Physician

Sumeet Sudhir Vaikunth, M.D.

According to 2025 Medicare claims, Sumeet Vaikunth, M.D. (NPI: 1588924286) practices adult congenital heart disease in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Philadelphia, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PENN - MEDICAL GROUP (NPI: 1093725145; TIN: 232743545) and primary practice location at 19104-5127.

Vaikunth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 89 traditional Medicare patients, billed 429 HCPCS/CPT codes, and received $17,128 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 51 prescription claims across 17 beneficiaries totaling $19,311 in drug costs, led by Entresto (Sacubitril/Valsartan). No Open Payments records. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $29,883 to $19,311. 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.

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$8.6K$17K2022 Medicare payment: $8,029 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $13,788 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $17,128 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202264200$8,029
202381318$13,788
202489429$17,128

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$15K$30K2015 Drug cost: $29,883 (USD; Tot_Drug_Cst)2016 Drug cost: $8,019 (USD; Tot_Drug_Cst)2020 Drug cost: $3,189 (USD; Tot_Drug_Cst)2021 Drug cost: $5,548 (USD; Tot_Drug_Cst)2022 Drug cost: $9,732 (USD; Tot_Drug_Cst)2023 Drug cost: $3,181 (USD; Tot_Drug_Cst)2024 Drug cost: $19,311 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201528158$29,883
201621112$8,019
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R19$3,189
2021N/R22$5,548
2022N/R36$9,732
20231754$3,181
20241751$19,311

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more2432$108
93303Ultrasound of heart for congenital defect5258$45
93320Ultrasound of heart blood flow, valves and chambers5258$13
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3342$6
93325Ultrasound of heart with color-depicted blood flow, rate and valve function5258$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EntrestoSacubitril/Valsartan11540$11,969

Top 5 DME services in 2024

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

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Sumeet Sudhir Vaikunth, M.D.?

Tedicare shows public-source Medicare data for Sumeet Sudhir Vaikunth, M.D. (NPI 1588924286), 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 Sumeet Sudhir Vaikunth, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Sumeet Sudhir Vaikunth, M.D.?

Sumeet Sudhir Vaikunth, M.D. is linked to UNIVERSITY OF PENN - MEDICAL GROUP (billing NPI 1093725145) in the available physician profile data.

Does Sumeet Sudhir Vaikunth, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.