Physician

Rajesh Makkenchery, MD

According to 2025 Medicare claims, Rajesh Makkenchery, MD (NPI: 1104885748) practices general surgery in the Gettysburg, PA market, with the plurality of this provider's patient population coming from Adams, PA. This provider's primary affiliated billing organization is WELLSPAN MEDICAL GROUP (NPI: 1518382886; TIN: 23-2730785) and primary practice location at 17325-2534. Makkenchery is affiliated with the WellSpan Population Health Services (ACO ID: A2500), participating under the MSSP model.

Makkenchery's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 375 traditional Medicare patients, billed 839 HCPCS/CPT codes, and received $119,378 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 190 prescription claims across 122 beneficiaries totaling $1,976 in drug costs, led by Sucralfate (Sucralfate). DME data shows 60 claims. Open Payments data shows 28 records totaling $6,770. 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 changed little. Concurrently, Part D prescription costs have fallen sharply in recent years, from $6,870 to $1,976. For DME billing, reported payments did not follow a clear longitudinal pattern.

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$73K$147K2015 Medicare payment: $99,729 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $123,744 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $113,826 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $123,647 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $129,468 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $90,332 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $128,707 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $114,718 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $146,659 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $119,378 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015313704$99,729
2016363807$123,744
2017306710$113,826
2018318706$123,647
2019319714$129,468
2020227546$90,332
2021348745$128,707
2022346753$114,718
2023365856$146,659
2024375839$119,378

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$3.4K$6.9K2015 Drug cost: $6,870 (USD; Tot_Drug_Cst)2016 Drug cost: $6,810 (USD; Tot_Drug_Cst)2017 Drug cost: $5,609 (USD; Tot_Drug_Cst)2018 Drug cost: $5,625 (USD; Tot_Drug_Cst)2019 Drug cost: $6,436 (USD; Tot_Drug_Cst)2020 Drug cost: $6,006 (USD; Tot_Drug_Cst)2021 Drug cost: $2,616 (USD; Tot_Drug_Cst)2022 Drug cost: $3,589 (USD; Tot_Drug_Cst)2023 Drug cost: $2,583 (USD; Tot_Drug_Cst)2024 Drug cost: $1,976 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201572137$6,870
201679128$6,810
201773135$5,609
201879127$5,625
201994181$6,436
202061129$6,006
202178139$2,616
2022101177$3,589
2023107147$2,583
2024122190$1,976

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.1K$4.2K2016 Medicare payment: $1,061 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $4,181 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R24$1,061
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R60$4,181

* / # = 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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare3636$186
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more3944$130
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more8181$116
45380Biopsy of large bowel using a flexible endoscope6264$100
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope3535$67

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
SucralfateSucralfate20960$621
OmeprazoleOmeprazole171,331$273
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen72129$153
Pantoprazole SodiumPantoprazole Sodium11510$105

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4407Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, eachNN/R12$1,911
A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachNN/R12$1,090
A4425Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), eachNN/R12$842
A4394Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounceNN/R12$244
A4367Ostomy belt, eachNN/R12$94

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.28$6,770INTUITIVE SURGICAL, 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 Rajesh Makkenchery, MD?

Tedicare shows public-source Medicare data for Rajesh Makkenchery, MD (NPI 1104885748), 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 Rajesh Makkenchery, MD have ACO affiliation data?

Rajesh Makkenchery, MD is shown with ACO affiliation data for WellSpan Population Health Services (MSSP, ACO ID A2500).

What billing organization is linked to Rajesh Makkenchery, MD?

Rajesh Makkenchery, MD is linked to WELLSPAN MEDICAL GROUP (billing NPI 1518382886) in the available physician profile data.

Does Rajesh Makkenchery, MD have Open Payments data?

Rajesh Makkenchery, MD has 28 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.