Physician

Kushal P Patel, M.D.

According to 2025 Medicare claims, Kushal Patel, M.D. (NPI: 1346500477) practices hospitalist in the Athens-Clarke County, GA market, with the plurality of this provider's patient population coming from Clarke, GA. This provider's primary affiliated billing organization is OM HEALTHCARE LLC (NPI: 1902622137; TIN: 331606865) and primary practice location at 30606-6171. Patel is affiliated with the Provider Partners Connect Care, LLC (ACO ID: D0252), participating under the REACH model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 326 traditional Medicare patients, billed 785 HCPCS/CPT codes, and received $67,741 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 1,711 prescription claims across 355 beneficiaries totaling $87,752 in drug costs, led by Eliquis (Apixaban). DME data shows 15 claims. No Open Payments records. 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 fallen sharply in recent years, from $106,491 to $67,741. In contrast, Part D prescription costs have moved sharply higher in recent years, from $27,273 to $87,752. For DME billing, this smaller-volume category moved up and down with repeated peaks and valleys, starting at $2,249 and ending at $1,426.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	498	1,337	$106,491
2016	766	2,644	$200,339
2017	717	2,994	$225,587
2018	660	2,083	$156,899
2019	510	1,435	$88,929
2020	470	1,352	$90,518
2021	396	1,021	$68,406
2022	360	880	$58,767
2023	81	160	$12,641
2024	326	785	$67,741

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	108	371	$27,273
2016	210	554	$23,900
2017	185	412	$14,824
2018	173	388	$17,398
2019	182	321	$14,922
2020	170	334	$31,709
2021	197	682	$55,963
2022	175	650	$44,103
2023	178	668	$58,638
2024	355	1,711	$87,752

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	24	$1,988
2016	30	189	$8,985
2017	35	191	$5,961
2018	33	186	$7,285
2019	11	87	$3,548
2020	N/R	114	$15,359
2021	N/R	161	$20,267
2022	N/R	129	$14,946
2023	N/R	65	$1,723
2024	N/R	15	$935

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	36	36	$145
99310	Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	84	120	$124
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	145	233	$87
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	83	214	$64
99497	Advance care planning, first 30 minutes	38	38	$60

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	50	846	$17,431
Januvia	Sitagliptin Phosphate	13	431	$7,955
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	20	507	$1,314
Pantoprazole Sodium	Pantoprazole Sodium	57	1,823	$713
Atorvastatin Calcium	Atorvastatin Calcium	51	1,211	$706

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	N/R	15	$935

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Kushal P. Patel, M.D.?

Tedicare shows public-source Medicare data for Kushal P. Patel, M.D. (NPI 1346500477), 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 Kushal P. Patel, M.D. have ACO affiliation data?

Kushal P. Patel, M.D. is shown with ACO affiliation data for Provider Partners Connect Care, LLC (REACH, ACO ID D0252).

What billing organization is linked to Kushal P. Patel, M.D.?

Kushal P. Patel, M.D. is linked to OM HEALTHCARE LLC (billing NPI 1902622137) in the available physician profile data.

Does Kushal P. Patel, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.