Physician

Manish Pandya, M.D.

According to 2025 Medicare claims, Manish Pandya, M.D. (NPI: 1326145392) practices internal medicine in the Farmington, NM market, with the plurality of this provider's patient population coming from San Juan, NM. This provider's primary affiliated billing organization is MY KIDNEY CARE, LLC (NPI: 1235611484; TIN: 82-4768407) and primary practice location at 87401-5603. Pandya is affiliated with the Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Pandya's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 743 traditional Medicare patients, billed 3,413 HCPCS/CPT codes, and received $253,058 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 5,019 prescription claims across 635 beneficiaries totaling $450,737 in drug costs, led by Thiola Ec (Tiopronin). DME data shows 405 claims. Open Payments data shows 9 records totaling $265. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $396,223 and ending at $450,737. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $12,308 to $24,900.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	786	4,943	$237,303
2016	697	2,933	$145,597
2017	754	3,289	$168,165
2018	647	2,490	$167,116
2019	625	2,403	$154,083
2020	729	2,433	$163,015
2021	1,010	3,376	$212,064
2022	942	3,334	$215,710
2023	808	2,779	$230,381
2024	743	3,413	$253,058

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	482	3,865	$396,223
2016	574	5,604	$566,557
2017	545	4,818	$577,731
2018	446	3,183	$350,534
2019	614	5,690	$403,795
2020	663	6,972	$479,205
2021	643	7,651	$581,566
2022	649	6,096	$519,705
2023	621	5,843	$659,657
2024	635	5,019	$450,737

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	25	273	$16,769
2016	48	448	$21,625
2017	44	406	$15,634
2018	26	464	$16,382
2019	67	450	$68,648
2020	116	682	$39,079
2021	91	849	$120,856
2022	82	790	$139,090
2023	57	495	$28,457
2024	29	405	$24,487

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	101	117	$104
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$103
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	481	1,042	$73
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	285	$52
81002	Urinalysis, manual test	238	391	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Thiola Ec	Tiopronin	12	360	$127,226
Jardiance	Empagliflozin	36	1,560	$29,324
Trulicity	Dulaglutide	18	952	$28,547
Xarelto	Rivaroxaban	24	1,422	$25,251
Eliquis	Apixaban	24	1,189	$22,311

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	17	122	$9,495
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	N/R	11	$4,438
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	14	$2,398
A4407	Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each	N	N/R	12	$2,249
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	12	75	$1,309

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$265	Mozarc Medical US LLC
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 Manish Pandya, M.D.?

Tedicare shows public-source Medicare data for Manish Pandya, M.D. (NPI 1326145392), 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 Manish Pandya, M.D. have ACO affiliation data?

Manish Pandya, M.D. is shown with ACO affiliation data for Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Manish Pandya, M.D.?

Manish Pandya, M.D. is linked to MY KIDNEY CARE, LLC (billing NPI 1235611484) in the available physician profile data.

Does Manish Pandya, M.D. have Open Payments data?

Manish Pandya, M.D. has 9 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.