Physician

Arjun Sinha, MD

According to 2025 Medicare claims, Arjun Sinha, MD (NPI: 1255673935) practices advanced heart failure and transplant cardiology in the Lake County, IL market, with the plurality of this provider's patient population coming from Lake, IL. This provider's primary affiliated billing organization is NORTHWESTERN MEDICAL FACULTY FOUNDATION (NPI: 1346235314; TIN: 363097297) and primary practice location at 60045-1659. Sinha is affiliated with the Northwestern Medicine Physician Network ACO (ACO ID: A2620), participating under the MSSP model.

Sinha's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,886 traditional Medicare patients, billed 6,475 HCPCS/CPT codes, and received $310,732 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,494 prescription claims across 389 beneficiaries totaling $2,412,452 in drug costs, led by Vyndamax (Tafamidis). DME data shows 86 claims. No Open Payments records. 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 moved sharply higher in recent years, from $17,107 to $310,732. Similarly, Part D prescription costs have moved sharply higher in recent years, from $15,788 to $2,412,452. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$155K$311K2016 Medicare payment: $17,107 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $27,274 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $67,789 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $299,214 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $310,732 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
201642164$17,107
201746226$27,274
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022311800$67,789
20232,2155,070$299,214
20242,8866,475$310,732

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$1.2M$2.4M2016 Drug cost: $15,788 (USD; Tot_Drug_Cst)2017 Drug cost: $69,462 (USD; Tot_Drug_Cst)2018 Drug cost: $19,591 (USD; Tot_Drug_Cst)2019 Drug cost: $16,665 (USD; Tot_Drug_Cst)2020 Drug cost: $12,794 (USD; Tot_Drug_Cst)2021 Drug cost: $3,746 (USD; Tot_Drug_Cst)2022 Drug cost: $22,722 (USD; Tot_Drug_Cst)2023 Drug cost: $775,806 (USD; Tot_Drug_Cst)2024 Drug cost: $2,412,452 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
201623136$15,788
201737178$69,462
201841133$19,591
201944163$16,665
20202680$12,794
20211523$3,746
202253102$22,722
20232381,045$775,806
20243892,494$2,412,452

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.5K$2.9K2023 Medicare payment: $2,929 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $1,210 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R53$2,929
2024N/R86$1,210

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more228323$140
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes233534$99
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function671690$60
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report237239$11
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,7822,330$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VyndamaxTafamidis602,280$1,685,195
EntrestoSacubitril/Valsartan17110,850$222,382
JardianceEmpagliflozin12710,065$189,817
EliquisApixaban1459,600$184,917
OzempicSemaglutide16478$15,565

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodNN/R28$498
J7517Mycophenolate mofetil, oral, 250 mgNN/R13$246
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R19$238
J7507Tacrolimus, immediate release, oral, 1 mgNN/R26$227

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Arjun Sinha, MD?

Tedicare shows public-source Medicare data for Arjun Sinha, MD (NPI 1255673935), 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 Arjun Sinha, MD have ACO affiliation data?

Arjun Sinha, MD is shown with ACO affiliation data for Northwestern Medicine Physician Network ACO (MSSP, ACO ID A2620).

What billing organization is linked to Arjun Sinha, MD?

Arjun Sinha, MD is linked to NORTHWESTERN MEDICAL FACULTY FOUNDATION (billing NPI 1346235314) in the available physician profile data.

Does Arjun Sinha, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.