Physician

Sheetal L Higbee, M.D.

According to 2025 Medicare claims, Sheetal Higbee, M.D. (NPI: 1154559680) practices hematology/oncology in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Aiken, SC. This provider's primary affiliated billing organization is AUGUSTA ONCOLOGY ASSOCIATES, P.C. (NPI: 1871147454) and primary practice location at 29801-6310. Higbee is affiliated with the AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Higbee's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 693 traditional Medicare patients, billed 129,371 HCPCS/CPT codes, and received $1,671,907 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,642 prescription claims across 349 beneficiaries totaling $3,241,098 in drug costs, led by Revlimid (Lenalidomide). 2022 DME data shows 44 claims. Open Payments data shows 111 records totaling $2,217. 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 risen steadily, from $23,420 to $1,671,907. Similarly, Part D prescription costs have risen steadily, from $4,971 to $3,241,098. 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$1.1M$2.2M2016 Medicare payment: $23,420 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $713,515 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $881,967 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,344,204 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,592,037 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,226,628 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,042,097 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,756,001 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,671,907 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
20161072,607$23,420
201740259,889$713,515
201829675,761$881,967
201934665,358$1,344,204
202039989,552$1,592,037
2021414111,313$2,226,628
2022386100,746$2,042,097
202335880,528$1,756,001
2024693129,371$1,671,907

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$2.5M$5.0M2015 Drug cost: $4,971 (USD; Tot_Drug_Cst)2016 Drug cost: $28,955 (USD; Tot_Drug_Cst)2017 Drug cost: $942,290 (USD; Tot_Drug_Cst)2018 Drug cost: $1,601,070 (USD; Tot_Drug_Cst)2019 Drug cost: $2,318,952 (USD; Tot_Drug_Cst)2020 Drug cost: $3,684,877 (USD; Tot_Drug_Cst)2021 Drug cost: $3,893,291 (USD; Tot_Drug_Cst)2022 Drug cost: $4,229,140 (USD; Tot_Drug_Cst)2023 Drug cost: $5,025,251 (USD; Tot_Drug_Cst)2024 Drug cost: $3,241,098 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152552$4,971
20163887$28,955
2017124650$942,290
2018128843$1,601,070
2019140930$2,318,952
20202181,633$3,684,877
20212371,624$3,893,291
20222361,920$4,229,140
20232782,098$5,025,251
20243491,642$3,241,098

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$554$1.1K2017 Medicare payment: $436 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,107 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R11$436
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R44$1,107
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more105174$132
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more344418$90
80053Blood test, comprehensive group of blood chemicals343572$10
36415Insertion of needle into vein for collection of blood sample387734$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count366693$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RevlimidLenalidomide36903$531,359
XtandiEnzalutamide26780$328,305
CalquenceAcalabrutinib Maleate24720$271,831
VerzenioAbemaciclib17476$237,888
ImbruvicaIbrutinib15420$232,043

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.111$2,217Merck Sharp & Dohme 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 Sheetal L. Higbee, M.D.?

Tedicare shows public-source Medicare data for Sheetal L. Higbee, M.D. (NPI 1154559680), 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 Sheetal L. Higbee, M.D. have ACO affiliation data?

Sheetal L. Higbee, M.D. is shown with ACO affiliation data for AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Sheetal L. Higbee, M.D.?

Sheetal L. Higbee, M.D. is linked to AUGUSTA ONCOLOGY ASSOCIATES, P.C. (billing NPI 1871147454) in the available physician profile data.

Does Sheetal L. Higbee, M.D. have Open Payments data?

Sheetal L. Higbee, M.D. has 111 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.