Physician

Amit Saxena, MD

According to 2025 Medicare claims, Amit Saxena, MD (NPI: 1568620847) practices rheumatology in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from New York, NY. This provider's primary affiliated billing organization is NEW YORK UNIVERSITY (NPI: 1285826438; TIN: 472665045) and primary practice location at 10016-2772. Saxena is affiliated with the HHC ACO Inc (ACO ID: A1675), participating under the MSSP model.

Saxena's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 95 traditional Medicare patients, billed 1,219 HCPCS/CPT codes, and received $24,378 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 1,508 prescription claims across 135 beneficiaries totaling $2,591,354 in drug costs, led by Humira(Cf) Pen (Adalimumab). DME data shows 662 claims. Open Payments data shows 35 records totaling $2,109,123. 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 $13,085 to $24,378. Similarly, Part D prescription costs have moved sharply higher in recent years, from $301,863 to $2,591,354. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $1,038 and ending at $6,785.

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$12K$24K2015 Medicare payment: $13,085 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $10,933 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $11,524 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $11,917 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $17,263 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $15,390 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $19,114 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $19,047 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $18,985 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $24,378 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201546156$13,085
201639146$10,933
201742145$11,524
201863165$11,917
201965237$17,263
202072206$15,390
202182254$19,114
202279334$19,047
202389326$18,985
2024951,219$24,378

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$1.3M$2.6M2015 Drug cost: $301,863 (USD; Tot_Drug_Cst)2016 Drug cost: $300,976 (USD; Tot_Drug_Cst)2017 Drug cost: $454,605 (USD; Tot_Drug_Cst)2018 Drug cost: $620,790 (USD; Tot_Drug_Cst)2019 Drug cost: $739,573 (USD; Tot_Drug_Cst)2020 Drug cost: $1,038,896 (USD; Tot_Drug_Cst)2021 Drug cost: $1,221,313 (USD; Tot_Drug_Cst)2022 Drug cost: $1,737,785 (USD; Tot_Drug_Cst)2023 Drug cost: $2,334,398 (USD; Tot_Drug_Cst)2024 Drug cost: $2,591,354 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151091,143$301,863
2016981,207$300,976
2017981,301$454,605
20181091,181$620,790
20191161,239$739,573
20201151,286$1,038,896
20211141,350$1,221,313
20221281,451$1,737,785
20231411,552$2,334,398
20241351,508$2,591,354

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$18K$37K2019 Medicare payment: $9,101 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $18,844 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $12,014 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $17,392 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $35,082 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $36,550 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
201930232$9,101
2020N/R426$18,844
202115226$12,014
202213319$17,392
202353561$35,082
202444662$36,550

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more1218$161
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more68115$104
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2329$69
G2211Visit 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's66101$14
36415Insertion of needle into vein for collection of blood sample74144$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab862,722$803,708
PrivigenImmun Glob G(Igg)/Pro/Iga 0-5013364$214,324
Enbrel SureclickEtanercept21876$209,904
XeljanzTofacitinib Citrate14840$141,588
BenlystaBelimumab24896$140,357

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeN16160$11,907
B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitNN/R65$9,162
B4152Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitNN/R95$7,790
B9002Enteral nutrition infusion pump, any typeY1255$3,114
B4155Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unitNN/R26$1,053

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.5$11,181Aurinia Pharma U.S., Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.30$2,097,942GlaxoSmithKline, LLC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Amit Saxena, MD?

Tedicare shows public-source Medicare data for Amit Saxena, MD (NPI 1568620847), 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 Amit Saxena, MD have ACO affiliation data?

Amit Saxena, MD is shown with ACO affiliation data for HHC ACO Inc (MSSP, ACO ID A1675).

What billing organization is linked to Amit Saxena, MD?

Amit Saxena, MD is linked to NEW YORK UNIVERSITY (billing NPI 1285826438) in the available physician profile data.

Does Amit Saxena, MD have Open Payments data?

Amit Saxena, MD 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.