Physician

Hershel R Patel, MD

According to 2025 Medicare claims, Hershel Patel, MD (NPI: 1801216072) practices ophthalmology in the Orlando-Kissimmee-Sanford, FL market, with the plurality of this provider's patient population coming from Lake, FL. This provider's primary affiliated billing organization is VITREOUS & RETINA CONSULTANTS, PA (NPI: 1730159575; TIN: 593028408) and primary practice location at 34484-2969.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 728 traditional Medicare patients, billed 27,297 HCPCS/CPT codes, and received $2,399,640 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 856 prescription claims across 217 beneficiaries totaling $438,270 in drug costs, led by Eylea (Aflibercept). Open Payments data shows 9 records totaling $413. 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 $10,388 to $2,399,640. Similarly, Part D prescription costs have risen steadily, from $868 to $438,270. 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$1.2M$2.4M2018 Medicare payment: $10,388 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $53,330 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $210,223 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,027,313 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,370,548 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,692,674 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,399,640 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20185282$10,388
2019257457$53,330
20203921,534$210,223
20216145,477$1,027,313
20226756,406$1,370,548
20237209,624$1,692,674
202472827,297$2,399,640

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$219K$438K2015 Drug cost: $868 (USD; Tot_Drug_Cst)2018 Drug cost: $2,810 (USD; Tot_Drug_Cst)2019 Drug cost: $571 (USD; Tot_Drug_Cst)2020 Drug cost: $6,468 (USD; Tot_Drug_Cst)2021 Drug cost: $27,727 (USD; Tot_Drug_Cst)2022 Drug cost: $153,179 (USD; Tot_Drug_Cst)2023 Drug cost: $154,298 (USD; Tot_Drug_Cst)2024 Drug cost: $438,270 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151218$868
2016N/RN/RN/R
2017N/RN/RN/R
20181222$2,810
20191220$571
202047109$6,468
2021132357$27,727
2022180568$153,179
2023196757$154,298
2024217856$438,270

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 eye3251,310$93
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more388522$86
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more279529$61
92134Imaging of retina5021,428$28
92250Photography of the retina268320$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EyleaAflibercept1454,074$295,340
VabysmoFaricimab-Svoa12336$48,793
SyfovrePegcetacoplan/Pf16448$37,238
Prednisolone AcetatePrednisolone Acetate1614,657$6,685
TravoprostTravoprost12570$1,728

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.9$413Apellis Pharmaceuticals, Inc.
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 Hershel R. Patel, MD?

Tedicare shows public-source Medicare data for Hershel R. Patel, MD (NPI 1801216072), 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 Hershel R. Patel, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Hershel R. Patel, MD?

Hershel R. Patel, MD is linked to VITREOUS & RETINA CONSULTANTS, PA (billing NPI 1730159575) in the available physician profile data.

Does Hershel R. Patel, MD have Open Payments data?

Hershel R. Patel, MD has 9 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.