Physician

Sagar B Patel, MD

According to 2025 Medicare claims, Sagar Patel, MD (NPI: 1619382405) practices ophthalmology in the Houston-Pasadena-The Woodlands, TX market, with the plurality of this provider's patient population coming from Harris, TX. This provider's primary affiliated billing organization is RETINA CONSULTANTS OF HOUSTON PLLC (NPI: 1902975352; TIN: 742109903) and primary practice location at 77339-6406. Patel is affiliated with the Lore Health ACO (ACO ID: A5192), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 835 traditional Medicare patients, billed 25,782 HCPCS/CPT codes, and received $3,322,895 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 501 prescription claims across 165 beneficiaries totaling $21,106 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 22 records totaling $10,141. 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 sharply higher in recent years, from $2,158 to $3,322,895. Similarly, Part D prescription costs have risen steadily, from $1,011 to $21,106. 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$1.7M$3.3M2018 Medicare payment: $2,158 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $6,034 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $340,846 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,011,354 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,450,669 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,182,702 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,322,895 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181419$2,158
20193947$6,034
20202311,586$340,846
20217298,989$2,011,354
20229229,490$2,450,669
202391417,239$3,182,702
202483525,782$3,322,895

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: $1,011 (USD; Tot_Drug_Cst)2016 Drug cost: $6,568 (USD; Tot_Drug_Cst)2017 Drug cost: $3,858 (USD; Tot_Drug_Cst)2018 Drug cost: $6,567 (USD; Tot_Drug_Cst)2019 Drug cost: $14,212 (USD; Tot_Drug_Cst)2020 Drug cost: $21,352 (USD; Tot_Drug_Cst)2021 Drug cost: $30,142 (USD; Tot_Drug_Cst)2022 Drug cost: $24,001 (USD; Tot_Drug_Cst)2023 Drug cost: $23,129 (USD; Tot_Drug_Cst)2024 Drug cost: $21,106 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151628$1,011
201630106$6,568
20173464$3,858
20182972$6,567
201935102$14,212
202047134$21,352
2021110304$30,142
2022121362$24,001
2023118295$23,129
2024165501$21,106

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
J0178Injection, aflibercept, 1 mg1971,458$655
67028Injection of drug into eye4211,398$103
92014Established patient complete exam of visual system6271,079$94
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more104116$87
92134Imaging of retina7601,939$30

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate1294,474$7,637
Bromfenac SodiumBromfenac Sodium14507$2,330
Brimonidine TartrateBrimonidine Tartrate301,947$1,941
MoxifloxacinMoxifloxacin Hcl65980$1,580
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat644,408$1,261

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.22$10,141Regeneron Healthcare Solutions, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Sagar B. Patel, MD?

Tedicare shows public-source Medicare data for Sagar B. Patel, MD (NPI 1619382405), 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 Sagar B. Patel, MD have ACO affiliation data?

Sagar B. Patel, MD is shown with ACO affiliation data for Lore Health ACO (MSSP, ACO ID A5192).

What billing organization is linked to Sagar B. Patel, MD?

Sagar B. Patel, MD is linked to RETINA CONSULTANTS OF HOUSTON PLLC (billing NPI 1902975352) in the available physician profile data.

Does Sagar B. Patel, MD have Open Payments data?

Sagar B. Patel, MD has 22 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.