Physician

Sanjay Karatam, M.D.

According to 2025 Medicare claims, Sanjay Karatam, M.D. (NPI: 1356874416) practices internal medicine in the Sebring, FL market, with the plurality of this provider's patient population coming from Highlands, FL. This provider's primary affiliated billing organization is TRU HEALTH MEDICAL SERVICES INC (NPI: 1902639206) and primary practice location at 33825-9998.

Karatam's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 515 traditional Medicare patients, billed 1,423 HCPCS/CPT codes, and received $124,950 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 971 prescription claims across 437 beneficiaries totaling $48,405 in drug costs, led by Eliquis (Apixaban). DME data shows 123 claims. Open Payments data shows 4 records totaling $217. 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 risen steadily, from $1,946 to $48,405. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	158	475	$41,042
2021	449	1,588	$133,863
2022	532	2,262	$217,148
2023	568	1,759	$148,779
2024	515	1,423	$124,950

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	14	32	$1,946
2018	47	152	$10,272
2019	14	41	$4,793
2020	71	145	$11,281
2021	329	748	$36,880
2022	327	720	$35,733
2023	402	897	$39,743
2024	437	971	$48,405

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	87	$6,177
2022	N/R	120	$6,196
2023	11	107	$6,042
2024	N/R	123	$5,182

* / # = 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	128	134	$139
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	244	534	$96
99239	Hospital discharge day management, more than 30 minutes	135	138	$93
99238	Hospital discharge day management, 30 minutes or less	158	168	$63
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	208	404	$62

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	30	796	$15,575
Brilinta	Ticagrelor	11	450	$6,586
Cefdinir	Cefdinir	101	592	$1,215
Doxycycline Hyclate	Doxycycline Hyclate	65	480	$517
Azithromycin	Azithromycin	60	280	$325

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	56	$3,997
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	48	$733
K0001	Standard wheelchair	Y	N/R	19	$452

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$217	Boston Scientific Corporation
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

Explore More Providers

FAQ

What Medicare data is available for Sanjay Karatam, M.D.?

Tedicare shows public-source Medicare data for Sanjay Karatam, M.D. (NPI 1356874416), 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 Sanjay Karatam, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Sanjay Karatam, M.D.?

Sanjay Karatam, M.D. is linked to TRU HEALTH MEDICAL SERVICES INC (billing NPI 1902639206) in the available physician profile data.

Does Sanjay Karatam, M.D. have Open Payments data?

Sanjay Karatam, M.D. has 4 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.