Physician

Sunil S. Patel, MD, PHD

According to 2025 Medicare claims, Sunil Patel, MD, PHD (NPI: 1760476964) practices ophthalmology in the Abilene, TX market, with the plurality of this provider's patient population coming from Taylor, TX. This provider's primary affiliated billing organization is OPHTHALMOLOGY SPECIALISTS OF TEXAS, PLLC (NPI: 1902836166; TIN: 450466456) and primary practice location at 79606-1224. Patel is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,596 traditional Medicare patients, billed 28,304 HCPCS/CPT codes, and received $2,929,321 in Medicare payments. The top billing code was 92235 (Exam of retinal blood vessels using a special camera after injection of a dye). Part D data shows 3,197 prescription claims across 753 beneficiaries totaling $122,545 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 193 records totaling $1,025,954. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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	2,341	18,038	$2,367,626
2016	2,558	19,209	$2,433,926
2017	2,426	17,317	$2,366,023
2018	2,019	14,658	$2,071,853
2019	2,014	14,012	$2,024,856
2020	1,791	11,703	$1,720,054
2021	1,734	12,011	$1,836,801
2022	1,676	13,670	$1,661,214
2023	1,667	28,179	$2,630,802
2024	1,596	28,304	$2,929,321

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	662	2,402	$180,406
2016	658	2,388	$180,636
2017	508	2,558	$194,399
2018	488	2,390	$281,810
2019	475	2,502	$286,170
2020	490	2,670	$352,214
2021	557	2,657	$254,714
2022	541	2,457	$206,193
2023	565	2,751	$151,240
2024	753	3,197	$122,545

DME Billing Trend

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

No connected DME records

* / # = 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
92235	Exam of retinal blood vessels using a special camera after injection of a dye	427	472	$120
92014	Established patient complete exam of visual system	939	1,335	$98
67028	Injection of drug into eye	476	1,843	$88
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	967	1,919	$86
92134	Imaging of retina	1,421	3,336	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	369	12,918	$12,313
Bromfenac Sodium	Bromfenac Sodium	99	2,324	$11,194
Zirgan	Ganciclovir	25	551	$11,064
Prolensa	Bromfenac Sodium	31	880	$10,023
Ketorolac Tromethamine	Ketorolac Tromethamine	245	9,780	$7,781

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.	21	$1,995	US Oncology Corporate, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	172	$1,023,959	Genentech, Inc.
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 Sunil S. Patel, MD, PHD?

Tedicare shows public-source Medicare data for Sunil S. Patel, MD, PHD (NPI 1760476964), 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 Sunil S. Patel, MD, PHD have ACO affiliation data?

Sunil S. Patel, MD, PHD is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Sunil S. Patel, MD, PHD?

Sunil S. Patel, MD, PHD is linked to OPHTHALMOLOGY SPECIALISTS OF TEXAS, PLLC (billing NPI 1902836166) in the available physician profile data.

Does Sunil S. Patel, MD, PHD have Open Payments data?

Sunil S. Patel, MD, PHD 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.