Physician

Ajit Singh Sawhney, M.D.

According to 2025 Medicare claims, Ajit Sawhney, M.D. (NPI: 1114014438) practices nephrology in the Anaheim-Santa Ana-Irvine, CA market, with the plurality of this provider's patient population coming from Orange, CA. This provider's primary affiliated billing organization is BALBOA NEPHROLOGY MEDICAL GROUP, INC. (NPI: 1316997505; TIN: 952848091) and primary practice location at 92708-7511.

Sawhney's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 126 traditional Medicare patients, billed 494 HCPCS/CPT codes, and received $42,027 in Medicare payments. The top billing code was 90960 (Dialysis services, 4 or more physician visits per month (20 years or older)). Part D data shows 1,666 prescription claims across 222 beneficiaries totaling $292,188 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 61 claims. Open Payments data shows 1 records. 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 higher plateau to a lower plateau, from $198,489 to $42,027. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $960,284 to $292,188. 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$99K$198K2015 Medicare payment: $198,489 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $161,892 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $172,031 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $145,428 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $107,149 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $74,489 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $88,352 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $68,420 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $64,911 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $42,027 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153011,411$198,489
20163081,254$161,892
20172581,402$172,031
20182501,071$145,428
2019196763$107,149
2020161650$74,489
2021151563$88,352
2022154539$68,420
2023140492$64,911
2024126494$42,027

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$551K$1.1M2015 Drug cost: $960,284 (USD; Tot_Drug_Cst)2016 Drug cost: $1,102,488 (USD; Tot_Drug_Cst)2017 Drug cost: $1,022,230 (USD; Tot_Drug_Cst)2018 Drug cost: $704,950 (USD; Tot_Drug_Cst)2019 Drug cost: $589,989 (USD; Tot_Drug_Cst)2020 Drug cost: $425,604 (USD; Tot_Drug_Cst)2021 Drug cost: $409,432 (USD; Tot_Drug_Cst)2022 Drug cost: $363,027 (USD; Tot_Drug_Cst)2023 Drug cost: $396,264 (USD; Tot_Drug_Cst)2024 Drug cost: $292,188 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152462,251$960,284
20162852,544$1,102,488
20173122,963$1,022,230
20183532,829$704,950
20193172,292$589,989
20202581,834$425,604
20212281,854$409,432
20222061,553$363,027
20232121,767$396,264
20242221,666$292,188

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$12K$23K2015 Medicare payment: $6,539 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $6,360 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $4,516 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,033 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $835 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $23,156 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $19,906 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $10,738 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $6,112 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R168$6,539
2016N/R168$6,360
2017N/R94$4,516
2018N/R55$3,033
2019N/RN/RN/R
2020N/R57$835
2021N/R90$23,156
2022N/R107$19,906
2023N/R89$10,738
2024N/R61$6,112

* / # = 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
90960Dialysis services, 4 or more physician visits per month (20 years or older)1258$294
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1919$143
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more94177$83
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2529$68
G2211Visit 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's100198$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol552,714$48,764
VeltassaPatiromer Calcium Sorbitex18780$42,621
JardianceEmpagliflozin231,890$37,890
TradjentaLinagliptin431,890$31,915
RayaldeeCalcifediol13390$9,280

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7527Everolimus, oral, 0.25 mgNN/R12$5,556
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodNN/R16$282
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R21$263
J7512Prednisone, immediate release or delayed release, oral, 1 mgNN/R12$10

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.0$0N/R
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.1$29,788ExThera Medical Corporation

FAQ

What Medicare data is available for Ajit Singh Sawhney, M.D.?

Tedicare shows public-source Medicare data for Ajit Singh Sawhney, M.D. (NPI 1114014438), 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 Ajit Singh Sawhney, 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 Ajit Singh Sawhney, M.D.?

Ajit Singh Sawhney, M.D. is linked to BALBOA NEPHROLOGY MEDICAL GROUP, INC. (billing NPI 1316997505) in the available physician profile data.

Does Ajit Singh Sawhney, M.D. have Open Payments data?

Ajit Singh Sawhney, M.D. has 1 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.