Physician

Ajay Padaki, MD

According to 2025 Medicare claims, Ajay Padaki, MD (NPI: 1053766642) practices orthopedic surgery in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is NORTH SHORE-LIJ MEDICAL PC (NPI: 1053688572; TIN: 113506359) and primary practice location at 11021-5315. Padaki is affiliated with the Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Padaki's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 326 traditional Medicare patients, billed 4,284 HCPCS/CPT codes, and received $148,325 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 292 prescription claims across 151 beneficiaries totaling $20,050 in drug costs, led by Diclofenac Sodium (Diclofenac Sodium). Open Payments data shows 11 records totaling $918. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $4,666 to $20,050. 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.

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$74K$148K2022 Medicare payment: $17,921 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $121,301 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $148,325 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
202244120$17,921
20233031,042$121,301
20243264,284$148,325

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$10K$20K2017 Drug cost: $4,666 (USD; Tot_Drug_Cst)2018 Drug cost: $271 (USD; Tot_Drug_Cst)2022 Drug cost: $473 (USD; Tot_Drug_Cst)2023 Drug cost: $9,785 (USD; Tot_Drug_Cst)2024 Drug cost: $20,050 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
201779189$4,666
20182228$271
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20222541$473
2023161342$9,785
2024151292$20,050

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more8080$135
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more110142$107
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more139233$82
20610Aspiration and/or injection of fluid from large joint7096$65
G2211Visit 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's82103$15

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Diclofenac SodiumDiclofenac Sodium25750$17,099
Diclofenac PotassiumDiclofenac Potassium1242,475$2,349
GabapentinGabapentin321,010$118
MeloxicamMeloxicam521,710$113
Tizanidine HclTizanidine Hcl25142$72

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.11$918Stryker Corporation
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 Ajay Padaki, MD?

Tedicare shows public-source Medicare data for Ajay Padaki, MD (NPI 1053766642), 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 Padaki, MD have ACO affiliation data?

Ajay Padaki, MD is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Ajay Padaki, MD?

Ajay Padaki, MD is linked to NORTH SHORE-LIJ MEDICAL PC (billing NPI 1053688572) in the available physician profile data.

Does Ajay Padaki, MD have Open Payments data?

Ajay Padaki, MD has 11 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.