Physician

Nehal Sanjay Gandhi, MD

According to 2025 Medicare claims, Nehal Gandhi, MD (NPI: 1295909919) practices rheumatology in the Montgomery County-Bucks County-Chester County, PA market, with the plurality of this provider's patient population coming from Chester, PA. This provider's primary affiliated billing organization is RHEUMATOLOGY CARE SPECIALISTS (NPI: 1134597735; TIN: 474961895) and primary practice location at 19342-1042.

Gandhi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,034 traditional Medicare patients, billed 965,257 HCPCS/CPT codes, and received $8,429,953 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 3,806 prescription claims across 672 beneficiaries totaling $2,782,510 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 15 records totaling $535. 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 $178,075 to $8,429,953. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $871,477 to $2,782,510. 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$4.2M$8.5M2015 Medicare payment: $178,075 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $461,230 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,746,470 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,545,600 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $5,291,027 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $6,924,362 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $8,006,744 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $8,478,701 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $8,247,352 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $8,429,953 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153447,427$178,075
201632049,603$461,230
2017441187,023$1,746,470
2018490260,065$3,545,600
2019609339,586$5,291,027
2020651498,257$6,924,362
2021794685,891$8,006,744
2022873833,088$8,478,701
2023920908,209$8,247,352
20241,034965,257$8,429,953

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$1.9M$3.7M2015 Drug cost: $871,477 (USD; Tot_Drug_Cst)2016 Drug cost: $896,693 (USD; Tot_Drug_Cst)2017 Drug cost: $1,150,002 (USD; Tot_Drug_Cst)2018 Drug cost: $1,997,539 (USD; Tot_Drug_Cst)2019 Drug cost: $2,792,660 (USD; Tot_Drug_Cst)2020 Drug cost: $3,553,351 (USD; Tot_Drug_Cst)2021 Drug cost: $3,704,379 (USD; Tot_Drug_Cst)2022 Drug cost: $3,346,112 (USD; Tot_Drug_Cst)2023 Drug cost: $3,472,996 (USD; Tot_Drug_Cst)2024 Drug cost: $2,782,510 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152771,959$871,477
20162941,716$896,693
20173352,269$1,150,002
20184002,647$1,997,539
20195073,306$2,792,660
20205494,063$3,553,351
20216565,046$3,704,379
20227244,709$3,346,112
20236734,102$3,472,996
20246723,806$2,782,510

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
96413Administration of chemotherapy into vein, 1 hour or less3162,161$108
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7171,891$105
96401Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle4113,301$61
J0897Injection, denosumab, 1 mg25624,840$21
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's6201,359$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab561,848$714,678
Orencia ClickjectAbatacept471,344$269,909
TremfyaGuselkumab18952$239,619
OtezlaApremilast411,230$199,459
RinvoqUpadacitinib31930$197,432

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.15$535UCB, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Nehal Sanjay Gandhi, MD?

Tedicare shows public-source Medicare data for Nehal Sanjay Gandhi, MD (NPI 1295909919), 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 Nehal Sanjay Gandhi, 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 Nehal Sanjay Gandhi, MD?

Nehal Sanjay Gandhi, MD is linked to RHEUMATOLOGY CARE SPECIALISTS (billing NPI 1134597735) in the available physician profile data.

Does Nehal Sanjay Gandhi, MD have Open Payments data?

Nehal Sanjay Gandhi, MD has 15 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.