Physician

Sanjay Godhwani, MD

According to 2025 Medicare claims, Sanjay Godhwani, MD (NPI: 1174783567) practices rheumatology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Suffolk, NY. Godhwani uses personal NPI as billing NPI and primary practice location at 11792-2008.

Godhwani's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,634 traditional Medicare patients, billed 312,096 HCPCS/CPT codes, and received $4,205,154 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 2,925 prescription claims across 574 beneficiaries totaling $3,623,098 in drug costs, led by Rinvoq (Upadacitinib). Open Payments data shows 199 records totaling $44,928. 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 $7,846 to $4,205,154. Similarly, Part D prescription costs have risen steadily, from $158,320 to $3,623,098. 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.

Year	Patients	Clm Lines	Payment
2015	29	102	$7,846
2016	168	653	$54,876
2017	407	1,331	$110,199
2018	728	23,905	$692,864
2019	840	89,985	$2,067,803
2020	883	211,857	$4,380,821
2021	930	170,696	$3,298,578
2022	1,076	212,418	$3,523,278
2023	1,213	254,180	$3,373,611
2024	1,634	312,096	$4,205,154

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	49	225	$158,320
2016	130	664	$364,317
2017	291	1,990	$2,268,801
2018	427	2,530	$2,504,857
2019	522	2,732	$2,309,356
2020	572	2,425	$1,477,760
2021	582	2,680	$1,995,732
2022	531	2,778	$2,754,276
2023	515	2,678	$3,894,483
2024	574	2,925	$3,623,098

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	533	533	$141
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,403	3,580	$107
76881	Complete ultrasound scan of joint	219	495	$48
J0897	Injection, denosumab, 1 mg	325	30,360	$21
96372	Injection of drug or substance under skin or into muscle	456	1,621	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Rinvoq	Upadacitinib	86	3,360	$702,634
Humira(Cf) Pen	Adalimumab	65	2,072	$612,289
Gammagard Liquid	Immun Glob G(Igg)/Gly/Iga Ov50	13	364	$450,109
Enbrel Sureclick	Etanercept	50	1,532	$377,822
Skyrizi Pen	Risankizumab-Rzaa	11	818	$217,699

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.	199	$44,928	ABBVIE INC.
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 Sanjay Godhwani, MD?

Tedicare shows public-source Medicare data for Sanjay Godhwani, MD (NPI 1174783567), 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 Sanjay Godhwani, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Sanjay Godhwani, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Sanjay Godhwani, MD have Open Payments data?

Sanjay Godhwani, MD has 199 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.