Physician

Sanjay Agarwal, M.D.

According to 2025 Medicare claims, Sanjay Agarwal, M.D. (NPI: 1871575688) practices ophthalmology in the Corpus Christi, TX market, with the plurality of this provider's patient population coming from Nueces, TX. This provider's primary affiliated billing organization is COASTAL BEND RETINA, P.A. (NPI: 1306962675; TIN: 900145614) and primary practice location at 78414-4228.

Agarwal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 976 traditional Medicare patients, billed 22,694 HCPCS/CPT codes, and received $1,703,349 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 676 prescription claims across 231 beneficiaries totaling $893,683 in drug costs, led by Eylea (Aflibercept). 2020 DME data shows 26 claims. Open Payments data shows 4 records totaling $106. 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 $673,205 to $1,703,349. Similarly, Part D prescription costs have risen steadily, from $29,415 to $893,683. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $740 and ending at $2,573.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	733	5,263	$673,205
2016	733	4,951	$705,060
2017	766	5,250	$766,698
2018	776	6,108	$1,071,920
2019	808	5,749	$955,833
2020	654	4,319	$762,996
2021	712	4,967	$842,808
2022	967	6,054	$1,027,265
2023	1,068	9,363	$1,494,646
2024	976	22,694	$1,703,349

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	102	260	$29,415
2016	92	183	$20,654
2017	97	194	$12,619
2018	90	206	$23,840
2019	105	235	$27,014
2020	70	156	$12,790
2021	84	143	$16,037
2022	147	343	$476,930
2023	186	586	$920,168
2024	231	676	$893,683

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	58	$2,331
2019	N/R	12	$107
2020	N/R	26	$556
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	304	396	$100
67028	Injection of drug into eye	290	1,301	$88
92014	Established patient complete exam of visual system	291	335	$81
92012	Established patient problem focused exam of visual system	472	581	$62
92134	Imaging of retina	869	2,259	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eylea	Aflibercept	258	7,294	$638,296
Vabysmo	Faricimab-Svoa	70	1,962	$179,361
Eylea Hd	Aflibercept	19	532	$49,875
Prednisolone Acetate	Prednisolone Acetate	32	1,470	$1,787
Ketorolac Tromethamine	Ketorolac Tromethamine	33	774	$1,576

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.	4	$106	Regeneron Healthcare Solutions, Inc.
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 Sanjay Agarwal, M.D.?

Tedicare shows public-source Medicare data for Sanjay Agarwal, M.D. (NPI 1871575688), 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 Sanjay Agarwal, M.D. have ACO affiliation data?

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

What billing organization is linked to Sanjay Agarwal, M.D.?

Sanjay Agarwal, M.D. is linked to COASTAL BEND RETINA, P.A. (billing NPI 1306962675) in the available physician profile data.

Does Sanjay Agarwal, M.D. have Open Payments data?

Sanjay Agarwal, M.D. has 4 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.