353716$35,894

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$30K$61K2016 Drug cost: $19,983 (USD; Tot_Drug_Cst)2017 Drug cost: $18,364 (USD; Tot_Drug_Cst)2018 Drug cost: $32,485 (USD; Tot_Drug_Cst)2019 Drug cost: $31,635 (USD; Tot_Drug_Cst)2020 Drug cost: $24,857 (USD; Tot_Drug_Cst)2021 Drug cost: $60,529 (USD; Tot_Drug_Cst)2022 Drug cost: $60,142 (USD; Tot_Drug_Cst)2024 Drug cost: $25,640 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20162295$19,983
201755228$18,364
201855239$32,485
201929116$31,635
202034142$24,857
202162267$60,529
202233131$60,142
2023N/RN/RN/R
202471156$25,640

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3030$122
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3234$95
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function8282$64
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3637$11
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only209279$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Losartan PotassiumLosartan Potassium121,020$191
Metoprolol SuccinateMetoprolol Succinate201,200$170
CarvedilolCarvedilol11570$62
Atorvastatin CalciumAtorvastatin Calcium11750$33

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.165$6,584Abbott Laboratories
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Vishal Riky Dhulipala, M.D.?

Tedicare shows public-source Medicare data for Vishal Riky Dhulipala, M.D. (NPI 1003266065), 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 Vishal Riky Dhulipala, M.D. have ACO affiliation data?

Vishal Riky Dhulipala, M.D. is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Vishal Riky Dhulipala, M.D.?

Vishal Riky Dhulipala, M.D. is linked to PRISMA HEALTH MEDICAL GROUP-MIDLANDS (billing NPI 1003307166) in the available physician profile data.

Does Vishal Riky Dhulipala, M.D. have Open Payments data?

Vishal Riky Dhulipala, M.D. has 165 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.