Physician

Kuntal D Avashia, M.D.

According to 2025 Medicare claims, Kuntal Avashia, M.D. (NPI: 1649595471) practices sleep medicine in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is NEW YORK UNIVERSITY (NPI: 1285826438; TIN: 472665045) and primary practice location at 11530-1760. Avashia is affiliated with the Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Avashia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 247 traditional Medicare patients, billed 480 HCPCS/CPT codes, and received $53,461 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 174 prescription claims across 60 beneficiaries totaling $84,385 in drug costs, led by Clonazepam (Clonazepam). DME data shows 1,999 claims. 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's Medicare Part B carrier billing has moved from a higher plateau to a lower plateau, from $124,202 to $53,461. Similarly, Part D prescription costs have fallen sharply in recent years, from $8,514 to $84,385. For DME billing, reported payments rose steadily, from $848 to $94,169.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	421	1,371	$124,202
2016	329	3,739	$157,535
2017	358	5,078	$184,776
2018	508	3,344	$176,276
2019	532	1,454	$154,711
2020	174	414	$57,355
2021	239	566	$89,459
2022	300	702	$91,456
2023	250	426	$66,757
2024	247	480	$53,461

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	94	243	$8,514
2016	448	5,061	$350,589
2017	462	8,745	$547,868
2018	463	7,018	$426,375
2019	342	1,423	$91,413
2020	39	105	$7,798
2021	33	83	$1,061
2022	41	72	$2,916
2023	35	78	$1,724
2024	60	174	$84,385

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	223	512	$19,166
2017	410	1,225	$39,858
2018	556	1,292	$63,815
2019	462	1,122	$67,525
2020	672	1,315	$65,187
2021	833	1,780	$75,412
2022	1,063	2,195	$91,728
2023	991	2,086	$87,335
2024	945	1,999	$86,753

* / # = 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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	42	42	$164
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	35	42	$159
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	56	56	$140
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	204	$102
95810	Sleep study in sleep lab (6 years or older)	74	74	$100

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Clonazepam	Clonazepam	71	1,853	$365
Zolpidem Tartrate	Zolpidem Tartrate	14	385	$51

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
A7030	Full face mask used with positive airway pressure device, each	N	73	151	$12,900
A7032	Cushion for use on nasal mask interface, replacement only, each	N	64	138	$12,047
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	131	279	$10,140
A7031	Face mask interface, replacement for full face mask, each	N	64	135	$10,092
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	88	192	$9,152

Open Payments Summary

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

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FAQ

What Medicare data is available for Kuntal D. Avashia, M.D.?

Tedicare shows public-source Medicare data for Kuntal D. Avashia, M.D. (NPI 1649595471), 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 Kuntal D. Avashia, M.D. have ACO affiliation data?

Kuntal D. Avashia, M.D. is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Kuntal D. Avashia, M.D.?

Kuntal D. Avashia, M.D. is linked to NEW YORK UNIVERSITY (billing NPI 1285826438) in the available physician profile data.

Does Kuntal D. Avashia, 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.