Physician

Santsaran C Patel, MD

According to 2025 Medicare claims, Santsaran Patel, MD (NPI: 1316960016) practices internal medicine in the Sierra Vista-Douglas, AZ market, with the plurality of this provider's patient population coming from Cochise, AZ. This provider's primary affiliated billing organization is PRESCOTT HEALTHCARE SOLUTIONS LLC (NPI: 1821454505; TIN: 811039174) and primary practice location at 85635-2778. Patel is affiliated with the ABC Network (ACO ID: A5554) and Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), participating under both the MSSP and REACH models.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,016 traditional Medicare patients, billed 20,168 HCPCS/CPT codes, and received $567,066 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 15,714 prescription claims across 928 beneficiaries totaling $2,166,947 in drug costs, led by Gattex (Teduglutide). DME data shows 1,809 claims. Open Payments data shows 1 records totaling $83. 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 $444,077 to $567,066. Similarly, Part D prescription costs have risen steadily, from $1,326,751 to $2,166,947. In contrast, DME billing represents a smaller volume and rose steadily, from $115,560 to $129,965.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	889	9,335	$444,077
2016	845	8,431	$440,899
2017	946	8,931	$428,533
2018	1,078	16,270	$516,372
2019	1,171	21,071	$638,650
2020	1,131	18,670	$591,537
2021	1,846	22,447	$755,378
2022	1,090	18,213	$636,020
2023	1,071	16,471	$614,569
2024	1,016	20,168	$567,066

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	605	13,721	$1,326,751
2016	645	14,498	$1,369,689
2017	658	15,224	$1,467,130
2018	710	16,226	$1,678,909
2019	791	17,241	$2,044,052
2020	769	16,127	$1,982,073
2021	780	13,864	$2,098,007
2022	776	13,612	$1,989,554
2023	769	13,713	$2,089,336
2024	928	15,714	$2,166,947

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	449	1,840	$122,477
2016	485	1,739	$87,528
2017	457	1,656	$68,115
2018	508	1,707	$165,351
2019	468	2,055	$310,334
2020	433	1,891	$236,784
2021	384	1,556	$172,619
2022	416	1,800	$293,660
2023	404	1,841	$272,545
2024	405	1,809	$275,661

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	573	573	$120
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	250	391	$116
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	784	2,299	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	424	815	$55
G0008	Administration of influenza virus vaccine	227	230	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gattex	Teduglutide	12	360	$538,589
Jardiance	Empagliflozin	131	7,440	$143,009
Eliquis	Apixaban	168	7,020	$133,330
Ozempic	Semaglutide	82	3,472	$105,572
Trulicity	Dulaglutide	67	2,784	$92,559

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
B4199	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix	N	N/R	49	$107,857
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	22	92	$47,247
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	N	N/R	49	$30,323
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	30	233	$16,165
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	13	$13,274

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$83	Abbott Laboratories
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 Santsaran C. Patel, MD?

Tedicare shows public-source Medicare data for Santsaran C. Patel, MD (NPI 1316960016), 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 Santsaran C. Patel, MD have ACO affiliation data?

Santsaran C. Patel, MD is shown with ACO affiliation data for ABC Network (MSSP, ACO ID A5554) and Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171).

What billing organization is linked to Santsaran C. Patel, MD?

Santsaran C. Patel, MD is linked to PRESCOTT HEALTHCARE SOLUTIONS LLC (billing NPI 1821454505) in the available physician profile data.

Does Santsaran C. Patel, MD have Open Payments data?

Santsaran C. Patel, MD has 1 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.