Physician

Anita Agarwal, MD

According to 2025 Medicare claims, Anita Agarwal, MD (NPI: 1508940628) practices ophthalmology in the San Rafael, CA market, with the plurality of this provider's patient population coming from Marin, CA. This provider's primary affiliated billing organization is WEST COAST RETINA MEDICAL GROUP, INC. (NPI: 1053389064; TIN: 942275625) and primary practice location at 94925-1176.

Agarwal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 973 traditional Medicare patients, billed 25,214 HCPCS/CPT codes, and received $2,443,414 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 235 prescription claims across 89 beneficiaries totaling $25,919 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). 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 $273,482 to $2,443,414. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $37,337 and ending at $25,919. 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$1.2M$2.4M2015 Medicare payment: $273,482 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $363,716 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $935,632 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,555,035 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,391,923 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,371,142 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,460,313 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,034,361 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,251,641 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,443,414 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157642,493$273,482
20167532,531$363,716
20175864,775$935,632
20181,0348,601$1,555,035
20199847,953$1,391,923
20201,0057,852$1,371,142
20219518,657$1,460,313
20221,12210,369$2,034,361
20231,01516,717$2,251,641
202497325,214$2,443,414

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$19K$37K2015 Drug cost: $37,337 (USD; Tot_Drug_Cst)2016 Drug cost: $24,427 (USD; Tot_Drug_Cst)2017 Drug cost: $14,012 (USD; Tot_Drug_Cst)2018 Drug cost: $14,973 (USD; Tot_Drug_Cst)2019 Drug cost: $12,753 (USD; Tot_Drug_Cst)2020 Drug cost: $16,892 (USD; Tot_Drug_Cst)2021 Drug cost: $12,103 (USD; Tot_Drug_Cst)2022 Drug cost: $9,481 (USD; Tot_Drug_Cst)2023 Drug cost: $27,158 (USD; Tot_Drug_Cst)2024 Drug cost: $25,919 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015110683$37,337
201670246$24,427
201754147$14,012
201851183$14,973
201967227$12,753
202057224$16,892
202173191$12,103
202281188$9,481
2023101266$27,158
202489235$25,919

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
J0178Injection, aflibercept, 1 mg2252,152$656
67028Injection of drug into eye3121,300$123
92014Established patient complete exam of visual system8241,101$119
92134Imaging of retina9281,453$40
92201Extended exam of the back part of the eye with retinal drawing7431,017$23

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate774,308$4,943
Dorzolamide HclDorzolamide Hcl241,085$417
Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim341,292$254

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Anita Agarwal, MD?

Tedicare shows public-source Medicare data for Anita Agarwal, MD (NPI 1508940628), 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 Anita Agarwal, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Anita Agarwal, MD?

Anita Agarwal, MD is linked to WEST COAST RETINA MEDICAL GROUP, INC. (billing NPI 1053389064) in the available physician profile data.

Does Anita Agarwal, MD 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.