Physician

Divya Sharma, MD

According to 2025 Medicare claims, Divya Sharma, MD (NPI: 1225082589) practices family practice 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 DEAN HEALTH SYSTEMS, INC (NPI: 1053358846; TIN: 391128616) and primary practice location at 53546-2343. Sharma is affiliated with the SSM WI ACO LLC (ACO ID: A5124), participating under the MSSP model.

Sharma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 293 traditional Medicare patients, billed 2,609 HCPCS/CPT codes, and received $88,658 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,801 prescription claims across 696 beneficiaries totaling $834,691 in drug costs, led by Eliquis (Apixaban). DME data shows 151 claims. Open Payments data shows 1 records totaling $250. 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 changed little. Concurrently, Part D prescription costs have risen steadily, from $523,891 to $834,691. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $15,883 and ending at $13,458.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	237	2,237	$63,177
2016	243	1,353	$55,498
2017	295	1,823	$63,820
2018	340	1,968	$63,689
2019	302	1,452	$67,436
2020	261	1,607	$56,323
2021	240	895	$64,021
2022	273	1,118	$71,106
2023	292	1,297	$73,607
2024	293	2,609	$88,658

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	381	6,011	$523,891
2016	390	5,795	$452,137
2017	463	6,634	$547,472
2018	489	7,524	$546,715
2019	523	8,715	$704,147
2020	527	6,016	$543,280
2021	457	7,506	$717,409
2022	518	7,733	$821,156
2023	654	8,651	$890,570
2024	696	8,801	$834,691

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	52	326	$14,382
2016	46	222	$6,877
2017	46	185	$3,353
2018	65	284	$6,083
2019	56	375	$10,519
2020	32	138	$4,353
2021	16	197	$7,239
2022	15	262	$8,061
2023	32	174	$9,202
2024	13	151	$8,087

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	148	148	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	189	274	$72
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	88	109	$46
90480	Admn sarscov2 vacc 1 dose	22	22	$41
G0008	Administration of influenza virus vaccine	30	31	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	131	7,390	$142,002
Ozempic	Semaglutide	79	3,938	$106,012
Mounjaro	Tirzepatide	63	2,548	$93,317
Jardiance	Empagliflozin	33	2,538	$45,725
Xarelto	Rivaroxaban	24	2,100	$40,693

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	13	$6,211
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$641
Q0513	Pharmacy dispensing fee for inhalation drug(s); per 30 days	N	N/R	18	$388
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	13	28	$344
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	13	$213

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$250	Sekisui Diagnostics, LLC
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 Divya Sharma, MD?

Tedicare shows public-source Medicare data for Divya Sharma, MD (NPI 1225082589), 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 Divya Sharma, MD have ACO affiliation data?

Divya Sharma, MD is shown with ACO affiliation data for SSM WI ACO LLC (MSSP, ACO ID A5124).

What billing organization is linked to Divya Sharma, MD?

Divya Sharma, MD is linked to DEAN HEALTH SYSTEMS, INC (billing NPI 1053358846) in the available physician profile data.

Does Divya Sharma, MD have Open Payments data?

Divya Sharma, MD has 1 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.