Physician

Rajesh V Patel, M.D.

According to 2025 Medicare claims, Rajesh Patel, M.D. (NPI: 1316057623) practices orthopedic surgery 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 WEST VIRGINIA SPINE CENTER, PLLC (NPI: 1972266872) and primary practice location at 25801-3357. Patel is affiliated with the ACO West Virginia (ACO ID: A3563) 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 466 traditional Medicare patients, billed 1,956 HCPCS/CPT codes, and received $271,222 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 373 prescription claims across 102 beneficiaries totaling $5,035 in drug costs, led by Acetaminophen-Codeine (Acetaminophen With Codeine). DME data shows 130 claims. Open Payments data shows 20 records totaling $14,558. 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. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $40,469 to $5,035. For DME billing, reported payments changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	474	1,949	$233,594
2016	492	2,471	$273,838
2017	505	2,642	$286,569
2018	575	3,234	$334,032
2019	648	3,080	$314,067
2020	502	2,370	$252,923
2021	512	3,107	$256,769
2022	485	3,189	$239,141
2023	510	2,594	$236,834
2024	466	1,956	$271,222

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	167	850	$40,469
2016	172	988	$34,416
2017	141	767	$28,455
2018	161	713	$23,771
2019	139	669	$16,246
2020	136	622	$9,525
2021	116	549	$13,390
2022	97	438	$8,679
2023	92	377	$5,366
2024	102	373	$5,035

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	123	123	$108,735
2016	161	161	$145,381
2017	104	104	$67,265
2018	118	135	$106,708
2019	149	149	$137,041
2020	86	86	$98,548
2021	116	128	$111,982
2022	100	100	$87,071
2023	115	115	$107,122
2024	130	130	$119,258

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	172	172	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	161	243	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	218	378	$60
72110	X-ray of lower and sacral spine, minimum of 4 views	157	158	$10
72100	X-ray of lower and sacral spine, 2-3 views	119	178	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Acetaminophen-Codeine	Acetaminophen With Codeine	44	1,160	$1,257
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	85	2,362	$1,029
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	67	443	$385
Gavilyte-G	Peg3350/Sod Sulf,bicarb,cl/Kcl	21	25	$352
Pregabalin	Pregabalin	18	550	$310

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
E0748	Osteogenesis stimulator, electrical, non-invasive, spinal applications	N	14	14	$58,268
L0648	Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	N	75	75	$47,996
L0180	Cervical, multiple post collar, occipital/mandibular supports, adjustable	N	41	41	$12,994

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	19	$14,558	4WEB, Inc.
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.	1	$33,927	4WEB, INC.

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FAQ

What Medicare data is available for Rajesh V. Patel, M.D.?

Tedicare shows public-source Medicare data for Rajesh V. Patel, M.D. (NPI 1316057623), 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 Rajesh V. Patel, M.D. have ACO affiliation data?

Rajesh V. Patel, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Rajesh V. Patel, M.D.?

Rajesh V. Patel, M.D. is linked to WEST VIRGINIA SPINE CENTER, PLLC (billing NPI 1972266872) in the available physician profile data.

Does Rajesh V. Patel, M.D. have Open Payments data?

Rajesh V. Patel, M.D. has 20 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.