Physician

Akash Rushikumar Sheth, M.D.

According to 2025 Medicare claims, Akash Sheth, M.D. (NPI: 1245239730) practices general surgery in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Macomb, MI. This provider's primary affiliated billing organization is SURGICAL SPECIALIST OF MICHIGAN PC (NPI: 1760603484; TIN: 20-0082584) and primary practice location at 48038-3504. Sheth is affiliated with the Mosaic ACO (ACO ID: A5033) and St. John Providence ACO, LLC (ACO ID: A5417), participating under the MSSP model.

Sheth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 259 traditional Medicare patients, billed 532 HCPCS/CPT codes, and received $91,589 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 92 prescription claims across 78 beneficiaries totaling $269 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 11 claims. Open Payments data shows 4 records totaling $1,000. 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 $672 and ending at $269. 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	257	547	$87,677
2016	254	550	$79,372
2017	221	459	$77,215
2018	240	491	$72,594
2019	297	659	$114,712
2020	212	522	$95,243
2021	263	560	$102,420
2022	240	515	$83,936
2023	216	402	$73,655
2024	259	532	$91,589

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	40	46	$672
2016	25	27	$312
2017	30	37	$382
2018	48	60	$404
2019	67	88	$950
2020	46	51	$306
2021	111	134	$1,085
2022	126	162	$1,817
2023	156	204	$5,828
2024	78	92	$269

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	35	$1,878
2020	N/R	N/R	N/R
2021	N/R	25	$1,723
2022	N/R	39	$2,445
2023	N/R	15	$1,859
2024	N/R	11	$1,689

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	30	$138
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$116
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	37	40	$103
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	61	61	$67
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	41	114	$39

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	59	164	$116

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
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	11	$1,689

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$1,000	INTUITIVE SURGICAL, 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 Akash Rushikumar Sheth, M.D.?

Tedicare shows public-source Medicare data for Akash Rushikumar Sheth, M.D. (NPI 1245239730), 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 Akash Rushikumar Sheth, M.D. have ACO affiliation data?

Akash Rushikumar Sheth, M.D. is shown with ACO affiliation data for Mosaic ACO (MSSP, ACO ID A5033) and St. John Providence ACO, LLC (MSSP, ACO ID A5417).

What billing organization is linked to Akash Rushikumar Sheth, M.D.?

Akash Rushikumar Sheth, M.D. is linked to SURGICAL SPECIALIST OF MICHIGAN PC (billing NPI 1760603484) in the available physician profile data.

Does Akash Rushikumar Sheth, M.D. have Open Payments data?

Akash Rushikumar Sheth, M.D. has 4 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.