Physician

Pankaj V. Patel, M.D.

According to 2025 Medicare claims, Pankaj Patel, M.D. (NPI: 1952314775) practices interventional cardiology in the Midland, TX market, with the plurality of this provider's patient population coming from Midland, TX. This provider's primary affiliated billing organization is MIDLAND CARDIAC CLINIC, PA (NPI: 1205849114; TIN: 752782295) and primary practice location at 79703-4873. Patel is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Patel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,216 traditional Medicare patients, billed 6,217 HCPCS/CPT codes, and received $444,739 in Medicare payments. The top billing code was 78452 (Nuclear medicine studies of heart muscle at rest and with stress and spect). Part D data shows 9,922 prescription claims across 1,247 beneficiaries totaling $1,462,079 in drug costs, led by Eliquis (Apixaban). DME data shows 90 claims. Open Payments data shows 56 records totaling $1,276. 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 declined steadily, from $665,266 to $444,739. In contrast, Part D prescription costs have moved sharply higher in recent years, from $518,593 to $1,462,079. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $10,387 to $6,149.

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$333K$665K2015 Medicare payment: $665,266 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $594,230 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $600,252 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $577,446 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $572,746 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $373,397 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $567,112 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $580,700 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $416,448 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $444,739 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,8918,974$665,266
20161,7648,968$594,230
20171,7008,948$600,252
20181,6158,200$577,446
20191,5597,907$572,746
20201,2255,260$373,397
20211,2876,794$567,112
20221,3397,477$580,700
20231,2505,530$416,448
20241,2166,217$444,739

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$731K$1.5M2015 Drug cost: $518,593 (USD; Tot_Drug_Cst)2016 Drug cost: $570,231 (USD; Tot_Drug_Cst)2017 Drug cost: $569,123 (USD; Tot_Drug_Cst)2018 Drug cost: $702,537 (USD; Tot_Drug_Cst)2019 Drug cost: $762,025 (USD; Tot_Drug_Cst)2020 Drug cost: $608,008 (USD; Tot_Drug_Cst)2021 Drug cost: $563,894 (USD; Tot_Drug_Cst)2022 Drug cost: $755,007 (USD; Tot_Drug_Cst)2023 Drug cost: $1,196,428 (USD; Tot_Drug_Cst)2024 Drug cost: $1,462,079 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,0319,153$518,593
20161,0309,452$570,231
20171,0498,826$569,123
20181,0698,720$702,537
20191,0798,268$762,025
20209615,784$608,008
20218724,677$563,894
20221,0185,957$755,007
20231,1128,851$1,196,428
20241,2479,922$1,462,079

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$4.5K$9.0K2015 Medicare payment: $8,980 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,930 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $59 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $338 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $487 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,981 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $764 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $4,650 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $4,485 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R142$8,980
2016N/R64$2,930
2017N/R12$59
2018N/R12$338
2019N/R11$487
2020N/RN/RN/R
2021N/R34$1,981
2022N/R17$764
2023N/R79$4,650
2024N/R90$4,485

* / # = 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
78452Nuclear medicine studies of heart muscle at rest and with stress and spect305307$288
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function710745$103
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more9421,994$52
93016Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician294296$14
93018Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician295297$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban60733,110$625,101
XareltoRivaroxaban27416,920$308,152
EntrestoSacubitril/Valsartan1598,625$183,047
JardianceEmpagliflozin321,980$34,309
Repatha SureclickEvolocumab391,464$27,802

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R47$3,062
E1392Portable oxygen concentrator, rentalYN/R43$1,422

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.56$1,276PFIZER 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 Pankaj V. Patel, M.D.?

Tedicare shows public-source Medicare data for Pankaj V. Patel, M.D. (NPI 1952314775), 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 Pankaj V. Patel, M.D. have ACO affiliation data?

Pankaj V. Patel, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Pankaj V. Patel, M.D.?

Pankaj V. Patel, M.D. is linked to MIDLAND CARDIAC CLINIC, PA (billing NPI 1205849114) in the available physician profile data.

Does Pankaj V. Patel, M.D. have Open Payments data?

Pankaj V. Patel, M.D. has 56 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.