Physician

Hrishi T. Patel, M.D.

According to 2025 Medicare claims, Hrishi Patel, M.D. (NPI: 1306812680) practices internal medicine in the Beckley, WV market, with the plurality of this provider's patient population coming from Raleigh, WV. This provider's primary affiliated billing organization is APPALACHIAN REGIONAL HEALTHCARE, INC (NPI: 1477510162; TIN: 520795508) and primary practice location at 25801-3142. Patel is affiliated with the LTC ACO (ACO ID: A2973), AdvantagePoint Health Alliance - Blue Ridge, LLC (ACO ID: A4654), and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 337 traditional Medicare patients, billed 1,766 HCPCS/CPT codes, and received $116,321 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 11,593 prescription claims across 629 beneficiaries totaling $1,171,298 in drug costs, led by Ozempic (Semaglutide). DME data shows 410 claims. Open Payments data shows 12 records totaling $207. 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 up and down with repeated peaks and valleys, starting at $254,960 and ending at $116,321. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $25,830 to $1,171,298. For DME billing, reported payments moved sharply higher in recent years, from $12,932 to $38,784.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	891	2,953	$254,960
2016	588	1,494	$127,587
2017	356	624	$60,735
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	202	1,000	$91,156
2021	407	2,111	$148,792
2022	429	2,203	$145,444
2023	385	1,728	$119,954
2024	337	1,766	$116,321

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	291	633	$25,830
2016	107	279	$11,211
2017	44	74	$2,561
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	240	530	$18,840
2021	354	3,953	$254,731
2022	441	7,404	$609,339
2023	573	9,071	$950,443
2024	629	11,593	$1,171,298

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	16	61	$3,750
2016	N/R	48	$2,299
2017	N/R	45	$1,454
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	33	255	$15,347
2022	27	281	$14,145
2023	35	392	$22,406
2024	22	410	$27,720

* / # = 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	101	112	$122
99239	Hospital discharge day management, more than 30 minutes	126	151	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	154	614	$58
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	247	$51
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	88	136	$36

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	128	5,549	$179,203
Jardiance	Empagliflozin	83	5,546	$108,303
Eliquis	Apixaban	104	5,248	$101,529
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	93	3,150	$67,806
Entresto	Sacubitril/Valsartan	21	1,530	$33,994

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	22	136	$13,699
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	14	$7,375
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	28	$1,964
E1392	Portable oxygen concentrator, rental	Y	N/R	31	$1,225
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	62	$1,112

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$207	Merck Sharp & Dohme LLC
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 Hrishi T. Patel, M.D.?

Tedicare shows public-source Medicare data for Hrishi T. Patel, M.D. (NPI 1306812680), 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 Hrishi T. Patel, M.D. have ACO affiliation data?

Hrishi T. Patel, M.D. is shown with ACO affiliation data for LTC ACO (MSSP, ACO ID A2973), AdvantagePoint Health Alliance - Blue Ridge, LLC (MSSP, ACO ID A4654), and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Hrishi T. Patel, M.D.?

Hrishi T. Patel, M.D. is linked to APPALACHIAN REGIONAL HEALTHCARE, INC (billing NPI 1477510162) in the available physician profile data.

Does Hrishi T. Patel, M.D. have Open Payments data?

Hrishi T. Patel, M.D. has 12 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.