Physician

Dhirendra K Patel, MD

According to 2025 Medicare claims, Dhirendra Patel, MD (NPI: 1306837471) practices internal medicine in the Decatur, IL market, with the plurality of this provider's patient population coming from Macon, IL. This provider's primary affiliated billing organization is HSHS MEDICAL GROUP INC (NPI: 1962644807; TIN: 263956318) and primary practice location at 62526-3226. Patel is affiliated with the IRCCO (ACO ID: A2619) and HSHS ACO, L.L.C. (ACO ID: A2783), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 672 traditional Medicare patients, billed 8,980 HCPCS/CPT codes, and received $277,918 in Medicare payments. The top billing code was 90662 (Influenza vaccine split virus, preservative free). Part D data shows 14,368 prescription claims across 808 beneficiaries totaling $1,349,182 in drug costs, led by Eliquis (Apixaban). DME data shows 827 claims. Open Payments data shows 174 records totaling $3,070. 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 declined steadily, from $400,314 to $277,918. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $109,781 to $46,646.

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$200K$400K2015 Medicare payment: $400,314 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $336,785 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $316,539 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $258,194 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $253,394 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $237,705 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $262,469 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $256,104 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $259,399 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $277,918 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,14712,478$400,314
20161,07215,030$336,785
20171,08914,739$316,539
20181,00313,830$258,194
201987111,740$253,394
20208009,373$237,705
20217609,519$262,469
20227178,633$256,104
20236787,900$259,399
20246728,980$277,918

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$912K$1.8M2015 Drug cost: $1,823,328 (USD; Tot_Drug_Cst)2016 Drug cost: $1,674,634 (USD; Tot_Drug_Cst)2017 Drug cost: $1,618,361 (USD; Tot_Drug_Cst)2018 Drug cost: $1,242,258 (USD; Tot_Drug_Cst)2019 Drug cost: $1,133,290 (USD; Tot_Drug_Cst)2020 Drug cost: $1,212,596 (USD; Tot_Drug_Cst)2021 Drug cost: $1,271,244 (USD; Tot_Drug_Cst)2022 Drug cost: $1,367,819 (USD; Tot_Drug_Cst)2023 Drug cost: $1,355,638 (USD; Tot_Drug_Cst)2024 Drug cost: $1,349,182 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201599131,737$1,823,328
201697828,807$1,674,634
201795825,835$1,618,361
201899518,362$1,242,258
201985716,127$1,133,290
202078415,880$1,212,596
202179014,743$1,271,244
202275914,552$1,367,819
202379714,190$1,355,638
202480814,368$1,349,182

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$73K$147K2015 Medicare payment: $146,988 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $92,324 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $113,978 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $76,723 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $50,185 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $47,882 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $33,661 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $62,762 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $64,241 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $44,385 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20156592,337$146,988
20165662,102$92,324
20176642,455$113,978
20184131,715$76,723
20194611,364$50,185
20203391,150$47,882
2021307942$33,661
20223331,137$62,762
2023262991$64,241
2024261827$44,385

* / # = 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
90662Influenza vaccine split virus, preservative free156161$81
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5421,021$77
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes88235$63
G0008Administration of influenza virus vaccine160165$31
36415Insertion of needle into vein for collection of blood sample437922$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1678,047$156,476
JardianceEmpagliflozin1536,912$136,500
TradjentaLinagliptin1206,960$112,311
OzempicSemaglutide812,891$88,037
Trelegy ElliptaFluticasone/Umeclidin/Vilanter1033,720$78,524

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R49$13,057
A7032Cushion for use on nasal mask interface, replacement only, eachN1331$3,064
A7030Full face mask used with positive airway pressure device, eachN1432$2,953
A7031Face mask interface, replacement for full face mask, eachN1226$2,675
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN2247$2,502

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.174$3,070Amgen 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 Dhirendra K. Patel, MD?

Tedicare shows public-source Medicare data for Dhirendra K. Patel, MD (NPI 1306837471), 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 Dhirendra K. Patel, MD have ACO affiliation data?

Dhirendra K. Patel, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and HSHS ACO, L.L.C. (MSSP, ACO ID A2783).

What billing organization is linked to Dhirendra K. Patel, MD?

Dhirendra K. Patel, MD is linked to HSHS MEDICAL GROUP INC (billing NPI 1962644807) in the available physician profile data.

Does Dhirendra K. Patel, MD have Open Payments data?

Dhirendra K. Patel, MD has 174 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.