Physician

Sumit Sharma, M.D.

According to 2025 Medicare claims, Sumit Sharma, M.D. (NPI: 1801025697) practices ophthalmology in the Akron, OH market, with the plurality of this provider's patient population coming from Summit, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44195-0001. Sharma is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Sharma's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 553 traditional Medicare patients, billed 3,099 HCPCS/CPT codes, and received $156,302 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 1,087 prescription claims across 249 beneficiaries totaling $51,420 in drug costs, led by Difluprednate (Difluprednate). Open Payments data shows 83 records totaling $128,405. 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 risen steadily, from $5,496 to $156,302. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $16,869 to $51,420. 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$85K$170K2015 Medicare payment: $5,496 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $77,611 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $152,981 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $170,357 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $147,066 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $122,496 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $156,151 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $156,705 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $145,981 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $156,302 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154376$5,496
20163211,334$77,611
20174962,967$152,981
20185473,272$170,357
20195072,884$147,066
20204662,309$122,496
20215573,021$156,151
20225793,326$156,705
20235393,174$145,981
20245533,099$156,302

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$36K$72K2015 Drug cost: $16,869 (USD; Tot_Drug_Cst)2016 Drug cost: $19,216 (USD; Tot_Drug_Cst)2017 Drug cost: $35,252 (USD; Tot_Drug_Cst)2018 Drug cost: $59,646 (USD; Tot_Drug_Cst)2019 Drug cost: $64,678 (USD; Tot_Drug_Cst)2020 Drug cost: $65,074 (USD; Tot_Drug_Cst)2021 Drug cost: $65,413 (USD; Tot_Drug_Cst)2022 Drug cost: $72,083 (USD; Tot_Drug_Cst)2023 Drug cost: $59,507 (USD; Tot_Drug_Cst)2024 Drug cost: $51,420 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201582203$16,869
201693286$19,216
2017114444$35,252
2018160757$59,646
2019203866$64,678
2020187877$65,074
2021211912$65,413
20222401,084$72,083
2023223889$59,507
20242491,087$51,420

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
67028Injection of drug into eye133506$70
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more256414$68
92014Established patient complete exam of visual system280341$47
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more163252$42
92134Imaging of retina5251,315$16

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
DifluprednateDifluprednate1484,331$10,825
Prednisolone AcetatePrednisolone Acetate22711,672$10,484
IlevroNepafenac22590$8,690
CombiganBrimonidine Tartrate/Timolol15369$2,602
Valganciclovir HclValganciclovir Hcl11330$2,148

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.63$79,806EyePoint Pharmaceuticals US, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.20$48,599Cleveland Clinic Hospital
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Sumit Sharma, M.D.?

Tedicare shows public-source Medicare data for Sumit Sharma, M.D. (NPI 1801025697), 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 Sumit Sharma, M.D. have ACO affiliation data?

Sumit Sharma, M.D. is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Sumit Sharma, M.D.?

Sumit Sharma, M.D. is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Sumit Sharma, M.D. have Open Payments data?

Sumit Sharma, M.D. has 83 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.