Physician

Sivaraman K. Gounder, MD

According to 2025 Medicare claims, Sivaraman Gounder, MD (NPI: 1740436237) practices internal medicine in the El Centro, CA market, with the plurality of this provider's patient population coming from Imperial, CA. This provider's primary affiliated billing organization is ALERTIVE HEALTHCARE MEDICAL GROUP APC (NPI: 1467024331; TIN: 864006404) and primary practice location at 92592-6839. Gounder is affiliated with the CALIFORNIA CLINICAL PARTNERS ACO, LLC (ACO ID: A4709) and Sharp Rees-Stealy Medical Group (ACO ID: A5521), participating under the MSSP model.

Gounder's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 854 traditional Medicare patients, billed 9,983 HCPCS/CPT codes, and received $838,401 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 3,620 prescription claims across 232 beneficiaries totaling $265,961 in drug costs, led by Eliquis (Apixaban). DME data shows 193 claims. Open Payments data shows 11 records totaling $345. 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 sharply higher in recent years, from $120,188 to $838,401. Similarly, Part D prescription costs have moved sharply higher in recent years, from $48,686 to $265,961. In contrast, DME billing represents a smaller volume and rose steadily, from $6,172 to $24,780.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	477	1,665	$120,188
2016	320	1,110	$85,096
2017	389	1,508	$143,726
2018	581	2,500	$235,846
2019	582	1,946	$175,697
2020	555	1,905	$187,720
2021	628	2,167	$203,835
2022	852	5,248	$421,805
2023	736	5,222	$486,387
2024	854	9,983	$838,401

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	173	1,291	$48,686
2016	143	421	$15,770
2017	192	586	$46,534
2018	232	652	$50,719
2019	237	1,314	$60,620
2020	195	1,566	$69,025
2021	330	2,748	$186,358
2022	334	5,418	$432,612
2023	318	5,988	$394,100
2024	232	3,620	$265,961

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	69	$4,874
2016	N/R	52	$2,544
2017	N/R	34	$1,245
2018	28	146	$6,408
2019	23	145	$5,040
2020	N/R	77	$12,102
2021	11	111	$42,566
2022	52	271	$6,603
2023	18	259	$18,040
2024	13	193	$5,989

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	310	343	$151
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	234	753	$93
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	420	5,024	$87
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	318	2,395	$63
99497	Advance care planning, first 30 minutes	302	332	$62

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	133	3,378	$61,195
Xarelto	Rivaroxaban	27	739	$14,127
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	11	630	$12,544
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	12	360	$5,535
Pradaxa	Dabigatran Etexilate Mesylate	19	549	$4,412

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	23	$1,659
K0001	Standard wheelchair	Y	13	72	$1,432
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	26	$1,051
E0295	Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress	Y	N/R	16	$992
K0003	Lightweight wheelchair	Y	N/R	13	$390

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	11	$345	ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
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 Sivaraman K. Gounder, MD?

Tedicare shows public-source Medicare data for Sivaraman K. Gounder, MD (NPI 1740436237), 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 Sivaraman K. Gounder, MD have ACO affiliation data?

Sivaraman K. Gounder, MD is shown with ACO affiliation data for CALIFORNIA CLINICAL PARTNERS ACO, LLC (MSSP, ACO ID A4709) and Sharp Rees-Stealy Medical Group (MSSP, ACO ID A5521).

What billing organization is linked to Sivaraman K. Gounder, MD?

Sivaraman K. Gounder, MD is linked to ALERTIVE HEALTHCARE MEDICAL GROUP APC (billing NPI 1467024331) in the available physician profile data.

Does Sivaraman K. Gounder, MD have Open Payments data?

Sivaraman K. Gounder, MD has 11 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.