Physician

Durga Dhoj Adhikari, MD

According to 2025 Medicare claims, Durga Adhikari, MD (NPI: 1538319074) practices rheumatology in the Charleston-North Charleston, SC market, with the plurality of this provider's patient population coming from Berkeley, SC. This provider's primary affiliated billing organization is ARTICULARIS HEALTHCARE GROUP INC. (NPI: 1083696413; TIN: 571099718) and primary practice location at 29486-7887. Adhikari is affiliated with the Southeastern Health Partners (ACO ID: A3325), participating under the MSSP model.

Adhikari's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 660 traditional Medicare patients, billed 129,147 HCPCS/CPT codes, and received $2,159,892 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 1,521 prescription claims across 290 beneficiaries totaling $1,724,304 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 49 records totaling $981. 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 $8,941 to $2,159,892. Similarly, Part D prescription costs have risen steadily, from $101,044 to $1,724,304. 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$1.4M$2.8M2016 Medicare payment: $8,941 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $24,360 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $19,146 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $687,096 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,838,656 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,503,022 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,361,221 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,530,063 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,159,892 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016110133$8,941
2017236430$24,360
2018215340$19,146
201942334,976$687,096
2020493135,451$2,838,656
2021544135,632$2,503,022
2022607124,864$2,361,221
2023654178,622$2,530,063
2024660129,147$2,159,892

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$862K$1.7M2015 Drug cost: $101,044 (USD; Tot_Drug_Cst)2016 Drug cost: $313,923 (USD; Tot_Drug_Cst)2017 Drug cost: $889,260 (USD; Tot_Drug_Cst)2018 Drug cost: $856,809 (USD; Tot_Drug_Cst)2019 Drug cost: $1,070,748 (USD; Tot_Drug_Cst)2020 Drug cost: $261,284 (USD; Tot_Drug_Cst)2021 Drug cost: $448,449 (USD; Tot_Drug_Cst)2022 Drug cost: $973,357 (USD; Tot_Drug_Cst)2023 Drug cost: $1,055,424 (USD; Tot_Drug_Cst)2024 Drug cost: $1,724,304 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201583603$101,044
2016102567$313,923
2017144918$889,260
2018151965$856,809
2019185832$1,070,748
2020154647$261,284
2021167782$448,449
2022186917$973,357
2023204854$1,055,424
20242901,521$1,724,304

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
96413Administration of chemotherapy into vein, 1 hour or less286608$96
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more233418$89
36415Insertion of needle into vein for collection of blood sample183223$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count217389$8
82565Blood creatinine level200347$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab511,854$565,207
Enbrel SureclickEtanercept451,456$386,012
Orencia ClickjectAbatacept381,064$223,594
RinvoqUpadacitinib18840$182,903
Xeljanz XrTofacitinib Citrate13390$75,577

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.49$981ABBVIE 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

FAQ

What Medicare data is available for Durga Dhoj Adhikari, MD?

Tedicare shows public-source Medicare data for Durga Dhoj Adhikari, MD (NPI 1538319074), 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 Durga Dhoj Adhikari, MD have ACO affiliation data?

Durga Dhoj Adhikari, MD is shown with ACO affiliation data for Southeastern Health Partners (MSSP, ACO ID A3325).

What billing organization is linked to Durga Dhoj Adhikari, MD?

Durga Dhoj Adhikari, MD is linked to ARTICULARIS HEALTHCARE GROUP INC. (billing NPI 1083696413) in the available physician profile data.

Does Durga Dhoj Adhikari, MD have Open Payments data?

Durga Dhoj Adhikari, MD has 49 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.