Physician

Nilamadhab Mishra, MD

According to 2025 Medicare claims, Nilamadhab Mishra, MD (NPI: 1104801232) practices rheumatology in the Winston-Salem, NC market, with the plurality of this provider's patient population coming from Forsyth, NC. This provider's primary affiliated billing organization is LANCET RHEUMATOLOGY AND SARA LUPUS CLINIC, PLLC (NPI: 1194173633; TIN: 81-2730108) and primary practice location at 27103-1507.

Mishra's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 123 traditional Medicare patients, billed 27,126 HCPCS/CPT codes, and received $975,083 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,245 prescription claims across 336 beneficiaries totaling $1,533,000 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 192 records totaling $3,640. 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 sharply higher in recent years, from $22,624 to $975,083. Similarly, Part D prescription costs have risen steadily, from $706,985 to $1,533,000. 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$488K$975K2015 Medicare payment: $22,624 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $7,009 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $19,748 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $217,846 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $274,257 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $459,603 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $339,557 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $649,231 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $862,856 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $975,083 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015185322$22,624
2016100123$7,009
201772379$19,748
20189518,257$217,846
201910318,852$274,257
20209510,118$459,603
202111620,698$339,557
202212126,503$649,231
202314428,543$862,856
202412327,126$975,083

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$767K$1.5M2015 Drug cost: $706,985 (USD; Tot_Drug_Cst)2016 Drug cost: $440,612 (USD; Tot_Drug_Cst)2017 Drug cost: $239,931 (USD; Tot_Drug_Cst)2018 Drug cost: $441,601 (USD; Tot_Drug_Cst)2019 Drug cost: $712,617 (USD; Tot_Drug_Cst)2020 Drug cost: $1,147,497 (USD; Tot_Drug_Cst)2021 Drug cost: $1,215,898 (USD; Tot_Drug_Cst)2022 Drug cost: $1,347,707 (USD; Tot_Drug_Cst)2023 Drug cost: $1,500,761 (USD; Tot_Drug_Cst)2024 Drug cost: $1,533,000 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152011,749$706,985
2016168844$440,612
2017112584$239,931
2018150847$441,601
20191831,111$712,617
20202041,284$1,147,497
20212421,596$1,215,898
20222551,758$1,347,707
20233022,053$1,500,761
20243362,245$1,533,000

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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3737$151
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more92229$85
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less16134$45
J0129Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)1310,175$34
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg1130$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab431,204$403,948
Cosentyx Sensoready (2 Pens)Secukinumab30840$225,675
Enbrel MiniEtanercept16448$137,796
RinvoqUpadacitinib19570$122,818
BenlystaBelimumab31733$114,980

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.192$3,640Amgen 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 Nilamadhab Mishra, MD?

Tedicare shows public-source Medicare data for Nilamadhab Mishra, MD (NPI 1104801232), 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 Nilamadhab Mishra, 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 Nilamadhab Mishra, MD?

Nilamadhab Mishra, MD is linked to LANCET RHEUMATOLOGY AND SARA LUPUS CLINIC, PLLC (billing NPI 1194173633) in the available physician profile data.

Does Nilamadhab Mishra, MD have Open Payments data?

Nilamadhab Mishra, MD has 192 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.