Physician

Amar L. Pohwani, M.D.

According to 2025 Medicare claims, Amar Pohwani, M.D. (NPI: 1689622995) practices interventional cardiology in the Modesto, CA market, with the plurality of this provider's patient population coming from Stanislaus, CA. This provider's primary affiliated billing organization is SUTTER VALLEY MEDICAL FOUNDATION (NPI: 1669846986; TIN: 680273974) and primary practice location at 95355-2707. Pohwani is affiliated with the Sutter Medicare Direct (ACO ID: A5279), participating under the MSSP model.

Pohwani's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,220 traditional Medicare patients, billed 4,939 HCPCS/CPT codes, and received $401,848 in Medicare payments. The top billing code was 78452 (Nuclear medicine studies of heart muscle at rest and with stress and spect). Part D data shows 3,329 prescription claims across 529 beneficiaries totaling $497,469 in drug costs, led by Eliquis (Apixaban). 2021 DME data shows 15 claims. Open Payments data shows 69 records totaling $3,382. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $110,494 to $497,469. 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	1,067	3,117	$329,128
2016	1,107	3,410	$365,953
2017	1,260	3,940	$413,437
2018	1,278	3,847	$384,775
2019	1,527	4,845	$483,918
2020	1,632	4,825	$405,489
2021	1,654	5,178	$451,647
2022	1,556	4,600	$379,794
2023	1,398	4,553	$404,847
2024	1,220	4,939	$401,848

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	370	2,650	$110,494
2016	393	2,624	$111,625
2017	317	1,710	$61,654
2018	288	1,528	$82,099
2019	310	1,594	$138,930
2020	306	1,580	$149,542
2021	377	1,981	$178,709
2022	459	2,526	$288,146
2023	518	3,198	$553,735
2024	529	3,329	$497,469

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	37	$3,917
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	12	$920
2021	N/R	15	$1,217
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
78452	Nuclear medicine studies of heart muscle at rest and with stress and spect	143	143	$352
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	466	506	$121
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	458	823	$97
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	306	369	$13
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	189	193	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	273	13,326	$248,689
Entresto	Sacubitril/Valsartan	98	4,650	$102,300
Farxiga	Dapagliflozin Propanediol	38	2,760	$48,642
Brilinta	Ticagrelor	26	1,770	$26,015
Xarelto	Rivaroxaban	35	1,170	$20,955

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.	69	$3,382	Abbott Laboratories
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 Amar L. Pohwani, M.D.?

Tedicare shows public-source Medicare data for Amar L. Pohwani, M.D. (NPI 1689622995), 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 Amar L. Pohwani, M.D. have ACO affiliation data?

Amar L. Pohwani, M.D. is shown with ACO affiliation data for Sutter Medicare Direct (MSSP, ACO ID A5279).

What billing organization is linked to Amar L. Pohwani, M.D.?

Amar L. Pohwani, M.D. is linked to SUTTER VALLEY MEDICAL FOUNDATION (billing NPI 1669846986) in the available physician profile data.

Does Amar L. Pohwani, M.D. have Open Payments data?

Amar L. Pohwani, M.D. has 69 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.