Physician

Gnanesh R Patel, MD

According to 2025 Medicare claims, Gnanesh Patel, MD (NPI: 1316238298) practices rheumatology in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Luzerne, PA. This provider's primary affiliated billing organization is RHEUMATOLOGY & ARTHRITIS CENTER OF WYOMING VALLEY LLC (NPI: 1811508393; TIN: 851477379) and primary practice location at 18702-6830.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 780 traditional Medicare patients, billed 303,690 HCPCS/CPT codes, and received $3,356,346 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 3,201 prescription claims across 592 beneficiaries totaling $1,161,378 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 150 records totaling $2,663. 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 $368,191 to $3,356,346. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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$2.0M$4.0M2015 Medicare payment: $368,191 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $791,796 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,512,666 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,455,208 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,011,062 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $3,209,596 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $4,042,449 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,350,176 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,318,251 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,356,346 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201573710,453$368,191
201671933,371$791,796
201768156,358$1,512,666
201874792,974$2,455,208
2019810135,857$3,011,062
2020750166,566$3,209,596
2021800240,226$4,042,449
2022804243,812$3,350,176
2023784271,104$3,318,251
2024780303,690$3,356,346

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$747K$1.5M2015 Drug cost: $709,265 (USD; Tot_Drug_Cst)2016 Drug cost: $1,111,779 (USD; Tot_Drug_Cst)2017 Drug cost: $1,187,097 (USD; Tot_Drug_Cst)2018 Drug cost: $1,493,437 (USD; Tot_Drug_Cst)2019 Drug cost: $1,442,517 (USD; Tot_Drug_Cst)2020 Drug cost: $1,323,109 (USD; Tot_Drug_Cst)2021 Drug cost: $1,144,089 (USD; Tot_Drug_Cst)2022 Drug cost: $1,037,998 (USD; Tot_Drug_Cst)2023 Drug cost: $1,103,720 (USD; Tot_Drug_Cst)2024 Drug cost: $1,161,378 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154133,370$709,265
20164694,447$1,111,779
20174913,912$1,187,097
20185103,860$1,493,437
20195553,586$1,442,517
20205343,282$1,323,109
20215473,218$1,144,089
20225423,083$1,037,998
20235152,886$1,103,720
20245923,201$1,161,378

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more136136$115
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more203304$93
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6461,119$60
J0897Injection, denosumab, 1 mg26026,820$20
96372Injection of drug or substance under skin or into muscle273489$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab421,400$330,054
EnbrelEtanercept19532$137,861
ProliaDenosumab7413,296$126,559
Cimzia (2 Pack)Certolizumab Pegol21588$119,900
OrenciaAbatacept13364$72,352

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.150$2,663Janssen Biotech, 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 Gnanesh R. Patel, MD?

Tedicare shows public-source Medicare data for Gnanesh R. Patel, MD (NPI 1316238298), 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 Gnanesh R. Patel, 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 Gnanesh R. Patel, MD?

Gnanesh R. Patel, MD is linked to RHEUMATOLOGY & ARTHRITIS CENTER OF WYOMING VALLEY LLC (billing NPI 1811508393) in the available physician profile data.

Does Gnanesh R. Patel, MD have Open Payments data?

Gnanesh R. Patel, MD has 150 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.