Physician

Ganesh S Rao, MD

According to 2025 Medicare claims, Ganesh Rao, MD (NPI: 1104813161) practices urology in the Louisville/Jefferson County, KY-IN market, with the plurality of this provider's patient population coming from Jefferson, KY. This provider's primary affiliated billing organization is FIRST UROLOGY, PSC (NPI: 1922099811; TIN: 351488175) and primary practice location at 40217-1362. Rao is affiliated with the Inspire Health Partners, LLC (ACO ID: A3555), participating under the MSSP model.

Rao's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,438 traditional Medicare patients, billed 11,132 HCPCS/CPT codes, and received $412,225 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 4,464 prescription claims across 1,328 beneficiaries totaling $364,037 in drug costs, led by Gemtesa (Vibegron). DME data shows 151 claims. Open Payments data shows 70 records totaling $3,095. 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 up and down with repeated peaks and valleys, starting at $573,619 and ending at $412,225. Concurrently, Part D prescription costs have declined steadily, from $513,735 to $364,037. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $817 and ending at $492.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,706	16,626	$573,619
2016	1,778	17,435	$524,491
2017	1,766	16,201	$512,311
2018	1,909	15,890	$572,586
2019	1,909	24,826	$958,794
2020	1,551	16,832	$652,220
2021	1,508	27,119	$1,132,366
2022	1,391	13,814	$609,898
2023	1,405	10,880	$519,359
2024	1,438	11,132	$412,225

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	1,048	5,082	$513,735
2016	1,073	5,542	$580,313
2017	1,173	5,790	$498,717
2018	1,192	6,118	$531,289
2019	1,245	5,783	$437,183
2020	1,201	5,238	$390,580
2021	1,199	4,263	$303,023
2022	1,283	4,223	$385,519
2023	1,225	3,909	$359,010
2024	1,328	4,464	$364,037

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	46	183	$40,052
2016	12	174	$32,922
2017	12	233	$24,253
2018	N/R	151	$18,566
2019	11	111	$20,184
2020	N/R	74	$16,987
2021	12	157	$39,406
2022	14	182	$62,693
2023	11	184	$67,818
2024	N/R	151	$53,287

* / # = 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	676	1,002	$82
84153	Psa (prostate specific antigen) measurement, total	568	747	$18
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	784	1,097	$11
51798	Ultrasound measurement of bladder capacity after voiding	274	328	$7
81003	Automated urinalysis test	767	1,053	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gemtesa	Vibegron	157	7,720	$121,336
Myrbetriq	Mirabegron	146	8,055	$119,219
Xyosted	Testosterone Enanthate	13	980	$20,983
Testosterone	Testosterone	60	4,034	$15,485
Tamsulosin Hcl	Tamsulosin Hcl	1,279	103,367	$15,391

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	30	$40,315
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	45	$11,277
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	27	$830
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	16	$410
A4332	Lubricant, individual sterile packet, each	N	N/R	21	$267

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	69	$3,095	Medtronic, 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.	1	$2,517	Louisville URS Solutions, LLC

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FAQ

What Medicare data is available for Ganesh S. Rao, MD?

Tedicare shows public-source Medicare data for Ganesh S. Rao, MD (NPI 1104813161), 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 Ganesh S. Rao, MD have ACO affiliation data?

Ganesh S. Rao, MD is shown with ACO affiliation data for Inspire Health Partners, LLC (MSSP, ACO ID A3555).

What billing organization is linked to Ganesh S. Rao, MD?

Ganesh S. Rao, MD is linked to FIRST UROLOGY, PSC (billing NPI 1922099811) in the available physician profile data.

Does Ganesh S. Rao, MD have Open Payments data?

Ganesh S. Rao, MD has 70 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.