Physician

Abhinav Goyal

According to 2025 Medicare claims, Abhinav Goyal (NPI: 1578970273) practices gastroenterology, with the plurality of this provider's patient population coming from Schuylkill, PA. This provider's primary affiliated billing organization is THE DULUTH CLINIC, LTD (NPI: 1245278209; TIN: 410883623) and primary practice location at 55805-1906. Goyal is affiliated with the Keystone ACO (ACO ID: A1552), participating under the MSSP model.

Goyal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 187 traditional Medicare patients, billed 337 HCPCS/CPT codes, and received $31,880 in Medicare payments. The top billing code was 43255 (Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope). Part D data shows 118 prescription claims across 63 beneficiaries totaling $76,063 in drug costs, led by Peg 3350-Electrolyte (Sodium Chloride/Nahco3/Kcl/Peg). Open Payments data shows 1 records totaling $125. 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 $21,379 to $76,063. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	157	284	$26,396
2021	313	554	$50,233
2022	263	480	$43,433
2023	273	478	$44,117
2024	187	337	$31,880

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	76	428	$21,379
2016	67	431	$25,083
2017	73	379	$52,121
2018	114	307	$48,642
2019	77	202	$33,355
2020	80	151	$16,025
2021	115	271	$53,574
2022	170	530	$293,510
2023	128	337	$316,973
2024	63	118	$76,063

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
43255	Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$139
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	29	32	$139
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	54	$98
45380	Biopsy of large bowel using a flexible endoscope	27	27	$55
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	64	67	$55

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Peg 3350-Electrolyte	Sodium Chloride/Nahco3/Kcl/Peg	31	48	$1,073
Omeprazole	Omeprazole	23	1,274	$370
Pantoprazole Sodium	Pantoprazole Sodium	11	510	$154

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$125	Ardelyx, 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

Explore More Providers

Gastroenterology providers
Providers within practice ZIP code 55805-1906
Providers whose plurality patient county is Schuylkill, PA
Providers in Pennsylvania whose primary affiliated billing organization is THE DULUTH CLINIC, LTD
Providers in Pennsylvania affiliated with Keystone ACO (MSSP)

FAQ

What Medicare data is available for Abhinav Goyal?

Tedicare shows public-source Medicare data for Abhinav Goyal (NPI 1578970273), 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 Abhinav Goyal have ACO affiliation data?

Abhinav Goyal is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552).

What billing organization is linked to Abhinav Goyal?

Abhinav Goyal is linked to THE DULUTH CLINIC, LTD (billing NPI 1245278209) in the available physician profile data.

Does Abhinav Goyal have Open Payments data?

Abhinav Goyal has 1 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.