Physician

Abhinav Agrawal, M.D.

According to 2025 Medicare claims, Abhinav Agrawal, M.D. (NPI: 1487094082) practices critical care (intensivists) in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is NORTH SHORE-LIJ MEDICAL PC (NPI: 1053688572; TIN: 113506359) and primary practice location at 11040-1402. Agrawal is affiliated with the Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Agrawal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 342 traditional Medicare patients, billed 1,575 HCPCS/CPT codes, and received $156,473 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 119 prescription claims across 41 beneficiaries totaling $20,779 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 22 claims. Open Payments data shows 1 records totaling $16. 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 $26,083 to $156,473. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $2,335 and ending at $20,779. 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	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	71	213	$26,083
2021	279	1,108	$134,292
2022	300	1,204	$145,310
2023	325	1,511	$154,228
2024	342	1,575	$156,473

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	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	16	$2,335
2018	13	38	$9,425
2019	28	73	$13,380
2020	16	78	$23,672
2021	17	27	$4,491
2022	18	42	$7,619
2023	30	60	$7,279
2024	41	119	$20,779

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	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	38	$1,372
2023	N/R	47	$1,702
2024	N/R	22	$74

* / # = 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	82	82	$204
31652	Exam of lung airways and sampling of lymph nodes using an endoscope and ultrasound guidance, 1-2 lymph nodes	81	83	$132
31654	Exam of lung airways with diagnostic or therapeutic procedure on growths using an endoscope and ultrasound	74	77	$58
31628	Biopsy of lobe of lung using an endoscope, 1 lobe	74	76	$51
31645	Aspiration of initial secretion of lung airway using an endoscope	138	150	$46

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	19	690	$13,022
Breo Ellipta	Fluticasone/Vilanterol	11	390	$4,990
Albuterol Sulfate Hfa	Albuterol Sulfate	28	754	$744
Prednisone	Prednisone	13	193	$36

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
E0570	Nebulizer, with compressor	Y	N/R	22	$74

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$16	Pulmonx Corporation
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 Abhinav Agrawal, M.D.?

Tedicare shows public-source Medicare data for Abhinav Agrawal, M.D. (NPI 1487094082), 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 Abhinav Agrawal, M.D. have ACO affiliation data?

Abhinav Agrawal, M.D. is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Abhinav Agrawal, M.D.?

Abhinav Agrawal, M.D. is linked to NORTH SHORE-LIJ MEDICAL PC (billing NPI 1053688572) in the available physician profile data.

Does Abhinav Agrawal, M.D. have Open Payments data?

Abhinav Agrawal, 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.