Physician

Atul Verma, M.D.

According to 2025 Medicare claims, Atul Verma, M.D. (NPI: 1093027989) practices internal medicine in the Modesto, CA market, with the plurality of this provider's patient population coming from Stanislaus, CA. This provider's primary affiliated billing organization is AV CORP INC (NPI: 1376223024; TIN: 87-1571706) and primary practice location at 95350-5334. Verma is affiliated with the Mosaic ACO (ACO ID: A5033) and CareConnectMD DCE LLC (ACO ID: D0131), participating under both the MSSP and REACH models.

Verma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 808 traditional Medicare patients, billed 6,061 HCPCS/CPT codes, and received $533,159 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 34,668 prescription claims across 731 beneficiaries totaling $1,716,395 in drug costs, led by Eliquis (Apixaban). DME data shows 1,682 claims. Open Payments data shows 46 records totaling $52,222. 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 sharply higher in recent years, from $82,687 to $533,159. Similarly, Part D prescription costs have risen steadily, from $25,105 to $1,716,395. 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	690	1,928	$82,687
2016	764	2,139	$78,390
2017	872	1,864	$69,282
2018	375	471	$25,706
2019	363	410	$22,324
2020	220	251	$14,444
2021	234	1,271	$95,229
2022	312	1,860	$149,420
2023	951	4,095	$392,287
2024	808	6,061	$533,159

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	485	1,100	$25,105
2016	508	1,063	$17,880
2017	526	912	$15,307
2018	595	1,015	$18,827
2019	699	1,133	$23,520
2020	269	391	$7,992
2021	236	1,844	$96,617
2022	250	5,105	$315,921
2023	678	14,225	$829,575
2024	731	34,668	$1,716,395

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	11	50	$3,879
2022	11	112	$11,095
2023	289	699	$26,197
2024	389	1,682	$40,266

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	481	522	$142
99310	Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	233	395	$122
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	897	4,416	$85
99497	Advance care planning, first 30 minutes	478	546	$60
99407	Smoking and tobacco use intensive counseling, more than 10 minutes	45	159	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	1,030	12,187	$258,697
Jardiance	Empagliflozin	271	5,277	$114,989
Xarelto	Rivaroxaban	191	3,409	$69,641
Ingrezza	Valbenazine Tosylate	15	205	$59,450
Xifaxan	Rifaximin	18	472	$54,042

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
K0001	Standard wheelchair	Y	93	579	$9,174
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	41	188	$8,593
E2611	General use wheelchair back cushion, width less than 22 inches, any height, including any type mounting hardware	N	36	36	$4,747
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	Y	63	411	$3,025
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	42	$2,657

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	45	$52,172	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	1	$50	Abbott Laboratories
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 Atul Verma, M.D.?

Tedicare shows public-source Medicare data for Atul Verma, M.D. (NPI 1093027989), 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 Atul Verma, M.D. have ACO affiliation data?

Atul Verma, M.D. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033) and CareConnectMD DCE LLC (REACH, ACO ID D0131).

What billing organization is linked to Atul Verma, M.D.?

Atul Verma, M.D. is linked to AV CORP INC (billing NPI 1376223024) in the available physician profile data.

Does Atul Verma, M.D. have Open Payments data?

Atul Verma, M.D. has 46 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.