Physician

Nilay Desai, MD

According to 2025 Medicare claims, Nilay Desai, MD (NPI: 1336157122) practices endocrinology in the Rocky Mount, NC market, with the plurality of this provider's patient population coming from Nash, NC. This provider's primary affiliated billing organization is BOICE-WILLIS CLINIC PA (NPI: 1699722389; TIN: 561025986) and primary practice location at 27804-8467. Desai is affiliated with the The Accountable Care Organization, Ltd. (ACO ID: A2098), participating under the MSSP model.

Desai's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 753 traditional Medicare patients, billed 7,935 HCPCS/CPT codes, and received $202,837 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 6,890 prescription claims across 1,091 beneficiaries totaling $2,976,565 in drug costs, led by Ozempic (Semaglutide). DME data shows 550 claims. Open Payments data shows 32 records totaling $18,279. 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 declined steadily, from $368,256 to $202,837. In contrast, Part D prescription costs have risen steadily, from $1,740,791 to $2,976,565. For DME billing, reported payments moved sharply higher in recent years, from $44,891 to $170,325.

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$184K$368K2015 Medicare payment: $368,256 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $339,973 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $317,357 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $311,724 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $286,408 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $245,143 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $241,629 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $218,666 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $230,300 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $202,837 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,5887,264$368,256
20161,4768,452$339,973
20171,3999,429$317,357
20181,3509,600$311,724
20191,3239,534$286,408
20201,2127,072$245,143
20211,1076,489$241,629
20229458,294$218,666
202380311,622$230,300
20247537,935$202,837

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$1.6M$3.1M2015 Drug cost: $1,740,791 (USD; Tot_Drug_Cst)2016 Drug cost: $1,833,056 (USD; Tot_Drug_Cst)2017 Drug cost: $1,959,819 (USD; Tot_Drug_Cst)2018 Drug cost: $2,139,053 (USD; Tot_Drug_Cst)2019 Drug cost: $2,149,004 (USD; Tot_Drug_Cst)2020 Drug cost: $2,489,170 (USD; Tot_Drug_Cst)2021 Drug cost: $2,864,932 (USD; Tot_Drug_Cst)2022 Drug cost: $2,689,700 (USD; Tot_Drug_Cst)2023 Drug cost: $3,130,538 (USD; Tot_Drug_Cst)2024 Drug cost: $2,976,565 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20159546,168$1,740,791
20168735,620$1,833,056
20178245,291$1,959,819
20188375,444$2,139,053
20198465,017$2,149,004
20209315,762$2,489,170
20219756,281$2,864,932
20229675,744$2,689,700
20231,0316,463$3,130,538
20241,0916,890$2,976,565

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$90K$181K2015 Medicare payment: $76,077 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $77,169 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $82,839 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $92,667 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $90,188 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $128,114 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $180,669 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $159,009 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $164,727 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $166,606 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20157931,741$76,077
20167861,773$77,169
20176931,678$82,839
20185211,317$92,667
2019308956$90,188
2020267954$128,114
20212171,120$180,669
2022204965$159,009
2023164923$164,727
2024142550$166,606

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more600848$80
76536Ultrasound scan of head and neck soft tissue6970$45
G0108Diabetes outpatient self-management training services, individual, per 30 minutes118281$40
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report153252$23
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's416521$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide46521,978$723,025
JardianceEmpagliflozin25012,871$255,518
Tresiba Flextouch U-200Insulin Degludec20813,234$197,021
TrulicityDulaglutide1215,164$176,026
MounjaroTirzepatide1033,674$134,513

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN88399$153,537
E0784External ambulatory infusion pump, insulinYN/R12$4,193
A4224Supplies for maintenance of insulin infusion catheter, per weekNN/R16$3,777
E2103Non-adjunctive, non-implanted continuous glucose monitor or receiverN1212$2,601
A4225Supplies for external insulin infusion pump, syringe type cartridge, sterile, eachNN/R15$1,159

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.32$18,279Novo Nordisk 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 Nilay Desai, MD?

Tedicare shows public-source Medicare data for Nilay Desai, MD (NPI 1336157122), 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 Nilay Desai, MD have ACO affiliation data?

Nilay Desai, MD is shown with ACO affiliation data for The Accountable Care Organization, Ltd. (MSSP, ACO ID A2098).

What billing organization is linked to Nilay Desai, MD?

Nilay Desai, MD is linked to BOICE-WILLIS CLINIC PA (billing NPI 1699722389) in the available physician profile data.

Does Nilay Desai, MD have Open Payments data?

Nilay Desai, MD has 32 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.