Physician

Piyush B. Patel, M.D.

According to 2025 Medicare claims, Piyush Patel, M.D. (NPI: 1629011283) practices family practice in the Columbus, GA-AL market, with the plurality of this provider's patient population coming from Muscogee, GA. This provider's primary affiliated billing organization is SAI NURSING HOME SERVICES, LLC (NPI: 1992269591; TIN: 833026414) and primary practice location at 31904-7932. Patel is affiliated with the Aledade 154 FL GA MSSP Enhanced (ACO ID: A5357) and Assurity DCE LLC (ACO ID: D0129), participating under both the MSSP and REACH models.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 812 traditional Medicare patients, billed 16,012 HCPCS/CPT codes, and received $506,631 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 141,738 prescription claims across 1,267 beneficiaries totaling $4,717,651 in drug costs, led by Eliquis (Apixaban). DME data shows 888 claims. Open Payments data shows 33 records totaling $644. 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 risen steadily, from $369,492 to $506,631. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $54,550 and ending at $48,578.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,229	19,093	$369,492
2016	1,043	19,617	$273,495
2017	867	24,067	$309,097
2018	848	17,323	$230,403
2019	843	13,781	$263,201
2020	802	15,199	$345,035
2021	866	13,916	$380,076
2022	848	15,661	$460,099
2023	864	13,745	$514,052
2024	812	16,012	$506,631

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	1,263	67,872	$3,929,457
2016	1,234	90,504	$4,849,860
2017	1,234	169,932	$5,693,651
2018	1,270	179,987	$5,708,472
2019	1,183	169,518	$5,308,511
2020	1,125	154,121	$5,053,677
2021	1,126	116,169	$4,150,128
2022	1,229	132,366	$4,738,768
2023	1,258	135,294	$5,076,458
2024	1,267	141,738	$4,717,651

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	386	1,592	$127,390
2016	273	1,447	$81,006
2017	126	1,176	$74,763
2018	127	977	$60,784
2019	127	919	$61,325
2020	139	869	$62,086
2021	151	994	$72,896
2022	150	1,039	$63,502
2023	79	869	$90,211
2024	74	888	$89,790

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	348	348	$120
99349	Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	188	527	$93
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	427	2,774	$78
99490	Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	343	1,801	$46
99484	Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional	153	582	$41

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	4,051	33,474	$692,856
Linzess	Linaclotide	346	11,851	$224,085
Januvia	Sitagliptin Phosphate	997	9,892	$194,460
Jardiance	Empagliflozin	382	9,215	$184,824
Trulicity	Dulaglutide	180	3,296	$115,682

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	16	118	$18,643
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	16	34	$18,454
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	45	$14,235
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,065
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	50	$7,659

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	33	$644	AstraZeneca Pharmaceuticals LP
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

FAQ

What Medicare data is available for Piyush B. Patel, M.D.?

Tedicare shows public-source Medicare data for Piyush B. Patel, M.D. (NPI 1629011283), 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 Piyush B. Patel, M.D. have ACO affiliation data?

Piyush B. Patel, M.D. is shown with ACO affiliation data for Aledade 154 FL GA MSSP Enhanced (MSSP, ACO ID A5357) and Assurity DCE LLC (REACH, ACO ID D0129).

What billing organization is linked to Piyush B. Patel, M.D.?

Piyush B. Patel, M.D. is linked to SAI NURSING HOME SERVICES, LLC (billing NPI 1992269591) in the available physician profile data.

Does Piyush B. Patel, M.D. have Open Payments data?

Piyush B. Patel, M.D. has 33 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.