Physician

Sagar A Patel, MD

According to 2025 Medicare claims, Sagar Patel, MD (NPI: 1235363813) practices interventional pain management (ipm) in the Warner Robins, GA market, with the plurality of this provider's patient population coming from Houston, GA. This provider's primary affiliated billing organization is NEXUS PAIN CENTER OF HOUSTON COUNTY (NPI: 1871681957; TIN: 20-4184138) and primary practice location at 31210-1359.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 515 traditional Medicare patients, billed 6,564 HCPCS/CPT codes, and received $404,327 in Medicare payments. The top billing code was G0480 (Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms). Part D data shows 7,160 prescription claims across 729 beneficiaries totaling $160,643 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2023 DME data shows 11 claims. Open Payments data shows 6 records totaling $1,670. 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 declined steadily, from $254,833 to $160,643. 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	1,089	9,522	$420,372
2016	1,079	5,131	$367,500
2017	926	7,654	$361,950
2018	1,199	8,745	$408,446
2019	1,239	7,402	$383,505
2020	1,039	6,526	$370,345
2021	757	6,831	$463,390
2022	554	5,905	$390,724
2023	518	6,030	$404,200
2024	515	6,564	$404,327

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	949	4,177	$254,833
2016	1,014	4,863	$260,740
2017	931	4,769	$231,772
2018	1,102	4,565	$229,876
2019	1,137	4,007	$175,123
2020	1,023	4,212	$131,263
2021	849	5,280	$140,878
2022	681	5,456	$158,391
2023	643	6,187	$170,018
2024	729	7,160	$160,643

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	11	$248
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
G0480	Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	284	375	$111
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	752	$87
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	415	1,783	$63
80307	Testing for presence of drug, by chemistry analyzers	305	450	$60
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	201	604	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	2,214	65,699	$54,340
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	596	17,710	$16,268
Gabapentin	Gabapentin	904	34,540	$10,402
Pregabalin	Pregabalin	438	15,443	$10,343
Lidocaine	Lidocaine	86	2,664	$8,741

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.	6	$1,670	GE HEALTHCARE
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 Sagar A. Patel, MD?

Tedicare shows public-source Medicare data for Sagar A. Patel, MD (NPI 1235363813), 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 Sagar A. Patel, 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 Sagar A. Patel, MD?

Sagar A. Patel, MD is linked to NEXUS PAIN CENTER OF HOUSTON COUNTY (billing NPI 1871681957) in the available physician profile data.

Does Sagar A. Patel, MD have Open Payments data?

Sagar A. Patel, MD has 6 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.