Physician

Vishal Sharma, MD

According to 2025 Medicare claims, Vishal Sharma, MD (NPI: 1548447105) practices family practice in the Augusta-Richmond County, GA-SC market, with the plurality of this provider's patient population coming from Richmond, GA. This provider's primary affiliated billing organization is SC HOUSE CALLS INC (NPI: 1518048859; TIN: 205227543) and primary practice location at 30901-1434. Sharma is affiliated with the Sound Physicians Long Term Care Management, LLC (ACO ID: A5220) and Advanced Illness Partners, LLC (ACO ID: D0097), participating under both the MSSP and REACH models.

Sharma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 338 traditional Medicare patients, billed 834 HCPCS/CPT codes, and received $62,047 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 540 prescription claims across 246 beneficiaries totaling $37,447 in drug costs, led by Farxiga (Dapagliflozin Propanediol). DME data shows 68 claims. Open Payments data shows 11 records totaling $320. 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 declined steadily, from $106,090 to $62,047. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $31,282 and ending at $37,447. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $18,361 to $2,148.

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$56K$111K2015 Medicare payment: $106,090 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $101,412 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $111,329 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $106,960 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $95,042 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $79,975 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $80,551 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $96,107 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $82,634 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $62,047 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156241,575$106,090
20166261,549$101,412
20176621,566$111,329
20186251,456$106,960
20196271,244$95,042
20204781,093$79,975
20214251,146$80,551
20223991,254$96,107
20233411,152$82,634
2024338834$62,047

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$22K$44K2015 Drug cost: $31,282 (USD; Tot_Drug_Cst)2016 Drug cost: $24,232 (USD; Tot_Drug_Cst)2017 Drug cost: $36,423 (USD; Tot_Drug_Cst)2018 Drug cost: $30,876 (USD; Tot_Drug_Cst)2019 Drug cost: $38,882 (USD; Tot_Drug_Cst)2020 Drug cost: $23,046 (USD; Tot_Drug_Cst)2021 Drug cost: $18,758 (USD; Tot_Drug_Cst)2022 Drug cost: $44,497 (USD; Tot_Drug_Cst)2023 Drug cost: $37,925 (USD; Tot_Drug_Cst)2024 Drug cost: $37,447 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015220816$31,282
2016209613$24,232
2017222600$36,423
2018231617$30,876
2019238619$38,882
2020174425$23,046
2021183441$18,758
2022234737$44,497
2023266611$37,925
2024246540$37,447

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.8K$5.7K2015 Medicare payment: $4,824 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,380 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,576 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $5,696 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,571 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,569 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,154 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,600 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,563 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,056 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R78$4,824
2016N/R30$1,380
2017N/R98$2,576
2018N/R179$5,696
2019N/R149$4,571
202011112$4,569
2021N/R69$3,154
2022N/R40$2,600
2023N/R24$1,563
2024N/R68$2,056

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4545$130
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3535$97
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes80127$89
99239Hospital discharge day management, more than 30 minutes164167$86
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes191442$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol12840$16,082
EliquisApixaban22637$12,319
Atorvastatin CalciumAtorvastatin Calcium352,980$318
Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav34251$303
Losartan PotassiumLosartan Potassium272,310$219

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R14$943
E0630Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s)YN/R12$443
E0261Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattressYN/R11$289
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R14$220
E1038Transport chair, adult size, patient weight capacity up to and including 300 poundsYN/R17$161

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.11$320Janssen Scientific Affairs, LLC
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 Vishal Sharma, MD?

Tedicare shows public-source Medicare data for Vishal Sharma, MD (NPI 1548447105), 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 Vishal Sharma, MD have ACO affiliation data?

Vishal Sharma, MD is shown with ACO affiliation data for Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220) and Advanced Illness Partners, LLC (REACH, ACO ID D0097).

What billing organization is linked to Vishal Sharma, MD?

Vishal Sharma, MD is linked to SC HOUSE CALLS INC (billing NPI 1518048859) in the available physician profile data.

Does Vishal Sharma, MD have Open Payments data?

Vishal Sharma, MD has 11 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.