Physician

Subodh K Agrawal, MD

According to 2025 Medicare claims, Subodh Agrawal, MD (NPI: 1366443640) practices cardiology 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 ATHENS HEART CENTER, PC (NPI: 1447338744; TIN: 474126283) and primary practice location at 30606-6032. Agrawal is affiliated with the PBACO Holding, LLC (ACO ID: A1001), participating under the MSSP model.

Agrawal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 450 traditional Medicare patients, billed 18,135 HCPCS/CPT codes, and received $838,382 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 19,789 prescription claims across 1,242 beneficiaries totaling $7,846,426 in drug costs, led by Amvuttra (Vutrisiran Sodium). DME data shows 950 claims. Open Payments data shows 45 records totaling $1,031. 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 moved up and down with repeated peaks and valleys, starting at $1,428,275 and ending at $838,382. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $2,129,161 to $7,846,426. In contrast, DME billing represents a smaller volume and declined steadily, from $179,903 to $64,211.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,763	24,676	$1,428,275
2016	2,006	30,128	$1,966,509
2017	1,781	28,466	$1,774,050
2018	1,529	21,354	$1,167,653
2019	1,673	29,330	$1,557,388
2020	1,430	36,028	$1,731,349
2021	1,191	47,553	$2,373,753
2022	806	32,591	$1,723,588
2023	608	25,327	$1,155,502
2024	450	18,135	$838,382

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	2,323	28,005	$2,129,161
2016	2,662	37,853	$2,852,823
2017	2,399	30,580	$2,845,794
2018	2,123	22,412	$2,636,070
2019	2,166	24,599	$2,933,041
2020	2,224	32,956	$3,550,090
2021	2,115	33,031	$3,554,629
2022	1,684	26,283	$4,167,401
2023	1,422	21,749	$6,740,827
2024	1,242	19,789	$7,846,426

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	1,397	3,412	$172,133
2016	1,472	3,744	$123,720
2017	1,535	3,645	$101,030
2018	1,441	3,470	$121,627
2019	1,398	3,063	$172,411
2020	1,108	2,712	$172,604
2021	950	2,503	$163,192
2022	547	1,525	$86,199
2023	352	1,137	$82,205
2024	345	950	$69,043

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	299	968	$90
80053	Blood test, comprehensive group of blood chemicals	316	558	$10
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	348	842	$10
36415	Insertion of needle into vein for collection of blood sample	340	647	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	309	515	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Amvuttra	Vutrisiran Sodium	15	1,314	$1,842,853
Vyndamax	Tafamidis	64	1,920	$1,469,956
Juxtapid	Lomitapide Mesylate	12	360	$687,428
Wainua	Eplontersen Sodium	11	308	$473,823
Ozempic	Semaglutide	444	14,914	$466,336

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,131
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	25	$8,685
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	11	$8,434
A7030	Full face mask used with positive airway pressure device, each	N	25	58	$5,560
A7031	Face mask interface, replacement for full face mask, each	N	23	56	$5,394

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	45	$1,031	AstraZeneca Pharmaceuticals LP
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 Subodh K. Agrawal, MD?

Tedicare shows public-source Medicare data for Subodh K. Agrawal, MD (NPI 1366443640), 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 Subodh K. Agrawal, MD have ACO affiliation data?

Subodh K. Agrawal, MD is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001).

What billing organization is linked to Subodh K. Agrawal, MD?

Subodh K. Agrawal, MD is linked to ATHENS HEART CENTER, PC (billing NPI 1447338744) in the available physician profile data.

Does Subodh K. Agrawal, MD have Open Payments data?

Subodh K. Agrawal, MD has 45 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.