Physician

Sachin H. Panchal, M.D.

According to 2025 Medicare claims, Sachin Panchal, M.D. (NPI: 1114978699) practices internal medicine in the Racine-Mount Pleasant, WI market, with the plurality of this provider's patient population coming from Racine, WI. This provider's primary affiliated billing organization is ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (NPI: 1609881077; TIN: 391791586) and primary practice location at 53405-1667. Panchal is affiliated with the Ascension Care Management Health Partners Wisconsin, LLC (ACO ID: A5329), participating under the MSSP model.

Panchal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 297 traditional Medicare patients, billed 1,108 HCPCS/CPT codes, and received $68,416 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 14,059 prescription claims across 875 beneficiaries totaling $913,378 in drug costs, led by Eliquis (Apixaban). DME data shows 207 claims. Open Payments data shows 1 records totaling $30. 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 risen steadily, from $665,186 to $913,378. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $11,155 and ending at $8,370.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	377	1,231	$66,667
2016	362	1,074	$59,598
2017	382	1,131	$62,689
2018	456	1,411	$83,537
2019	454	1,371	$79,021
2020	371	1,117	$66,079
2021	345	1,168	$83,818
2022	358	1,112	$77,922
2023	355	1,050	$70,850
2024	297	1,108	$68,416

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	491	9,525	$665,186
2016	486	8,820	$566,096
2017	516	8,267	$569,519
2018	717	10,812	$778,779
2019	780	12,309	$883,909
2020	743	13,121	$906,892
2021	766	13,809	$1,017,342
2022	852	14,067	$1,027,699
2023	910	14,179	$1,084,400
2024	875	14,059	$913,378

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	63	347	$12,608
2016	53	201	$4,411
2017	48	188	$3,309
2018	49	225	$7,265
2019	59	197	$2,781
2020	52	286	$12,752
2021	54	378	$21,974
2022	71	320	$12,263
2023	28	216	$5,331
2024	35	207	$8,684

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	186	186	$122
99495	Transitional care management services for problem of at least moderate complexity	19	23	$99
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	263	550	$58
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	95	128	$39
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	20	20	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	175	6,645	$128,878
Ozempic	Semaglutide	60	2,688	$71,947
Jardiance	Empagliflozin	48	2,905	$56,982
Trulicity	Dulaglutide	34	1,512	$51,595
Mounjaro	Tirzepatide	33	1,262	$48,698

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
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	11	$1,761
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$1,637
A7032	Cushion for use on nasal mask interface, replacement only, each	N	N/R	11	$1,129
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	N/R	20	$1,036
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	14	$940

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$30	Exact Sciences Corporation
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 Sachin H. Panchal, M.D.?

Tedicare shows public-source Medicare data for Sachin H. Panchal, M.D. (NPI 1114978699), 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 Sachin H. Panchal, M.D. have ACO affiliation data?

Sachin H. Panchal, M.D. is shown with ACO affiliation data for Ascension Care Management Health Partners Wisconsin, LLC (MSSP, ACO ID A5329).

What billing organization is linked to Sachin H. Panchal, M.D.?

Sachin H. Panchal, M.D. is linked to ASCENSION MEDICAL GROUP-SOUTHEAST WISCONSIN INC (billing NPI 1609881077) in the available physician profile data.

Does Sachin H. Panchal, M.D. have Open Payments data?

Sachin H. Panchal, 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.