Physician

Nilesh Shantilal Patel, M.D.

According to 2025 Medicare claims, Nilesh Patel, M.D. (NPI: 1679637946) practices radiation oncology in the Knoxville, TN market, with the plurality of this provider's patient population coming from Knox, TN. This provider's primary affiliated billing organization is KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC (NPI: 1629356969; TIN: 452535719) and primary practice location at 37934-1956. Patel is affiliated with the CHSPSC ACO 14, LLC (ACO ID: A3724), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 386 traditional Medicare patients, billed 7,613 HCPCS/CPT codes, and received $496,883 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 441 prescription claims across 189 beneficiaries totaling $27,195 in drug costs, led by Tamsulosin Hcl (Tamsulosin Hcl). Open Payments data shows 10 records totaling $246. 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 moved sharply higher in recent years, from $18,689 to $27,195. 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	338	8,026	$420,885
2016	364	7,143	$406,954
2017	358	8,474	$450,188
2018	316	7,547	$395,781
2019	312	9,091	$676,325
2020	318	14,857	$1,228,768
2021	330	9,941	$821,806
2022	316	6,420	$451,027
2023	326	6,430	$435,918
2024	386	7,613	$496,883

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	157	466	$18,689
2016	145	394	$15,595
2017	134	349	$14,088
2018	131	349	$11,599
2019	105	235	$9,813
2020	115	314	$9,800
2021	112	301	$6,597
2022	114	250	$4,456
2023	109	277	$11,119
2024	189	441	$27,195

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
99205	New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	141	141	$127
77263	Complex radiation therapy planning	144	170	$123
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	281	438	$99
77300	Calculation of radiation therapy dose	149	678	$24
G2212	Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or	140	140	$23

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tamsulosin Hcl	Tamsulosin Hcl	162	7,245	$1,101
Ciprofloxacin Hcl	Ciprofloxacin Hcl	65	328	$265
Dexamethasone	Dexamethasone	14	166	$183
Methylprednisolone	Methylprednisolone	19	114	$170
Prednisone	Prednisone	44	647	$154

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.	10	$246	Blue Earth Diagnostics Limited
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

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FAQ

What Medicare data is available for Nilesh Shantilal Patel, M.D.?

Tedicare shows public-source Medicare data for Nilesh Shantilal Patel, M.D. (NPI 1679637946), 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 Nilesh Shantilal Patel, M.D. have ACO affiliation data?

Nilesh Shantilal Patel, M.D. is shown with ACO affiliation data for CHSPSC ACO 14, LLC (MSSP, ACO ID A3724).

What billing organization is linked to Nilesh Shantilal Patel, M.D.?

Nilesh Shantilal Patel, M.D. is linked to KNOXVILLE HMA PHYSICIAN MANAGEMENT, LLC (billing NPI 1629356969) in the available physician profile data.

Does Nilesh Shantilal Patel, M.D. have Open Payments data?

Nilesh Shantilal Patel, M.D. has 10 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.