Physician

Rakesh C. Patel, DO

According to 2025 Medicare claims, Rakesh Patel, DO (NPI: 1295712305) practices rheumatology in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Rowan, NC. This provider's primary affiliated billing organization is ROWAN DIAGNOSTIC CLINIC P.A. (NPI: 1477582120; TIN: 560988429) and primary practice location at 28144-2567. Patel is affiliated with the Aledade A4548 NC Legacy MSSP Enhanced (ACO ID: A4548), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 172 traditional Medicare patients, billed 70,300 HCPCS/CPT codes, and received $893,278 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 4,213 prescription claims across 447 beneficiaries totaling $3,692,479 in drug costs, led by Enbrel Mini (Etanercept). Open Payments data shows 215 records totaling $325,431. 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 risen steadily, from $685,780 to $893,278. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $1,195,541 to $3,692,479. 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$652K$1.3M2015 Medicare payment: $685,780 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $674,346 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $743,884 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,018,123 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $999,788 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $855,353 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $910,698 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,302,067 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,303,321 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $893,278 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201528255,706$685,780
201620947,979$674,346
201722859,551$743,884
201827379,998$1,018,123
201924984,100$999,788
202020478,637$855,353
202122972,009$910,698
202218169,961$1,302,067
202317762,660$1,303,321
202417270,300$893,278

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$1.8M$3.7M2015 Drug cost: $1,195,541 (USD; Tot_Drug_Cst)2016 Drug cost: $1,276,688 (USD; Tot_Drug_Cst)2017 Drug cost: $1,565,988 (USD; Tot_Drug_Cst)2018 Drug cost: $1,647,109 (USD; Tot_Drug_Cst)2019 Drug cost: $2,050,963 (USD; Tot_Drug_Cst)2020 Drug cost: $2,524,221 (USD; Tot_Drug_Cst)2021 Drug cost: $2,714,466 (USD; Tot_Drug_Cst)2022 Drug cost: $2,337,707 (USD; Tot_Drug_Cst)2023 Drug cost: $3,155,504 (USD; Tot_Drug_Cst)2024 Drug cost: $3,692,479 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152993,194$1,195,541
20162973,175$1,276,688
20173163,243$1,565,988
20183753,561$1,647,109
20193673,578$2,050,963
20203423,454$2,524,221
20213343,019$2,714,466
20223463,115$2,337,707
20233973,600$3,155,504
20244474,213$3,692,479

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more6489$114
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more146403$87
G2211Visit 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's114211$11
96372Injection of drug or substance under skin or into muscle50111$10
J7050Infusion, normal saline solution, 250 cc39318$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel MiniEtanercept1885,276$1,392,492
RinvoqUpadacitinib1003,240$690,209
KevzaraSarilumab732,064$308,667
Orencia ClickjectAbatacept501,400$280,142
Humira(Cf) PenAdalimumab22616$145,493

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.145$3,679ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.70$321,752Eli Lilly and Company
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Rakesh C. Patel, DO?

Tedicare shows public-source Medicare data for Rakesh C. Patel, DO (NPI 1295712305), 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 Rakesh C. Patel, DO have ACO affiliation data?

Rakesh C. Patel, DO is shown with ACO affiliation data for Aledade A4548 NC Legacy MSSP Enhanced (MSSP, ACO ID A4548).

What billing organization is linked to Rakesh C. Patel, DO?

Rakesh C. Patel, DO is linked to ROWAN DIAGNOSTIC CLINIC P.A. (billing NPI 1477582120) in the available physician profile data.

Does Rakesh C. Patel, DO have Open Payments data?

Rakesh C. Patel, DO has 215 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.