Physician

Kumar R Patel, MD

According to 2025 Medicare claims, Kumar Patel, MD (NPI: 1720198393) practices allergy/immunology in the Weirton-Steubenville, WV-OH market, with the plurality of this provider's patient population coming from Jefferson, OH. This provider's primary affiliated billing organization is KUMAR PATEL MD LLC (NPI: 1538474234; TIN: 273032509) and primary practice location at 43952-2477.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 271 traditional Medicare patients, billed 13,861 HCPCS/CPT codes, and received $125,964 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 3,142 prescription claims across 522 beneficiaries totaling $638,773 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). 2023 DME data shows 56 claims. Open Payments data shows 193 records totaling $4,397. 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 lower plateau to a higher plateau, from $64,472 to $125,964. Similarly, Part D prescription costs have moved sharply higher in recent years, from $139,625 to $638,773. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

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$85K$170K2015 Medicare payment: $64,472 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $68,749 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $90,459 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $109,825 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $124,560 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $122,903 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $170,271 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $163,971 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $153,201 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $125,964 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151617,171$64,472
20161937,446$68,749
20172629,457$90,459
201825711,394$109,825
201927612,733$124,560
202026912,348$122,903
202133015,876$170,271
202231014,759$163,971
202327814,445$153,201
202427113,861$125,964

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$319K$639K2015 Drug cost: $139,625 (USD; Tot_Drug_Cst)2016 Drug cost: $165,907 (USD; Tot_Drug_Cst)2017 Drug cost: $190,818 (USD; Tot_Drug_Cst)2018 Drug cost: $212,028 (USD; Tot_Drug_Cst)2019 Drug cost: $264,262 (USD; Tot_Drug_Cst)2020 Drug cost: $327,732 (USD; Tot_Drug_Cst)2021 Drug cost: $390,184 (USD; Tot_Drug_Cst)2022 Drug cost: $454,863 (USD; Tot_Drug_Cst)2023 Drug cost: $567,241 (USD; Tot_Drug_Cst)2024 Drug cost: $638,773 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152351,179$139,625
20162431,253$165,907
20172981,512$190,818
20183041,588$212,028
20193821,957$264,262
20203562,055$327,732
20214612,420$390,184
20224852,652$454,863
20234652,669$567,241
20245223,142$638,773

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$1.2K$2.4K2015 Medicare payment: $442 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,367 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $87 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $82 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $574 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R35$442
2016N/R22$2,367
2017N/RN/RN/R
2018N/R30$87
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R12$82
2023N/R56$574
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more175284$57
95165Professional service for preparation and provision of 1 or more antigens1817,510$9
95117Professional service for multiple injections of allergen1933,201$7
95024Test for allergy using allergenic extract injected into skin43509$5
95004Test for allergy using allergenic extract432,059$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter1866,600$138,750
XolairOmalizumab32896$88,377
Dupixent PenDupilumab23644$85,552
Dupixent SyringeDupilumab13364$50,278
Breo ElliptaFluticasone/Vilanterol832,850$35,450

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.193$4,397AstraZeneca Pharmaceuticals LP
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 Kumar R. Patel, MD?

Tedicare shows public-source Medicare data for Kumar R. Patel, MD (NPI 1720198393), 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 Kumar R. Patel, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Kumar R. Patel, MD?

Kumar R. Patel, MD is linked to KUMAR PATEL MD LLC (billing NPI 1538474234) in the available physician profile data.

Does Kumar R. Patel, MD have Open Payments data?

Kumar R. Patel, MD has 193 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.