Physician

Herkanwal S. Khaira, MD

According to 2025 Medicare claims, Herkanwal Khaira, MD (NPI: 1073691564) practices urology in the Napa, CA market, with the plurality of this provider's patient population coming from Napa, CA. This provider's primary affiliated billing organization is NORTHBAY HEALTHCARE GROUP (NPI: 1780736736; TIN: 941458282) and primary practice location at 94558-9857. Khaira is affiliated with the Aledade 152 Hill Physicians MSSP Basic E (ACO ID: A5355), participating under the MSSP model.

Khaira's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 920 traditional Medicare patients, billed 8,259 HCPCS/CPT codes, and received $306,244 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 2,064 prescription claims across 486 beneficiaries totaling $646,698 in drug costs, led by Xtandi (Enzalutamide). DME data shows 166 claims. Open Payments data shows 48 records totaling $5,087. 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 moved from a lower plateau to a higher plateau, from $247,259 to $306,244. Similarly, Part D prescription costs have moved sharply higher in recent years, from $111,153 to $646,698. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $511 and ending at $1,300.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	783	4,565	$247,259
2016	782	5,117	$197,952
2017	996	4,831	$355,493
2018	1,037	7,673	$441,969
2019	1,062	8,710	$461,878
2020	1,059	10,540	$417,905
2021	971	8,629	$462,496
2022	957	9,701	$433,234
2023	985	8,645	$346,946
2024	920	8,259	$306,244

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	289	1,187	$111,153
2016	312	1,258	$133,233
2017	403	1,588	$137,857
2018	400	1,779	$167,303
2019	443	2,079	$212,625
2020	480	2,053	$226,023
2021	487	2,035	$388,699
2022	461	2,141	$855,492
2023	454	1,891	$668,449
2024	486	2,064	$646,698

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	65	$13,245
2016	N/R	99	$19,242
2017	N/R	201	$38,091
2018	N/R	196	$53,539
2019	N/R	140	$50,100
2020	27	214	$46,331
2021	13	156	$37,912
2022	13	158	$57,692
2023	11	144	$62,016
2024	12	166	$64,799

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	162	202	$215
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	368	482	$107
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	402	515	$72
99441	Telephone medical discussion with physician, 5-10 minutes	166	214	$30
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	148	149	$14

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	19	570	$213,365
Erleada	Apalutamide	12	360	$178,087
Myrbetriq	Mirabegron	185	8,772	$131,404
Gemtesa	Vibegron	78	3,904	$61,902
Tamsulosin Hcl	Tamsulosin Hcl	526	34,387	$7,337

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	63	$44,686
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	12	65	$19,329
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	18	$448
A4332	Lubricant, individual sterile packet, each	N	N/R	20	$335

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	48	$5,087	Teleflex LLC
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 Herkanwal S. Khaira, MD?

Tedicare shows public-source Medicare data for Herkanwal S. Khaira, MD (NPI 1073691564), 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 Herkanwal S. Khaira, MD have ACO affiliation data?

Herkanwal S. Khaira, MD is shown with ACO affiliation data for Aledade 152 Hill Physicians MSSP Basic E (MSSP, ACO ID A5355).

What billing organization is linked to Herkanwal S. Khaira, MD?

Herkanwal S. Khaira, MD is linked to NORTHBAY HEALTHCARE GROUP (billing NPI 1780736736) in the available physician profile data.

Does Herkanwal S. Khaira, MD have Open Payments data?

Herkanwal S. Khaira, MD has 48 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.