Physician

Rafael Aguila, MD

According to 2025 Medicare claims, Rafael Aguila, MD (NPI: 1144328717) practices general practice in the Warner Robins, GA market, with the plurality of this provider's patient population coming from Houston, GA. This provider's primary affiliated billing organization is SOUTHEAST MEDICAL GROUP, P.C. (NPI: 1235296054; TIN: 581896468) and primary practice location at 31093-3634. Aguila is affiliated with the TC2, LLC (ACO ID: A3365) and Southeast Quality Network, LLC (ACO ID: A5337), participating under the MSSP model.

Aguila's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 488 traditional Medicare patients, billed 6,741 HCPCS/CPT codes, and received $309,118 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,579 prescription claims across 602 beneficiaries totaling $976,844 in drug costs, led by Ozempic (Semaglutide). DME data shows 928 claims. Open Payments data shows 111 records totaling $1,978. 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 risen steadily, from $151,116 to $309,118. Similarly, Part D prescription costs have moved sharply higher in recent years, from $410,807 to $976,844. For DME billing, reported payments rose steadily, from $39,388 to $316,453.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	643	2,919	$151,116
2016	633	4,120	$227,530
2017	612	3,846	$194,832
2018	601	4,469	$190,766
2019	606	4,703	$239,047
2020	617	3,296	$210,485
2021	590	4,838	$245,024
2022	588	6,693	$304,715
2023	558	6,737	$296,331
2024	488	6,741	$309,118

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	186	6,408	$410,807
2016	170	6,070	$337,056
2017	166	5,930	$332,659
2018	163	5,403	$375,091
2019	212	4,976	$412,748
2020	294	5,068	$468,970
2021	356	4,562	$491,783
2022	469	5,767	$650,326
2023	507	6,787	$841,050
2024	602	8,579	$976,844

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	229	961	$36,129
2016	180	670	$20,957
2017	212	700	$19,162
2018	207	654	$15,441
2019	222	754	$17,135
2020	278	836	$26,928
2021	324	895	$37,209
2022	248	895	$79,699
2023	255	839	$44,928
2024	435	928	$1,784,257

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	229	229	$112
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	432	1,232	$90
G0444	Annual depression screening, 5 to 15 minutes	276	302	$17
99211	Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	267	465	$15
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	382	1,050	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	85	3,086	$101,026
Farxiga	Dapagliflozin Propanediol	84	5,240	$99,347
Trulicity	Dulaglutide	49	2,016	$71,265
Januvia	Sitagliptin Phosphate	54	3,480	$65,370
Eliquis	Apixaban	49	3,194	$63,462

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
A4353	Intermittent urinary catheter, with insertion supplies	N	83	83	$1,479,520
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	85	91	$149,272
A6197	Alginate or other fiber gelling dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., each dressing	N	17	17	$107,669
E2103	Non-adjunctive, non-implanted continuous glucose monitor or receiver	N	83	83	$19,371
A7031	Face mask interface, replacement for full face mask, each	N	19	61	$5,613

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	111	$1,978	Amgen 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 Rafael Aguila, MD?

Tedicare shows public-source Medicare data for Rafael Aguila, MD (NPI 1144328717), 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 Rafael Aguila, MD have ACO affiliation data?

Rafael Aguila, MD is shown with ACO affiliation data for TC2, LLC (MSSP, ACO ID A3365) and Southeast Quality Network, LLC (MSSP, ACO ID A5337).

What billing organization is linked to Rafael Aguila, MD?

Rafael Aguila, MD is linked to SOUTHEAST MEDICAL GROUP, P.C. (billing NPI 1235296054) in the available physician profile data.

Does Rafael Aguila, MD have Open Payments data?

Rafael Aguila, MD has 111 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.