Physician

Arpan Patel

According to 2025 Medicare claims, Arpan Patel (NPI: 1790102812) practices advanced heart failure and transplant cardiology in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is THE HEART GROUP OF LANCASTER GENERAL HEALTH (NPI: 1760793210; TIN: 300634510) and primary practice location at 17603-2962. Patel is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 616 traditional Medicare patients, billed 1,521 HCPCS/CPT codes, and received $88,399 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 2,577 prescription claims across 497 beneficiaries totaling $6,326,480 in drug costs, led by Vyndamax (Tafamidis). DME data shows 380 claims. Open Payments data shows 23 records totaling $603. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $22,709 to $6,326,480. 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.

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$53K$106K2021 Medicare payment: $29,735 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $103,499 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $105,985 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $88,399 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021324477$29,735
20221,3172,140$103,499
20237981,617$105,985
20246161,521$88,399

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$3.2M$6.3M2015 Drug cost: $22,709 (USD; Tot_Drug_Cst)2016 Drug cost: $21,692 (USD; Tot_Drug_Cst)2017 Drug cost: $34,167 (USD; Tot_Drug_Cst)2018 Drug cost: $6,279 (USD; Tot_Drug_Cst)2019 Drug cost: $14,198 (USD; Tot_Drug_Cst)2020 Drug cost: $9,295 (USD; Tot_Drug_Cst)2021 Drug cost: $104,133 (USD; Tot_Drug_Cst)2022 Drug cost: $759,725 (USD; Tot_Drug_Cst)2023 Drug cost: $1,931,386 (USD; Tot_Drug_Cst)2024 Drug cost: $6,326,480 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201541383$22,709
201653457$21,692
201754471$34,167
20182565$6,279
201926109$14,198
20202893$9,295
2021100268$104,133
20223452,337$759,725
20234842,636$1,931,386
20244972,577$6,326,480

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$20K$39K2022 Medicare payment: $4,486 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $32,277 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $39,081 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/R42$4,486
2023N/R273$32,277
2024N/R380$39,081

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more7383$129
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more226310$84
93297Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days184228$43
93290Evaluation of implantable heart and blood vessel monitoring system90107$31
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's232344$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VyndamaxTafamidis1354,050$2,843,714
Tyvaso DpiTreprostinil561,568$1,641,046
AdempasRiociguat381,193$558,344
CamzyosMavacamten25720$202,012
AmbrisentanAmbrisentan29930$178,209

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)NN/R128$24,866
J2260Injection, milrinone lactate, 5 mgNN/R128$11,835
A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)NN/R124$2,380

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.23$603Abbott Laboratories
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 Arpan Patel?

Tedicare shows public-source Medicare data for Arpan Patel (NPI 1790102812), 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 Arpan Patel have ACO affiliation data?

Arpan Patel is shown with ACO affiliation data for Lancaster General Health Community Care Collaborative, LLC (MSSP, ACO ID A2019).

What billing organization is linked to Arpan Patel?

Arpan Patel is linked to THE HEART GROUP OF LANCASTER GENERAL HEALTH (billing NPI 1760793210) in the available physician profile data.

Does Arpan Patel have Open Payments data?

Arpan Patel has 23 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.