Physician

Achuta Kumar Guddati, MD

According to 2025 Medicare claims, Achuta Guddati, MD (NPI: 1457639312) practices hematology/oncology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Suffolk, NY. This provider's primary affiliated billing organization is STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION (NPI: 1184679342; TIN: 112558775) and primary practice location at 11790-0989. Guddati is affiliated with the CHESS Value, LLC (ACO ID: A3391), Trinity Health Integrated Care (ACO ID: A3454), WellStar Clinical Partners Medicare ACO, LLC (ACO ID: A4803), Stony Brook ACO, LLC. (ACO ID: A4830), and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Guddati's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 339 traditional Medicare patients, billed 999 HCPCS/CPT codes, and received $88,984 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 325 prescription claims across 90 beneficiaries totaling $855,414 in drug costs, led by Xtandi (Enzalutamide). DME data shows 11 claims. Open Payments data shows 1 records totaling $525. 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 sharply higher in recent years, from $5,797 to $88,984. Similarly, Part D prescription costs have risen steadily, from $1,804 to $855,414. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$44K$89K2017 Medicare payment: $5,797 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $15,859 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $40,570 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $31,225 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $34,132 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $61,779 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $44,075 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $88,984 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
201790112$5,797
2018118223$15,859
2019166575$40,570
2020140427$31,225
2021124416$34,132
2022305795$61,779
2023243559$44,075
2024339999$88,984

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$428K$855K2016 Drug cost: $1,804 (USD; Tot_Drug_Cst)2017 Drug cost: $168,661 (USD; Tot_Drug_Cst)2018 Drug cost: $199,175 (USD; Tot_Drug_Cst)2019 Drug cost: $36,958 (USD; Tot_Drug_Cst)2020 Drug cost: $122,961 (USD; Tot_Drug_Cst)2021 Drug cost: $359,460 (USD; Tot_Drug_Cst)2022 Drug cost: $774,091 (USD; Tot_Drug_Cst)2023 Drug cost: $674,883 (USD; Tot_Drug_Cst)2024 Drug cost: $855,414 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R23$1,804
20173580$168,661
201849229$199,175
201948177$36,958
202041233$122,961
202152280$359,460
2022107356$774,091
2023107380$674,883
202490325$855,414

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$104$2072024 Medicare payment: $207 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R11$207

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4142$140
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes138150$128
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5657$112
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more47183$111
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes184453$62

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XtandiEnzalutamide12360$186,047
EliquisApixaban22734$14,485
Ondansetron HclOndansetron Hcl24381$1,356
Prochlorperazine MaleateProchlorperazine Maleate30474$595
Oxycodone HclOxycodone Hcl14299$267

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodNN/R11$207

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$525Daiichi Sankyo Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

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FAQ

What Medicare data is available for Achuta Kumar Guddati, MD?

Tedicare shows public-source Medicare data for Achuta Kumar Guddati, MD (NPI 1457639312), 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 Achuta Kumar Guddati, MD have ACO affiliation data?

Achuta Kumar Guddati, MD is shown with ACO affiliation data for CHESS Value, LLC (MSSP, ACO ID A3391), Trinity Health Integrated Care (MSSP, ACO ID A3454), WellStar Clinical Partners Medicare ACO, LLC (MSSP, ACO ID A4803), Stony Brook ACO, LLC. (MSSP, ACO ID A4830), and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Achuta Kumar Guddati, MD?

Achuta Kumar Guddati, MD is linked to STONY BROOK INTERNISTS, UNIVERSITY FACULTY PRACTICE CORPORATION (billing NPI 1184679342) in the available physician profile data.

Does Achuta Kumar Guddati, MD have Open Payments data?

Achuta Kumar Guddati, MD 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.