Physician

Sunil Kumar Sharma, MD

According to 2025 Medicare claims, Sunil Sharma, MD (NPI: 1376604272) practices family practice in the Auburn-Opelika, AL market, with the plurality of this provider's patient population coming from Lee, AL. This provider's primary affiliated billing organization is SHARMA FAMILY MEDICINE & CONSULTING PC (NPI: 1376970673; TIN: 46-3317686) and primary practice location at 36801-6253. Sharma is affiliated with the Aledade A3047 MS MSSP Enhanced (ACO ID: A3047), participating under the MSSP model.

Sharma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 787 traditional Medicare patients, billed 5,619 HCPCS/CPT codes, and received $221,941 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 27,943 prescription claims across 1,606 beneficiaries totaling $2,445,123 in drug costs, led by Mounjaro (Tirzepatide). DME data shows 333 claims. Open Payments data shows 112 records totaling $1,774. 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 $315,477 and ending at $221,941. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $36,358 and ending at $40,130.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	944	7,112	$315,477
2016	1,077	8,343	$363,617
2017	970	7,481	$323,441
2018	1,005	6,488	$320,071
2019	918	5,429	$278,887
2020	839	4,310	$203,633
2021	1,247	8,006	$404,750
2022	1,114	7,953	$388,690
2023	997	7,386	$372,200
2024	787	5,619	$221,941

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	960	29,816	$1,699,719
2016	1,112	36,489	$2,133,087
2017	1,153	33,845	$2,073,339
2018	1,265	33,566	$2,203,898
2019	1,297	32,510	$2,232,801
2020	1,430	34,766	$2,479,389
2021	1,884	37,446	$2,770,836
2022	1,880	43,610	$2,781,553
2023	1,697	40,930	$2,836,875
2024	1,606	27,943	$2,445,123

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	223	807	$57,023
2016	262	1,316	$67,332
2017	228	1,182	$44,000
2018	178	912	$31,872
2019	131	706	$30,776
2020	100	624	$33,036
2021	109	641	$29,133
2022	108	604	$44,295
2023	70	377	$32,703
2024	41	333	$39,560

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	396	396	$115
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	519	938	$67
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	494	1,232	$50
G2211	Visit 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's	501	1,023	$11
83036	Hemoglobin a1c level	213	426	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Mounjaro	Tirzepatide	225	6,832	$251,529
Ozempic	Semaglutide	193	6,916	$219,764
Eliquis	Apixaban	273	8,916	$169,420
Jardiance	Empagliflozin	163	6,510	$128,505
Farxiga	Dapagliflozin Propanediol	119	5,617	$103,756

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
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	30	$13,967
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	12	$12,036
E0784	External ambulatory infusion pump, insulin	Y	N/R	19	$6,104
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	39	$2,814
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	24	64	$1,084

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	112	$1,774	GlaxoSmithKline, 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 Sunil Kumar Sharma, MD?

Tedicare shows public-source Medicare data for Sunil Kumar Sharma, MD (NPI 1376604272), 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 Sunil Kumar Sharma, MD have ACO affiliation data?

Sunil Kumar Sharma, MD is shown with ACO affiliation data for Aledade A3047 MS MSSP Enhanced (MSSP, ACO ID A3047).

What billing organization is linked to Sunil Kumar Sharma, MD?

Sunil Kumar Sharma, MD is linked to SHARMA FAMILY MEDICINE & CONSULTING PC (billing NPI 1376970673) in the available physician profile data.

Does Sunil Kumar Sharma, MD have Open Payments data?

Sunil Kumar Sharma, MD has 112 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.