Physician

Shirley Harish Patel, M.D.

According to 2025 Medicare claims, Shirley Patel, M.D. (NPI: 1306032388) practices family practice in the Greenville, NC market, with the plurality of this provider's patient population coming from Pitt, NC. This provider's primary affiliated billing organization is PHYSICIANS EAST, P.A. (NPI: 1598761967; TIN: 561968491) and primary practice location at 27834-5704. 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 545 traditional Medicare patients, billed 14,097 HCPCS/CPT codes, and received $297,316 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 9,107 prescription claims across 749 beneficiaries totaling $528,388 in drug costs, led by Ozempic (Semaglutide). DME data shows 47 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 changed little. Similarly, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and declined steadily, from $8,579 to $3,668.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	529	11,832	$289,129
2016	507	14,346	$303,797
2017	520	12,230	$302,328
2018	491	10,652	$268,424
2019	564	12,481	$304,777
2020	479	10,408	$244,952
2021	482	9,912	$267,891
2022	490	8,569	$255,928
2023	615	14,349	$332,432
2024	545	14,097	$297,316

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	470	9,527	$433,513
2016	434	9,197	$415,269
2017	453	8,971	$432,102
2018	491	9,025	$507,159
2019	619	9,179	$556,456
2020	602	9,244	$568,409
2021	643	8,378	$495,603
2022	644	7,531	$504,267
2023	880	8,815	$595,391
2024	749	9,107	$528,388

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	118	347	$5,745
2016	115	332	$2,824
2017	72	167	$1,375
2018	63	172	$1,595
2019	57	166	$2,952
2020	28	135	$1,803
2021	26	112	$2,492
2022	23	90	$1,426
2023	19	55	$610
2024	17	47	$1,403

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	361	361	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	410	981	$85
80053	Blood test, comprehensive group of blood chemicals	349	432	$10
36415	Insertion of needle into vein for collection of blood sample	385	617	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	345	419	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	116	5,272	$157,538
Xarelto	Rivaroxaban	49	2,370	$44,512
Farxiga	Dapagliflozin Propanediol	50	2,400	$43,827
Januvia	Sitagliptin Phosphate	13	690	$12,734
Arexvy	Rsvpref3 Antigen/As01e/Pf	36	181	$11,332

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
A4416	Ostomy pouch, closed, with barrier attached, with filter (1 piece), each	N	N/R	11	$973
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	17	36	$430

Open Payments Summary

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

Explore More Providers

FAQ

What Medicare data is available for Shirley Harish Patel, M.D.?

Tedicare shows public-source Medicare data for Shirley Harish Patel, M.D. (NPI 1306032388), 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 Shirley Harish Patel, M.D. have ACO affiliation data?

Shirley Harish Patel, M.D. is shown with ACO affiliation data for Aledade A4548 NC Legacy MSSP Enhanced (MSSP, ACO ID A4548).

What billing organization is linked to Shirley Harish Patel, M.D.?

Shirley Harish Patel, M.D. is linked to PHYSICIANS EAST, P.A. (billing NPI 1598761967) in the available physician profile data.

Does Shirley Harish Patel, M.D. 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.