Physician

Dinakara B. Shetty, MD

According to 2025 Medicare claims, Dinakara Shetty, MD (NPI: 1619914975) practices internal medicine in the Warner Robins, GA market, with the plurality of this provider's patient population coming from Houston, GA. This provider's primary affiliated billing organization is SOUTHEAST MEDICAL GROUP, P.C. (NPI: 1235296054; TIN: 581896468) and primary practice location at 31088-5763. Shetty is affiliated with the TC2, LLC (ACO ID: A3365) and Southeast Quality Network, LLC (ACO ID: A5337), participating under the MSSP model.

Shetty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,016 traditional Medicare patients, billed 12,094 HCPCS/CPT codes, and received $415,631 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 13,019 prescription claims across 1,192 beneficiaries totaling $1,276,308 in drug costs, led by Eliquis (Apixaban). DME data shows 331 claims. Open Payments data shows 30 records totaling $688. 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 up and down with repeated peaks and valleys, starting at $618,403 and ending at $415,631. Concurrently, Part D prescription costs have risen steadily, from $535,620 to $1,276,308. In contrast, DME billing represents a smaller volume and moved from a higher plateau to a lower plateau, from $42,055 to $18,281.

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$348K$695K2015 Medicare payment: $618,403 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $604,837 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $695,269 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $683,489 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $428,716 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $609,245 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $666,129 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $527,924 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $446,748 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $415,631 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,58417,938$618,403
20161,58214,366$604,837
20171,99114,378$695,269
20181,74316,536$683,489
20191,5029,195$428,716
20201,45527,918$609,245
20211,48423,429$666,129
20221,37610,511$527,924
20231,3138,983$446,748
20241,01612,094$415,631

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$711K$1.4M2015 Drug cost: $535,620 (USD; Tot_Drug_Cst)2016 Drug cost: $946,715 (USD; Tot_Drug_Cst)2017 Drug cost: $813,043 (USD; Tot_Drug_Cst)2018 Drug cost: $870,529 (USD; Tot_Drug_Cst)2019 Drug cost: $899,653 (USD; Tot_Drug_Cst)2020 Drug cost: $926,422 (USD; Tot_Drug_Cst)2021 Drug cost: $976,244 (USD; Tot_Drug_Cst)2022 Drug cost: $1,151,254 (USD; Tot_Drug_Cst)2023 Drug cost: $1,422,256 (USD; Tot_Drug_Cst)2024 Drug cost: $1,276,308 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156269,348$535,620
201668313,247$946,715
201781211,301$813,043
201881911,264$870,529
201986611,245$899,653
202090311,286$926,422
20211,01711,220$976,244
20221,02711,817$1,151,254
20231,07012,554$1,422,256
20241,19213,019$1,276,308

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$17K$34K2015 Medicare payment: $32,982 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $33,517 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $29,367 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $24,773 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $11,839 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $17,098 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $18,717 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $14,866 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $9,595 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $13,150 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015147618$32,982
2016166798$33,517
2017171604$29,367
2018104543$24,773
201967440$11,839
202074435$17,098
202145433$18,717
202247335$14,866
202317240$9,595
202466331$13,150

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more5701,667$90
99497Advance care planning, first 30 minutes323326$72
G0442Annual alcohol misuse screening, 5 to 15 minutes245245$17
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's5061,202$12
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only356441$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban21710,624$204,342
OzempicSemaglutide1696,302$188,934
JanuviaSitagliptin Phosphate965,160$92,915
FarxigaDapagliflozin Propanediol1025,150$85,519
MounjaroTirzepatide622,018$74,322

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R46$3,076
A7031Face mask interface, replacement for full face mask, eachN1127$2,424
A7030Full face mask used with positive airway pressure device, eachN1127$2,212
A4604Tubing with integrated heating element for use with positive airway pressure deviceN1335$1,281
E0601Continuous positive airway pressure (cpap) deviceYN/R34$1,068

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.30$688Novo Nordisk 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 Dinakara B. Shetty, MD?

Tedicare shows public-source Medicare data for Dinakara B. Shetty, MD (NPI 1619914975), 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 Dinakara B. Shetty, MD have ACO affiliation data?

Dinakara B. Shetty, MD is shown with ACO affiliation data for TC2, LLC (MSSP, ACO ID A3365) and Southeast Quality Network, LLC (MSSP, ACO ID A5337).

What billing organization is linked to Dinakara B. Shetty, MD?

Dinakara B. Shetty, MD is linked to SOUTHEAST MEDICAL GROUP, P.C. (billing NPI 1235296054) in the available physician profile data.

Does Dinakara B. Shetty, MD have Open Payments data?

Dinakara B. Shetty, MD has 30 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.