Physician

Raj Natvarlal Patel, MD

According to 2025 Medicare claims, Raj Patel, MD (NPI: 1164715553) practices ophthalmology in the Asheville, NC market, with the plurality of this provider's patient population coming from Henderson, NC. This provider's primary affiliated billing organization is CAROLINA OPHTHALMOLOGY PA (NPI: 1710936190; TIN: 561310375) and primary practice location at 28791-3772. Patel is affiliated with the Mission Health Partners, LLC (ACO ID: A2591), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,290 traditional Medicare patients, billed 916,747 HCPCS/CPT codes, and received $4,556,122 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 228 prescription claims across 117 beneficiaries totaling $6,863 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 34 records totaling $1,898. 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 $158,305 to $4,556,122. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $6,129 and ending at $6,863. 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$2.3M$4.6M2017 Medicare payment: $158,305 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,245,564 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,883,999 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,039,361 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,561,260 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,063,220 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,964,117 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $4,556,122 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20172401,035$158,305
20187676,228$1,245,564
20191,0258,549$1,883,999
20201,0658,479$2,039,361
20211,2259,865$2,561,260
20221,35611,529$3,063,220
20231,35378,488$3,964,117
20241,290916,747$4,556,122

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$11K$22K2015 Drug cost: $6,129 (USD; Tot_Drug_Cst)2016 Drug cost: $8,378 (USD; Tot_Drug_Cst)2017 Drug cost: $10,551 (USD; Tot_Drug_Cst)2018 Drug cost: $22,051 (USD; Tot_Drug_Cst)2019 Drug cost: $14,514 (USD; Tot_Drug_Cst)2020 Drug cost: $17,239 (USD; Tot_Drug_Cst)2021 Drug cost: $12,862 (USD; Tot_Drug_Cst)2022 Drug cost: $11,518 (USD; Tot_Drug_Cst)2023 Drug cost: $14,720 (USD; Tot_Drug_Cst)2024 Drug cost: $6,863 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201514155$6,129
20161882$8,378
201754132$10,551
2018143364$22,051
2019122269$14,514
202086245$17,239
202189175$12,862
202276168$11,518
2023104206$14,720
2024117228$6,863

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
67028Injection of drug into eye4582,283$82
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more7711,073$60
92134Imaging of retina1,2773,580$31
J2777Injection, faricimab-svoa, 0.1 mg416119,641$27
J2403Chloroprocaine hcl ophthalmic, 3% gel, 1 mg361785,600$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate291,236$1,812
Ketorolac TromethamineKetorolac Tromethamine23955$621
MoxifloxacinMoxifloxacin Hcl21297$526
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat271,878$417
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha29568$381

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.34$1,898Harrow Eye, 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 Raj Natvarlal Patel, MD?

Tedicare shows public-source Medicare data for Raj Natvarlal Patel, MD (NPI 1164715553), 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 Raj Natvarlal Patel, MD have ACO affiliation data?

Raj Natvarlal Patel, MD is shown with ACO affiliation data for Mission Health Partners, LLC (MSSP, ACO ID A2591).

What billing organization is linked to Raj Natvarlal Patel, MD?

Raj Natvarlal Patel, MD is linked to CAROLINA OPHTHALMOLOGY PA (billing NPI 1710936190) in the available physician profile data.

Does Raj Natvarlal Patel, MD have Open Payments data?

Raj Natvarlal Patel, MD has 34 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.