Physician

Arpan J Patel, M.D.

According to 2025 Medicare claims, Arpan Patel, M.D. (NPI: 1154509735) practices anesthesiology in the Janesville-Beloit, WI market, with the plurality of this provider's patient population coming from Rock, WI. This provider's primary affiliated billing organization is PAIN MANAGEMENT GROUP LLC (NPI: 1063831303; TIN: 264287537) and primary practice location at 53534-9002. Patel is affiliated with the IHCI ACO Midwest LLC (ACO ID: A5516), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 271 traditional Medicare patients, billed 1,621 HCPCS/CPT codes, and received $95,819 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,413 prescription claims across 252 beneficiaries totaling $25,439 in drug costs, led by Pregabalin (Pregabalin). Open Payments data shows 7 records totaling $721. 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 up and down with repeated peaks and valleys, starting at $193,895 and ending at $95,819. Concurrently, Part D prescription costs have declined steadily, from $78,218 to $25,439. 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$193K$386K2015 Medicare payment: $193,895 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $205,408 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $268,644 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $385,837 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $279,273 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $12,513 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $6,220 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $41,381 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $77,928 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $95,819 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152897,051$193,895
20163726,200$205,408
20173828,167$268,644
201852915,046$385,837
201940210,198$279,273
202075480$12,513
202154130$6,220
202297640$41,381
20231721,241$77,928
20242711,621$95,819

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$58K$116K2015 Drug cost: $78,218 (USD; Tot_Drug_Cst)2016 Drug cost: $64,629 (USD; Tot_Drug_Cst)2017 Drug cost: $44,122 (USD; Tot_Drug_Cst)2018 Drug cost: $44,223 (USD; Tot_Drug_Cst)2019 Drug cost: $116,460 (USD; Tot_Drug_Cst)2020 Drug cost: $39,597 (USD; Tot_Drug_Cst)2021 Drug cost: $14,275 (USD; Tot_Drug_Cst)2022 Drug cost: $8,812 (USD; Tot_Drug_Cst)2023 Drug cost: $20,229 (USD; Tot_Drug_Cst)2024 Drug cost: $25,439 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015152961$78,218
2016162790$64,629
2017177671$44,122
2018214654$44,223
20192391,085$116,460
2020131378$39,597
202192287$14,275
202275322$8,812
2023157852$20,229
20242521,413$25,439

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more123124$93
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more158351$70
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more119166$47
20610Aspiration and/or injection of fluid from large joint89125$35
77002Fluoroscopic guidance for needle placement90123$20

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
PregabalinPregabalin42614,448$8,322
GabapentinGabapentin703,835$1,845
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen1233,129$1,819
Duloxetine HclDuloxetine Hcl1455,487$1,561
Naloxone HclNaloxone Hcl2079$1,268

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.7$721Curonix LLC
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

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

Tedicare shows public-source Medicare data for Arpan J. Patel, M.D. (NPI 1154509735), 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 Arpan J. Patel, M.D. have ACO affiliation data?

Arpan J. Patel, M.D. is shown with ACO affiliation data for IHCI ACO Midwest LLC (MSSP, ACO ID A5516).

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

Arpan J. Patel, M.D. is linked to PAIN MANAGEMENT GROUP LLC (billing NPI 1063831303) in the available physician profile data.

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

Arpan J. Patel, M.D. has 7 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.