Physician

Abhijit Kulkarni, MD

According to 2025 Medicare claims, Abhijit Kulkarni, MD (NPI: 1609877521) practices gastroenterology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is ALLEGHENY CLINIC (NPI: 1821098138; TIN: 251838458) and primary practice location at 15212-4756. Kulkarni is affiliated with the Physician Partners of Western PA LLC (ACO ID: A3547) and Vandalia Health Network (ACO ID: A4513), participating under the MSSP model.

Kulkarni's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 203 traditional Medicare patients, billed 432 HCPCS/CPT codes, and received $50,528 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 706 prescription claims across 321 beneficiaries totaling $91,634 in drug costs, led by Creon (Lipase/Protease/Amylase). Open Payments data shows 7 records totaling $213. 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 changed little. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $56,293 and ending at $91,634. 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	223	466	$50,956
2016	258	576	$59,845
2017	282	651	$72,248
2018	279	546	$61,019
2019	267	630	$68,393
2020	224	534	$62,046
2021	230	473	$59,011
2022	226	508	$59,540
2023	218	468	$56,403
2024	203	432	$50,528

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	168	380	$56,293
2016	257	526	$99,504
2017	480	757	$109,392
2018	328	681	$151,538
2019	304	696	$128,914
2020	277	590	$97,066
2021	320	710	$144,205
2022	300	722	$222,551
2023	315	707	$171,628
2024	321	706	$91,634

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
45385	Removal of polyps or growths of large bowel using an endoscope with mechanical snare	58	58	$180
43264	Removal of stone or debris from bile or pancreatic duct using a flexible endoscope	23	24	$125
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	44	$91
43239	Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	37	39	$60
74328	Review by radiologist of image from tube placement into bile duct using an endoscope	29	35	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Creon	Lipase/Protease/Amylase	17	443	$40,547
Sod Sulf-Potass Sulf-Mag Sulf	Sodium, Potassium,mag Sulfates	97	143	$7,010
Motegrity	Prucalopride Succinate	11	330	$5,581
Sutab	Sod Sulf/Pot Chloride/Mag Sulf	12	19	$1,961
Gavilyte-C	Peg3350/Sod Sulf,bicarb,cl/Kcl	101	149	$1,949

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.	7	$213	Phathom Pharmaceuticals, 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

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FAQ

What Medicare data is available for Abhijit Kulkarni, MD?

Tedicare shows public-source Medicare data for Abhijit Kulkarni, MD (NPI 1609877521), 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 Abhijit Kulkarni, MD have ACO affiliation data?

Abhijit Kulkarni, MD is shown with ACO affiliation data for Physician Partners of Western PA LLC (MSSP, ACO ID A3547) and Vandalia Health Network (MSSP, ACO ID A4513).

What billing organization is linked to Abhijit Kulkarni, MD?

Abhijit Kulkarni, MD is linked to ALLEGHENY CLINIC (billing NPI 1821098138) in the available physician profile data.

Does Abhijit Kulkarni, MD have Open Payments data?

Abhijit Kulkarni, MD has 7 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.