Physician

Nehal T Patel, MD

According to 2025 Medicare claims, Nehal Patel, MD (NPI: 1750686283) practices family practice in the Beckley, WV market, with the plurality of this provider's patient population coming from Raleigh, WV. This provider's primary affiliated billing organization is APPALACHIAN REGIONAL HEALTHCARE, INC (NPI: 1477510162; TIN: 520795508) and primary practice location at 25801-3142. Patel is affiliated with the AdvantagePoint Health Alliance - Blue Ridge, LLC (ACO ID: A4654) and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 378 traditional Medicare patients, billed 1,796 HCPCS/CPT codes, and received $119,246 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 10,748 prescription claims across 656 beneficiaries totaling $1,043,916 in drug costs, led by Ozempic (Semaglutide). DME data shows 282 claims. Open Payments data shows 22 records totaling $419. 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 fallen sharply in recent years, from $175,279 to $119,246. In contrast, Part D prescription costs have risen steadily, from $18,960 to $1,043,916. For DME billing, reported payments moved sharply higher in recent years, from $5,382 to $30,374.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	593	2,137	$175,279
2016	809	2,903	$229,738
2017	885	2,889	$228,771
2018	993	3,142	$303,164
2019	927	3,160	$302,246
2020	538	2,384	$231,630
2021	349	1,675	$114,687
2022	397	2,163	$138,021
2023	375	1,648	$114,921
2024	378	1,796	$119,246

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	180	441	$18,960
2016	201	393	$23,835
2017	175	362	$24,656
2018	284	590	$43,871
2019	307	633	$42,650
2020	240	518	$26,023
2021	282	2,239	$122,814
2022	417	5,622	$425,739
2023	528	8,499	$953,428
2024	656	10,748	$1,043,916

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	42	$3,964
2016	N/R	86	$2,886
2017	N/R	124	$4,173
2018	26	173	$5,429
2019	32	241	$10,198
2020	70	383	$18,946
2021	29	217	$11,054
2022	38	260	$13,164
2023	32	306	$18,381
2024	13	282	$25,538

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	106	126	$122
99239	Hospital discharge day management, more than 30 minutes	132	154	$83
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	670	$58
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	127	335	$49
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	80	125	$32

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	133	5,860	$195,355
Eliquis	Apixaban	177	5,599	$108,011
Mounjaro	Tirzepatide	57	1,579	$62,443
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	60	2,220	$47,437
Tradjenta	Linagliptin	40	2,595	$43,548

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	11	$11,176
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	13	84	$9,823
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	17	$1,413
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	64	$1,255
E0600	Respiratory suction pump, home model, portable or stationary, electric	Y	N/R	14	$544

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	22	$419	Merck Sharp & Dohme LLC
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 Nehal T. Patel, MD?

Tedicare shows public-source Medicare data for Nehal T. Patel, MD (NPI 1750686283), 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 Nehal T. Patel, MD have ACO affiliation data?

Nehal T. Patel, MD is shown with ACO affiliation data for AdvantagePoint Health Alliance - Blue Ridge, LLC (MSSP, ACO ID A4654) and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Nehal T. Patel, MD?

Nehal T. Patel, MD is linked to APPALACHIAN REGIONAL HEALTHCARE, INC (billing NPI 1477510162) in the available physician profile data.

Does Nehal T. Patel, MD have Open Payments data?

Nehal T. Patel, MD has 22 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.