Physician

Sheetal Malik, M.D.

According to 2025 Medicare claims, Sheetal Malik, M.D. (NPI: 1669413712) practices epileptologists in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Hamilton, OH. This provider's primary affiliated billing organization is UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC (NPI: 1801840434; TIN: 311405915) and primary practice location at 45219-2316. Malik is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033), Mercy Health Select, LLC (ACO ID: A1215), Cotton-O'Neil ACO llc (ACO ID: A2506), Healthcare Solutions Network (ACO ID: A3283), Caravan Health ACO 50 LLC (ACO ID: A5160), and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Malik's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 300 traditional Medicare patients, billed 566 HCPCS/CPT codes, and received $61,796 in Medicare payments. The top billing code was 95720 (Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional). Part D data shows 2,910 prescription claims across 259 beneficiaries totaling $1,010,925 in drug costs, led by Xcopri (Cenobamate). Open Payments data shows 17 records totaling $14,543. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $565,985 to $1,010,925. 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	218	458	$62,543
2016	190	422	$55,313
2017	211	452	$61,791
2018	236	483	$68,368
2019	231	553	$78,770
2020	206	403	$44,423
2021	203	437	$51,375
2022	163	291	$28,093
2023	244	462	$55,489
2024	300	566	$61,796

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	175	1,845	$565,985
2016	213	2,165	$650,651
2017	236	2,184	$824,198
2018	209	2,486	$1,011,676
2019	199	2,361	$939,591
2020	195	2,445	$1,168,401
2021	257	2,293	$1,048,514
2022	259	2,820	$1,194,958
2023	297	2,897	$1,082,180
2024	259	2,910	$1,010,925

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
95720	Measurement of brain wave activity with video (veeg), 12-26 hours with review and report by health care professional	175	287	$153
95718	Measurement of brain wave activity with video (veeg), 2-12 hours with review and report by health care professional	68	71	$100
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	37	$54
95816	Measurement of brain wave activity (eeg), awake and drowsy	35	35	$40
G2211	Visit 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's	53	57	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xcopri	Cenobamate	100	3,800	$148,402
Epidiolex	Cannabidiol (Cbd)	42	1,260	$146,363
Rufinamide	Rufinamide	61	1,842	$116,064
Topamax	Topiramate	25	989	$73,388
Keppra	Levetiracetam	21	750	$45,315

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.	17	$14,543	SK Life Science, 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

Explore More Providers

FAQ

What Medicare data is available for Sheetal Malik, M.D.?

Tedicare shows public-source Medicare data for Sheetal Malik, M.D. (NPI 1669413712), 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 Sheetal Malik, M.D. have ACO affiliation data?

Sheetal Malik, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033), Mercy Health Select, LLC (MSSP, ACO ID A1215), Cotton-O'Neil ACO llc (MSSP, ACO ID A2506), Healthcare Solutions Network (MSSP, ACO ID A3283), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Sheetal Malik, M.D.?

Sheetal Malik, M.D. is linked to UNIVERSITY OF CINCINNATI PHYSICIANS COMPANY, LLC (billing NPI 1801840434) in the available physician profile data.

Does Sheetal Malik, M.D. have Open Payments data?

Sheetal Malik, M.D. has 17 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.