Physician

Vaishali Harshul Patel, MD

According to 2025 Medicare claims, Vaishali Patel, MD (NPI: 1942437603) practices family practice in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Trigg, KY. This provider's primary affiliated billing organization is MAANYA LLC (NPI: 1326424177; TIN: 474537646) and primary practice location at 42211-9605. Patel is affiliated with the Provider Partners Connect Care, LLC (ACO ID: D0252), participating under the REACH model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 259 traditional Medicare patients, billed 1,282 HCPCS/CPT codes, and received $79,985 in Medicare payments. The top billing code was 99309 (Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes). Part D data shows 11,498 prescription claims across 442 beneficiaries totaling $1,272,394 in drug costs, led by Ozempic (Semaglutide). DME data shows 190 claims. Open Payments data shows 10 records totaling $219. 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 $47,892 to $79,985. Similarly, Part D prescription costs have moved sharply higher in recent years, from $3,976 to $1,272,394. In contrast, DME billing represents a smaller volume and rose steadily, from $2,953 to $13,121.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	389	558	$47,892
2016	503	1,009	$68,958
2017	514	1,079	$70,700
2018	331	1,598	$81,106
2019	279	1,956	$98,619
2020	309	2,490	$115,263
2021	406	3,253	$178,915
2022	312	2,675	$149,826
2023	328	2,783	$154,481
2024	259	1,282	$79,985

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	80	135	$3,976
2016	162	683	$30,934
2017	181	1,283	$73,994
2018	230	3,136	$193,281
2019	295	6,542	$382,335
2020	334	8,933	$544,690
2021	406	9,826	$647,052
2022	454	10,739	$1,032,403
2023	453	11,089	$1,262,309
2024	442	11,498	$1,272,394

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	25	$1,700
2017	N/R	35	$603
2018	17	164	$2,680
2019	27	247	$6,129
2020	12	189	$5,765
2021	N/R	233	$10,695
2022	28	308	$28,357
2023	N/R	225	$35,683
2024	25	190	$19,470

* / # = 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
99309	Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	98	584	$79
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	85	107	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	43	50	$58
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	56	$30
36415	Insertion of needle into vein for collection of blood sample	58	62	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	199	6,004	$199,604
Humira Pen	Adalimumab	25	350	$182,849
Eliquis	Apixaban	218	5,820	$107,150
Trulicity	Dulaglutide	67	1,981	$66,431
Farxiga	Dapagliflozin Propanediol	80	3,138	$58,562

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
J7677	Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram	N	N/R	12	$9,154
A5513	For diabetics only, multiple density insert, custom molded from model of patient's foot, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each	N	12	12	$2,857
J7606	Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms	N	N/R	12	$1,788
A5500	For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe	N	13	13	$1,701
A4414	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	15	$947

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$219	Inspire Medical Systems, 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 Vaishali Harshul Patel, MD?

Tedicare shows public-source Medicare data for Vaishali Harshul Patel, MD (NPI 1942437603), 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 Vaishali Harshul Patel, MD have ACO affiliation data?

Vaishali Harshul Patel, MD is shown with ACO affiliation data for Provider Partners Connect Care, LLC (REACH, ACO ID D0252).

What billing organization is linked to Vaishali Harshul Patel, MD?

Vaishali Harshul Patel, MD is linked to MAANYA LLC (billing NPI 1326424177) in the available physician profile data.

Does Vaishali Harshul Patel, MD have Open Payments data?

Vaishali Harshul Patel, MD has 10 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.