Physician

Sumit I Patel, MD

According to 2025 Medicare claims, Sumit Patel, MD (NPI: 1316364797) practices cardiology in the Duluth, MN-WI market, with the plurality of this provider's patient population coming from St. Louis, MN. This provider's primary affiliated billing organization is ST. MARY'S MEDICAL CENTER (NPI: 1821835851; TIN: 410695604) and primary practice location at 55805-1906. Patel is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Collaborative ACO 30, LLC (ACO ID: A5483), and Essentia Health ACO, Inc. (ACO ID: A5617), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 388 traditional Medicare patients, billed 736 HCPCS/CPT codes, and received $78,231 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 2,418 prescription claims across 487 beneficiaries totaling $352,084 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 12 records totaling $2,233. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $887 to $352,084. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.