Physician

Hiren K Patel, M.D.

According to 2025 Medicare claims, Hiren Patel, M.D. (NPI: 1568481661) practices family practice in the Auburn-Opelika, AL market, with the plurality of this provider's patient population coming from Lee, AL. This provider's primary affiliated billing organization is HIREN K PATEL MD PC (NPI: 1295844355) and primary practice location at 36801-5403. Patel is affiliated with the Aledade A3047 MS MSSP Enhanced (ACO ID: A3047), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 214 traditional Medicare patients, billed 3,548 HCPCS/CPT codes, and received $123,051 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 13,765 prescription claims across 675 beneficiaries totaling $1,102,707 in drug costs, led by Ozempic (Semaglutide). DME data shows 201 claims. Open Payments data shows 39 records totaling $797. 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 moved from a higher plateau to a lower plateau, from $301,971 to $123,051. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $77,479 to $15,975.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	679	11,567	$301,971
2016	600	8,610	$275,766
2017	502	9,407	$219,691
2018	481	9,002	$205,435
2019	459	10,288	$182,843
2020	381	5,174	$147,519
2021	357	3,746	$142,294
2022	326	3,400	$128,119
2023	258	1,757	$92,821
2024	214	3,548	$123,051

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	610	16,007	$785,829
2016	581	17,698	$875,412
2017	591	13,176	$594,893
2018	640	12,604	$636,933
2019	658	14,567	$583,569
2020	640	13,246	$555,813
2021	652	13,689	$682,799
2022	696	15,282	$865,290
2023	682	13,985	$1,009,467
2024	675	13,765	$1,102,707

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	266	1,323	$65,671
2016	225	1,256	$50,489
2017	194	1,017	$27,366
2018	132	831	$24,420
2019	65	528	$18,827
2020	60	437	$14,321
2021	26	315	$9,388
2022	24	301	$15,025
2023	11	150	$7,388
2024	N/R	201	$9,647

* / # = 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	151	151	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	199	629	$79
80061	Blood test, lipids (cholesterol and triglycerides)	154	352	$13
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	188	540	$11
36415	Insertion of needle into vein for collection of blood sample	180	496	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	108	3,976	$130,267
Jardiance	Empagliflozin	134	5,705	$109,182
Farxiga	Dapagliflozin Propanediol	260	5,822	$105,403
Ingrezza	Valbenazine Tosylate	20	280	$81,451
Mounjaro	Tirzepatide	63	2,112	$76,192

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	47	$3,619
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	N/R	12	$2,273
E1392	Portable oxygen concentrator, rental	Y	N/R	22	$853
J7626	Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg	N	N/R	12	$793
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	15	$652

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	39	$797	AstraZeneca Pharmaceuticals LP
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 Hiren K. Patel, M.D.?

Tedicare shows public-source Medicare data for Hiren K. Patel, M.D. (NPI 1568481661), 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 Hiren K. Patel, M.D. have ACO affiliation data?

Hiren K. Patel, M.D. is shown with ACO affiliation data for Aledade A3047 MS MSSP Enhanced (MSSP, ACO ID A3047).

What billing organization is linked to Hiren K. Patel, M.D.?

Hiren K. Patel, M.D. is linked to HIREN K PATEL MD PC (billing NPI 1295844355) in the available physician profile data.

Does Hiren K. Patel, M.D. have Open Payments data?

Hiren K. Patel, M.D. has 39 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.