Physician

Mitul T Patel, MD

According to 2025 Medicare claims, Mitul Patel, MD (NPI: 1235347485) practices gastroenterology in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (NPI: 1154422806; TIN: 232812220) and primary practice location at 17601-2644. Patel is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019) and AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 351 traditional Medicare patients, billed 6,002 HCPCS/CPT codes, and received $160,570 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 375 prescription claims across 183 beneficiaries totaling $22,109 in drug costs, led by Sucralfate (Sucralfate). Open Payments data shows 53 records totaling $20,052. 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 moved up and down with repeated peaks and valleys, starting at $133,055 and ending at $22,109. 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	616	2,072	$137,888
2016	774	3,516	$175,605
2017	777	2,916	$145,743
2018	802	3,103	$185,457
2019	778	3,268	$171,706
2020	598	2,259	$122,372
2021	510	3,580	$153,098
2022	387	2,681	$122,787
2023	354	4,237	$152,258
2024	351	6,002	$160,570

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	190	411	$133,055
2016	218	391	$33,870
2017	188	336	$272,585
2018	237	465	$312,003
2019	211	359	$52,034
2020	199	384	$52,407
2021	183	343	$30,691
2022	190	403	$78,721
2023	185	393	$26,648
2024	183	375	$22,109

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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	124	124	$214
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	48	49	$107
45380	Biopsy of large bowel using a flexible endoscope	47	48	$80
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	52	$64
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	91	97	$57

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sucralfate	Sucralfate	13	400	$3,412
Pantoprazole Sodium	Pantoprazole Sodium	116	4,080	$870
Gavilyte-C	Peg3350/Sod Sulf,bicarb,cl/Kcl	44	77	$759
Omeprazole	Omeprazole	76	2,580	$706
Famotidine	Famotidine	41	1,830	$447

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.	53	$20,052	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 Mitul T. Patel, MD?

Tedicare shows public-source Medicare data for Mitul T. Patel, MD (NPI 1235347485), 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 Mitul T. Patel, MD have ACO affiliation data?

Mitul T. Patel, MD is shown with ACO affiliation data for Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019) and AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Mitul T. Patel, MD?

Mitul T. Patel, MD is linked to REGIONAL GASTROENTEROLOGY ASSOCIATES OF LANCASTER, LTD. (billing NPI 1154422806) in the available physician profile data.

Does Mitul T. Patel, MD have Open Payments data?

Mitul T. Patel, MD has 53 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.