Physician

Abhishek Kulkarni, M.D

According to 2025 Medicare claims, Abhishek Kulkarni, M.D (NPI: 1437399391) practices cardiology in the Springfield, IL market, with the plurality of this provider's patient population coming from Sangamon, IL. This provider's primary affiliated billing organization is SIU PHYSICIANS & SURGEONS, INC (NPI: 1558385989; TIN: 36-4143823) and primary practice location at 62781-0001. Kulkarni is affiliated with the IRCCO (ACO ID: A2619) and Medical Home Network Health Alliance I, LLC (ACO ID: A5518), participating under the MSSP model.

Kulkarni's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 617 traditional Medicare patients, billed 988 HCPCS/CPT codes, and received $41,511 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 912 prescription claims across 213 beneficiaries totaling $134,038 in drug costs, led by Eliquis (Apixaban). 2017 DME data shows 13 claims. Open Payments data shows 1 records totaling $120. 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 $15,316 to $134,038. 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	108	156	$8,550
2017	825	1,800	$91,457
2018	828	1,783	$93,202
2019	718	1,422	$73,990
2020	721	1,183	$59,029
2021	586	1,059	$58,217
2022	683	1,110	$47,304
2023	743	1,124	$41,427
2024	617	988	$41,511

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	86	346	$15,316
2016	79	275	$9,811
2017	129	411	$35,163
2018	146	674	$72,095
2019	203	1,123	$135,409
2020	190	1,106	$113,033
2021	193	1,042	$126,299
2022	207	986	$146,685
2023	200	916	$141,624
2024	213	912	$134,038

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	13	$28,429
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	53	54	$101
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	64	119	$61
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	217	219	$52
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	64	67	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	164	181	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	56	2,940	$54,319
Entresto	Sacubitril/Valsartan	31	1,082	$24,480
Metoprolol Succinate	Metoprolol Succinate	169	11,580	$1,829
Atorvastatin Calcium	Atorvastatin Calcium	164	13,858	$1,425
Amlodipine Besylate	Amlodipine Besylate	95	7,423	$680

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$120	Janssen Pharmaceuticals, Inc
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 Abhishek Kulkarni, M.D?

Tedicare shows public-source Medicare data for Abhishek Kulkarni, M.D (NPI 1437399391), 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 Abhishek Kulkarni, M.D have ACO affiliation data?

Abhishek Kulkarni, M.D is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and Medical Home Network Health Alliance I, LLC (MSSP, ACO ID A5518).

What billing organization is linked to Abhishek Kulkarni, M.D?

Abhishek Kulkarni, M.D is linked to SIU PHYSICIANS & SURGEONS, INC (billing NPI 1558385989) in the available physician profile data.

Does Abhishek Kulkarni, M.D have Open Payments data?

Abhishek Kulkarni, M.D has 1 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.