Physician

Heenam Goel, M.B.B.S.

According to 2025 Medicare claims, Heenam Goel, M.B.B.S. (NPI: 1396128526) practices endocrinology in the St. Cloud, MN market, with the plurality of this provider's patient population coming from Stearns, MN. This provider's primary affiliated billing organization is CENTRACARE CLINIC (NPI: 1407858020; TIN: 411806657) and primary practice location at 56303-5000. Goel is affiliated with the Central Minnesota ACO, LLC (ACO ID: A2844), Caravan Collaborative Pathways (ACO ID: A4604), Aledade 103 Upper Midwest MSSP (ACO ID: A5003), Caravan Health ACO 50 LLC (ACO ID: A5160), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Goel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 310 traditional Medicare patients, billed 15,244 HCPCS/CPT codes, and received $180,280 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 1,222 prescription claims across 198 beneficiaries totaling $385,879 in drug costs, led by Ozempic (Semaglutide). DME data shows 150 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 risen steadily, from $26,054 to $180,280. Similarly, Part D prescription costs have risen steadily, from $316 to $385,879. For DME billing, reported payments moved sharply higher in recent years, from $2,618 to $47,106.

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	112	2,686	$26,054
2021	233	6,107	$84,723
2022	243	8,974	$95,465
2023	284	7,572	$107,606
2024	310	15,244	$180,280

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	13	$316
2016	N/R	26	$2,384
2017	20	40	$1,413
2018	19	48	$1,857
2019	22	73	$11,318
2020	38	89	$41,797
2021	78	327	$233,392
2022	126	641	$443,011
2023	166	976	$465,513
2024	198	1,222	$385,879

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	13	$2,618
2020	N/R	19	$3,707
2021	12	59	$11,317
2022	15	145	$29,842
2023	19	163	$39,350
2024	22	150	$53,714

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	67	67	$141
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	107	157	$124
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	83	$87
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	48	75	$37
96372	Injection of drug or substance under skin or into muscle	66	108	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	44	1,680	$53,210
Mounjaro	Tirzepatide	32	1,120	$41,953
Jardiance	Empagliflozin	28	1,860	$35,662
Omnipod 5 Dexg7g6 Pods (Gen 5)	Insulin Pump Cart,auto,bt,g6/7	28	1,050	$25,383
Trulicity	Dulaglutide	13	366	$12,477

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	22	97	$37,280
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	N/R	14	$7,251
E0784	External ambulatory infusion pump, insulin	Y	N/R	17	$5,578
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	N/R	11	$2,646
A4225	Supplies for external insulin infusion pump, syringe type cartridge, sterile, each	N	N/R	11	$959

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 Heenam Goel, M.B.B.S.?

Tedicare shows public-source Medicare data for Heenam Goel, M.B.B.S. (NPI 1396128526), 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 Heenam Goel, M.B.B.S. have ACO affiliation data?

Heenam Goel, M.B.B.S. is shown with ACO affiliation data for Central Minnesota ACO, LLC (MSSP, ACO ID A2844), Caravan Collaborative Pathways (MSSP, ACO ID A4604), Aledade 103 Upper Midwest MSSP (MSSP, ACO ID A5003), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to Heenam Goel, M.B.B.S.?

Heenam Goel, M.B.B.S. is linked to CENTRACARE CLINIC (billing NPI 1407858020) in the available physician profile data.

Does Heenam Goel, M.B.B.S. 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.