Physician

Ashvinkumar N Patel, M.D.

According to 2025 Medicare claims, Ashvinkumar Patel, M.D. (NPI: 1528129871) practices nephrology in the Wichita Falls, TX market, with the plurality of this provider's patient population coming from Wichita, TX. This provider's primary affiliated billing organization is WICHITA FALLS NEPHROLOGY ASSOCIATES, PLLC (NPI: 1538411905) and primary practice location at 76301-4404. Patel is affiliated with the Lifecare ACO LLC (ACO ID: A3644), Caravan Health ACO 43 LLC (ACO ID: A4974), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,578 traditional Medicare patients, billed 35,500 HCPCS/CPT codes, and received $618,528 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 4,894 prescription claims across 740 beneficiaries totaling $1,387,089 in drug costs, led by Velphoro (Sucroferric Oxyhydroxide). DME data shows 95 claims. Open Payments data shows 35 records totaling $487. 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 changed little. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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	1,666	25,734	$1,040,551
2016	1,660	26,827	$1,039,602
2017	1,710	24,599	$1,012,719
2018	1,586	21,347	$917,151
2019	1,808	26,519	$1,014,978
2020	1,674	43,041	$967,142
2021	1,740	61,226	$965,489
2022	1,697	58,189	$872,434
2023	1,690	51,724	$794,886
2024	1,578	35,500	$618,528

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	402	2,666	$932,380
2016	413	3,061	$973,446
2017	430	3,042	$1,056,118
2018	466	3,176	$589,171
2019	491	3,502	$693,014
2020	513	3,688	$613,501
2021	540	3,716	$851,273
2022	602	4,150	$933,596
2023	696	4,544	$1,426,733
2024	740	4,894	$1,387,089

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	27	$417
2017	N/R	13	$228
2018	N/R	208	$18,276
2019	N/R	323	$27,058
2020	N/R	167	$13,241
2021	N/R	93	$6,611
2022	N/R	105	$4,513
2023	N/R	124	$6,659
2024	N/R	95	$2,170

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	236	236	$105
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	142	142	$82
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	1,169	2,637	$54
99221	Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes	269	382	$52
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	379	1,710	$51

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Velphoro	Sucroferric Oxyhydroxide	387	13,535	$1,145,727
Sevelamer Carbonate	Sevelamer Carbonate	207	7,650	$35,267
Renvela	Sevelamer Carbonate	20	600	$32,240
Eliquis	Apixaban	19	924	$16,748
Farxiga	Dapagliflozin Propanediol	18	840	$14,492

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
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	44	$754
J7518	Mycophenolic acid, oral, 180 mg	N	N/R	11	$619
J7507	Tacrolimus, immediate release, oral, 1 mg	N	N/R	25	$610
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	15	$188

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	35	$487	Fresenius USA Marketing, 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 Ashvinkumar N. Patel, M.D.?

Tedicare shows public-source Medicare data for Ashvinkumar N. Patel, M.D. (NPI 1528129871), 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 Ashvinkumar N. Patel, M.D. have ACO affiliation data?

Ashvinkumar N. Patel, M.D. is shown with ACO affiliation data for Lifecare ACO LLC (MSSP, ACO ID A3644), Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Ashvinkumar N. Patel, M.D.?

Ashvinkumar N. Patel, M.D. is linked to WICHITA FALLS NEPHROLOGY ASSOCIATES, PLLC (billing NPI 1538411905) in the available physician profile data.

Does Ashvinkumar N. Patel, M.D. have Open Payments data?

Ashvinkumar N. Patel, M.D. has 35 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.