Physician

Ali Raza Ghani, M.D.

According to 2025 Medicare claims, Ali Ghani, M.D. (NPI: 1013392018) practices interventional cardiology in the Rockford, IL market, with the plurality of this provider's patient population coming from Winnebago, IL. This provider's primary affiliated billing organization is SWEDISHAMERICAN HOSPITAL (NPI: 1962451732; TIN: 362222696) and primary practice location at 61104-2315. Ghani is affiliated with the Sound Physicians Long Term Care Management, LLC (ACO ID: A5220) and Sound Physicians Long Term Care Managment II (ACO ID: A5538), participating under the MSSP model.

Ghani's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 373 traditional Medicare patients, billed 951 HCPCS/CPT codes, and received $68,189 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 2,075 prescription claims across 462 beneficiaries totaling $332,950 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 16 records totaling $3,108. 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 started with an early spike, then settled into a lower baseline, moving from $35,257 to $68,189. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,666 and ending at $332,950. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	233	472	$35,257
2019	292	890	$72,530
2020	N/R	N/R	N/R
2021	42	80	$6,019
2022	69	127	$9,515
2023	68	122	$10,328
2024	373	951	$68,189

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	18	35	$3,666
2016	44	151	$7,324
2017	24	114	$13,759
2018	38	191	$10,669
2019	32	85	$1,820
2020	32	100	$59,582
2021	15	35	$2,683
2022	16	65	$10,878
2023	47	74	$12,350
2024	462	2,075	$332,950

DME Billing Trend

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

No connected DME records

* / # = 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	130	198	$64
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	113	114	$47
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	85	118	$11
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	80	90	$9
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	59	59	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	69	4,310	$80,968
Repatha Sureclick	Evolocumab	38	2,912	$55,689
Xarelto	Rivaroxaban	39	2,640	$49,376
Entresto	Sacubitril/Valsartan	39	2,068	$46,507
Jardiance	Empagliflozin	42	2,070	$41,847

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.	16	$3,108	Penumbra, 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 Ali Raza Ghani, M.D.?

Tedicare shows public-source Medicare data for Ali Raza Ghani, M.D. (NPI 1013392018), 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 Ali Raza Ghani, M.D. have ACO affiliation data?

Ali Raza Ghani, M.D. is shown with ACO affiliation data for Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220) and Sound Physicians Long Term Care Managment II (MSSP, ACO ID A5538).

What billing organization is linked to Ali Raza Ghani, M.D.?

Ali Raza Ghani, M.D. is linked to SWEDISHAMERICAN HOSPITAL (billing NPI 1962451732) in the available physician profile data.

Does Ali Raza Ghani, M.D. have Open Payments data?

Ali Raza Ghani, M.D. has 16 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.