Physician

Ajay K Balaram, MD

According to 2025 Medicare claims, Ajay Balaram, MD (NPI: 1013171636) practices hand surgery in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is HAND SURGERY ASSOCIATES SC (NPI: 1568508083) and primary practice location at 60005-4405.

Balaram's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 158 traditional Medicare patients, billed 894 HCPCS/CPT codes, and received $62,400 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 77 prescription claims across 60 beneficiaries totaling $409 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 60 claims. Open Payments data shows 1 records totaling $45. 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 risen steadily, from $44,481 to $62,400. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $266 and ending at $409. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	140	570	$44,481
2016	129	538	$40,401
2017	154	684	$47,594
2018	163	751	$45,681
2019	169	954	$58,832
2020	142	772	$53,910
2021	161	880	$72,951
2022	162	712	$55,679
2023	162	831	$63,824
2024	158	894	$62,400

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	22	34	$266
2016	35	45	$506
2017	41	62	$357
2018	34	46	$371
2019	55	73	$466
2020	58	87	$779
2021	69	92	$602
2022	39	60	$323
2023	60	78	$541
2024	60	77	$409

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	11	11	$1,608
2018	23	24	$7,516
2019	44	45	$11,668
2020	26	26	$5,600
2021	47	48	$14,112
2022	11	11	$2,263
2023	45	56	$14,625
2024	59	60	$13,615

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$118
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	99	$100
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	81	125	$74
73110	X-ray of wrist, minimum of 3 views	47	99	$28

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	30	139	$220
Meloxicam	Meloxicam	24	665	$53

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
L3906	Wrist hand orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	N	11	11	$4,492
L3808	Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment	N	11	11	$3,274
L3913	Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment	N	11	11	$2,465
L3933	Finger orthosis, without joints, may include soft interface, custom fabricated, includes fitting and adjustment	N	12	12	$1,952
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	14	15	$1,432

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$45	Oak Med, 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 Ajay K. Balaram, MD?

Tedicare shows public-source Medicare data for Ajay K. Balaram, MD (NPI 1013171636), 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 Ajay K. Balaram, 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 Ajay K. Balaram, MD?

Ajay K. Balaram, MD is linked to HAND SURGERY ASSOCIATES SC (billing NPI 1568508083) in the available physician profile data.

Does Ajay K. Balaram, MD have Open Payments data?

Ajay K. Balaram, MD has 1 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.