Physician

Patrick S Kulubya, M.D.

According to 2025 Medicare claims, Patrick Kulubya, M.D. (NPI: 1720057714) practices nephrology in the Memphis, TN-MS-AR market, with the plurality of this provider's patient population coming from De Soto, MS. This provider's primary affiliated billing organization is MID-SOUTH NEPHROLOGY CONSULTANTS PLLC (NPI: 1346219342; TIN: 621650432) and primary practice location at 38115-3841. Kulubya is affiliated with the Aledade 155 National MSSP (ACO ID: A5358), participating under the MSSP model.

Kulubya's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,058 traditional Medicare patients, billed 6,981 HCPCS/CPT codes, and received $432,807 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 2,092 prescription claims across 386 beneficiaries totaling $799,778 in drug costs, led by Velphoro (Sucroferric Oxyhydroxide). DME data shows 121 claims. Open Payments data shows 24 records totaling $514. 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 declined steadily, from $441,391 to $432,807. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $287,834 and ending at $799,778. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$230K$459K2015 Medicare payment: $441,391 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $452,988 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $459,060 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $422,165 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $419,367 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $394,867 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $373,994 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $291,784 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $280,169 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $432,807 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,5545,007$441,391
20161,5624,855$452,988
20171,5684,968$459,060
20181,5884,706$422,165
20191,4714,374$419,367
20201,4024,111$394,867
20211,2593,645$373,994
20221,0382,991$291,784
20231,0422,663$280,169
20241,0586,981$432,807

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$711K$1.4M2015 Drug cost: $287,834 (USD; Tot_Drug_Cst)2016 Drug cost: $282,258 (USD; Tot_Drug_Cst)2017 Drug cost: $845,963 (USD; Tot_Drug_Cst)2018 Drug cost: $613,877 (USD; Tot_Drug_Cst)2019 Drug cost: $1,023,422 (USD; Tot_Drug_Cst)2020 Drug cost: $1,422,397 (USD; Tot_Drug_Cst)2021 Drug cost: $941,954 (USD; Tot_Drug_Cst)2022 Drug cost: $861,657 (USD; Tot_Drug_Cst)2023 Drug cost: $692,181 (USD; Tot_Drug_Cst)2024 Drug cost: $799,778 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154002,080$287,834
20163902,040$282,258
20174172,547$845,963
20184582,413$613,877
20196083,037$1,023,422
20205182,659$1,422,397
20214562,021$941,954
20223561,603$861,657
20234031,817$692,181
20243862,092$799,778

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$7.5K$15K2015 Medicare payment: $8,005 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $4,186 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,833 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,790 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $11,606 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $7,042 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,764 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $5,075 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,758 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $15,064 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R63$8,005
2016N/R75$4,186
2017N/R58$2,833
2018N/R64$1,790
2019N/R151$11,606
2020N/R105$7,042
2021N/R115$3,764
2022N/R130$5,075
2023N/R82$1,758
2024N/R121$15,064

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes156164$134
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more353480$86
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4601,110$61
99426Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month114655$49
G2211Visit 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's222268$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VelphoroSucroferric Oxyhydroxide2327,524$576,477
VeltassaPatiromer Calcium Sorbitex642,182$57,192
Sevelamer CarbonateSevelamer Carbonate1859,386$45,247
FarxigaDapagliflozin Propanediol562,410$44,250
Midodrine HclMidodrine Hcl15720$3,135

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J7503Tacrolimus, extended release, (envarsus xr), oral, 0.25 mgNN/R17$12,621
J7518Mycophenolic acid, oral, 180 mgNN/R11$719
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodNN/R34$589
J7507Tacrolimus, immediate release, oral, 1 mgNN/R13$428
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R34$414

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.24$514Travere Therapeutics, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Patrick S. Kulubya, M.D.?

Tedicare shows public-source Medicare data for Patrick S. Kulubya, M.D. (NPI 1720057714), 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 Patrick S. Kulubya, M.D. have ACO affiliation data?

Patrick S. Kulubya, M.D. is shown with ACO affiliation data for Aledade 155 National MSSP (MSSP, ACO ID A5358).

What billing organization is linked to Patrick S. Kulubya, M.D.?

Patrick S. Kulubya, M.D. is linked to MID-SOUTH NEPHROLOGY CONSULTANTS PLLC (billing NPI 1346219342) in the available physician profile data.

Does Patrick S. Kulubya, M.D. have Open Payments data?

Patrick S. Kulubya, M.D. has 24 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.