Physician

Achal Garbharran, MD

According to 2025 Medicare claims, Achal Garbharran, MD (NPI: 1942421144) practices endocrinology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Mc Henry, IL. This provider's primary affiliated billing organization is CENTRAL DUPAGE PHYSICIAN GROUP (NPI: 1033149844; TIN: 363149833) and primary practice location at 60014-8003. Garbharran is affiliated with the Northwestern Medicine Health Network ACO LLC (ACO ID: A5444), participating under the MSSP model.

Garbharran's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 766 traditional Medicare patients, billed 6,681 HCPCS/CPT codes, and received $206,549 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 5,611 prescription claims across 722 beneficiaries totaling $2,320,257 in drug costs, led by Ozempic (Semaglutide). DME data shows 948 claims. Open Payments data shows 5 records totaling $352. 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 from a lower plateau to a higher plateau, from $47,050 to $206,549. Similarly, Part D prescription costs have moved sharply higher in recent years, from $839,440 to $2,320,257. For DME billing, reported payments moved sharply higher in recent years, from $14,060 to $289,563.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	384	2,815	$47,050
2016	411	763	$45,505
2017	368	682	$38,191
2018	408	879	$48,981
2019	426	4,602	$95,454
2020	420	5,499	$121,983
2021	462	5,036	$140,123
2022	510	5,614	$158,259
2023	632	5,593	$172,533
2024	766	6,681	$206,549

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	290	3,180	$839,440
2016	306	3,495	$1,002,842
2017	316	3,654	$1,231,239
2018	317	3,607	$1,289,107
2019	423	3,672	$1,402,331
2020	401	3,509	$1,560,146
2021	547	4,497	$2,148,295
2022	635	5,074	$2,618,523
2023	628	5,266	$2,931,337
2024	722	5,611	$2,320,257

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	253	641	$28,983
2016	253	651	$25,476
2017	212	626	$39,476
2018	243	702	$59,233
2019	231	975	$130,067
2020	223	905	$130,262
2021	225	1,053	$193,729
2022	268	1,284	$221,563
2023	327	1,509	$287,573
2024	277	948	$305,348

* / # = 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	260	460	$90
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	182	220	$62
G0108	Diabetes outpatient self-management training services, individual, per 30 minutes	205	534	$43
95251	Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	129	248	$26
G2211	Visit 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's	284	371	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	386	16,542	$512,603
Mounjaro	Tirzepatide	239	8,432	$306,104
Trulicity	Dulaglutide	120	5,180	$176,863
Jardiance	Empagliflozin	120	7,623	$148,903
Tresiba Flextouch U-100	Insulin Degludec	138	9,298	$126,363

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	122	549	$253,985
J1817	Insulin for administration through dme (i.e., insulin pump) per 50 units	N	12	59	$16,050
E0784	External ambulatory infusion pump, insulin	Y	N/R	41	$14,206
A4224	Supplies for maintenance of insulin infusion catheter, per week	N	11	35	$8,190
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	N	29	29	$6,173

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$352	BETA BIONICS, 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 Achal Garbharran, MD?

Tedicare shows public-source Medicare data for Achal Garbharran, MD (NPI 1942421144), 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 Achal Garbharran, MD have ACO affiliation data?

Achal Garbharran, MD is shown with ACO affiliation data for Northwestern Medicine Health Network ACO LLC (MSSP, ACO ID A5444).

What billing organization is linked to Achal Garbharran, MD?

Achal Garbharran, MD is linked to CENTRAL DUPAGE PHYSICIAN GROUP (billing NPI 1033149844) in the available physician profile data.

Does Achal Garbharran, MD have Open Payments data?

Achal Garbharran, MD has 5 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.