Physician

Pankaj J Patel, M.D.

According to 2025 Medicare claims, Pankaj Patel, M.D. (NPI: 1053374256) practices gastroenterology in the Sebring, FL market, with the plurality of this provider's patient population coming from Highlands, FL. This provider's primary affiliated billing organization is THAKKAR PATEL & AVALOS MD'S LLC (NPI: 1972565612; TIN: 650580970) and primary practice location at 33870-5447.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,250 traditional Medicare patients, billed 2,747 HCPCS/CPT codes, and received $297,439 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 1,430 prescription claims across 1,237 beneficiaries totaling $324,648 in drug costs, led by Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl). Open Payments data shows 29 records totaling $818. 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's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $833,983 and ending at $324,648. 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.

Year	Patients	Clm Lines	Payment
2015	1,425	5,044	$430,980
2016	1,613	4,848	$394,785
2017	1,353	3,969	$337,604
2018	1,527	4,006	$363,585
2019	1,390	3,626	$338,310
2020	1,358	3,646	$325,916
2021	1,291	3,686	$354,277
2022	1,398	3,661	$376,994
2023	1,401	3,192	$338,419
2024	1,250	2,747	$297,439

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	707	1,713	$833,983
2016	850	1,890	$361,837
2017	817	1,770	$376,464
2018	900	1,761	$729,222
2019	867	1,635	$371,324
2020	844	1,576	$340,160
2021	631	1,204	$430,320
2022	1,002	1,497	$441,951
2023	1,160	1,573	$751,209
2024	1,237	1,430	$324,648

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	260	264	$195
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	223	237	$134
45380	Biopsy of large bowel using a flexible endoscope	628	633	$96
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	170	356	$92
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	522	532	$52

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gavilyte-G	Peg3350/Sod Sulf,bicarb,cl/Kcl	571	2,891	$8,831
Peg 3350-Electrolyte	Sodium Chloride/Nahco3/Kcl/Peg	260	1,146	$5,158
Peg-3350 And Electrolytes	Peg3350/Sod Sulf,bicarb,cl/Kcl	192	1,302	$2,866
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	28	62	$1,675
Dicyclomine Hcl	Dicyclomine Hcl	64	2,619	$794

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	29	$818	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Pankaj J. Patel, M.D.?

Tedicare shows public-source Medicare data for Pankaj J. Patel, M.D. (NPI 1053374256), 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 Pankaj J. Patel, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Pankaj J. Patel, M.D.?

Pankaj J. Patel, M.D. is linked to THAKKAR PATEL & AVALOS MD'S LLC (billing NPI 1972565612) in the available physician profile data.

Does Pankaj J. Patel, M.D. have Open Payments data?

Pankaj J. Patel, M.D. has 29 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.