Physician

Vipul K Patel, MD

According to 2025 Medicare claims, Vipul Patel, MD (NPI: 1548233851) practices internal medicine in the Springfield, OH market, with the plurality of this provider's patient population coming from Clark, OH. This provider's primary affiliated billing organization is SPRINGFIELD HEALTHCARE CENTER INC (NPI: 1639142367; TIN: 31-1295761) and primary practice location at 45504-2577. Patel is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 399 traditional Medicare patients, billed 3,477 HCPCS/CPT codes, and received $249,708 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 23,716 prescription claims across 1,000 beneficiaries totaling $1,869,822 in drug costs, led by Eliquis (Apixaban). DME data shows 274 claims. Open Payments data shows 3 records totaling $47. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $1,045,068 to $1,869,822. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $19,631 to $29,069.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	385	2,438	$137,114
2016	361	2,098	$124,324
2017	333	2,156	$129,402
2018	326	2,021	$105,560
2019	416	2,340	$116,646
2020	379	2,092	$100,322
2021	527	2,469	$131,084
2022	493	3,495	$169,751
2023	469	2,982	$152,673
2024	399	3,477	$249,708

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	644	17,290	$1,045,068
2016	600	17,951	$1,161,285
2017	564	15,682	$957,942
2018	614	13,340	$950,939
2019	717	14,699	$1,112,537
2020	766	19,445	$1,474,123
2021	789	18,894	$1,501,598
2022	917	19,554	$1,721,568
2023	1,026	23,637	$2,215,423
2024	1,000	23,716	$1,869,822

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	49	246	$11,674
2016	58	402	$10,988
2017	38	229	$6,261
2018	39	185	$4,113
2019	52	269	$7,387
2020	42	290	$9,752
2021	20	260	$14,540
2022	49	318	$23,060
2023	15	276	$22,603
2024	23	274	$25,103

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	218	218	$121
90653	Influenza vaccine, inactivated	150	150	$81
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	318	1,290	$80
G0008	Administration of influenza virus vaccine	158	158	$30
G0444	Annual depression screening, 5 to 15 minutes	236	236	$17

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	498	14,029	$275,365
Januvia	Sitagliptin Phosphate	164	9,810	$171,711
Trulicity	Dulaglutide	88	3,751	$129,796
Jardiance	Empagliflozin	140	5,658	$109,766
Farxiga	Dapagliflozin Propanediol	110	4,631	$82,826

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	12	45	$19,402
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	46	$2,823
E1392	Portable oxygen concentrator, rental	Y	N/R	23	$789
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	12	$534
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	13	$391

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$47	ABBVIE 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 Vipul K. Patel, MD?

Tedicare shows public-source Medicare data for Vipul K. Patel, MD (NPI 1548233851), 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 Vipul K. Patel, MD have ACO affiliation data?

Vipul K. Patel, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Vipul K. Patel, MD?

Vipul K. Patel, MD is linked to SPRINGFIELD HEALTHCARE CENTER INC (billing NPI 1639142367) in the available physician profile data.

Does Vipul K. Patel, MD have Open Payments data?

Vipul K. Patel, MD has 3 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.