Physician

Alok Gopal, M.D.

According to 2025 Medicare claims, Alok Gopal, M.D. (NPI: 1174588107) practices anesthesiology in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Winchester City, VA. This provider's primary affiliated billing organization is PHYSICAL MEDICINE ASSOCIATES, LTD (NPI: 1003884560; TIN: 540909433) and primary practice location at 22601-5487. Gopal is affiliated with the ACO West Virginia (ACO ID: A3563), Sunflower ACO LLC (ACO ID: A5499), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Gopal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 439 traditional Medicare patients, billed 6,587 HCPCS/CPT codes, and received $371,458 in Medicare payments. The top billing code was 64483 (Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level). Part D data shows 1,740 prescription claims across 432 beneficiaries totaling $84,627 in drug costs, led by Xtampza Er (Oxycodone Myristate). 2023 DME data shows 12 claims. Open Payments data shows 72 records totaling $1,617. 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 $582,485 to $371,458. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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.

Year	Patients	Clm Lines	Payment
2015	745	7,739	$582,485
2016	944	14,107	$764,508
2017	1,185	16,250	$858,184
2018	1,073	23,744	$911,001
2019	938	25,418	$849,597
2020	860	22,538	$728,849
2021	678	12,725	$637,803
2022	569	7,387	$473,561
2023	523	4,780	$471,750
2024	439	6,587	$371,458

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	367	1,712	$86,871
2016	506	2,664	$150,420
2017	731	4,448	$253,343
2018	624	3,477	$239,968
2019	713	3,219	$265,518
2020	786	3,427	$275,901
2021	600	2,786	$222,914
2022	519	2,333	$191,666
2023	452	1,764	$137,529
2024	432	1,740	$84,627

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	36	36	$13,116
2016	96	96	$48,920
2017	31	31	$24,144
2018	39	39	$28,607
2019	20	20	$15,518
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	12	12	$9,307
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
64483	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	121	151	$199
64494	Injection of lower or sacral spine facet joint using imaging guidance, second level	85	138	$103
64484	Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level	102	129	$87
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	116	181	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	161	252	$60

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtampza Er	Oxycodone Myristate	41	1,220	$24,527
Pregabalin	Pregabalin	290	9,726	$7,499
Buprenorphine	Buprenorphine	43	1,190	$5,924
Oxycontin	Oxycodone Hcl	11	330	$5,859
Fentanyl	Fentanyl	59	1,550	$4,455

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	72	$1,617	Abbott Laboratories
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 Alok Gopal, M.D.?

Tedicare shows public-source Medicare data for Alok Gopal, M.D. (NPI 1174588107), 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 Alok Gopal, M.D. have ACO affiliation data?

Alok Gopal, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563), Sunflower ACO LLC (MSSP, ACO ID A5499), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Alok Gopal, M.D.?

Alok Gopal, M.D. is linked to PHYSICAL MEDICINE ASSOCIATES, LTD (billing NPI 1003884560) in the available physician profile data.

Does Alok Gopal, M.D. have Open Payments data?

Alok Gopal, M.D. has 72 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.