Physician

Amala Reddy Ambati, MD

According to 2025 Medicare claims, Amala Ambati, MD (NPI: 1144758665) practices rheumatology in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is PROMEDICA CENTRAL PHYSICIANS (NPI: 1043270150; TIN: 341881137) and primary practice location at 43560-2735. Ambati is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Ambati's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 121 traditional Medicare patients, billed 243 HCPCS/CPT codes, and received $23,915 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 768 prescription claims across 146 beneficiaries totaling $673,091 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 63 records totaling $1,234. 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 $7,869 to $673,091. 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$12K$24K2023 Medicare payment: $4,302 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $23,915 (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
2022N/RN/RN/R
20233440$4,302
2024121243$23,915

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$337K$673K2017 Drug cost: $7,869 (USD; Tot_Drug_Cst)2018 Drug cost: $20,825 (USD; Tot_Drug_Cst)2019 Drug cost: $10,861 (USD; Tot_Drug_Cst)2020 Drug cost: $3,731 (USD; Tot_Drug_Cst)2021 Drug cost: $2,245 (USD; Tot_Drug_Cst)2022 Drug cost: $194,891 (USD; Tot_Drug_Cst)2023 Drug cost: $344,561 (USD; Tot_Drug_Cst)2024 Drug cost: $673,091 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
201743167$7,869
201874318$20,825
201949196$10,861
202028132$3,731
20213061$2,245
202244235$194,891
202363237$344,561
2024146768$673,091

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 more8888$109
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more78148$92

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab29812$200,670
Enbrel SureclickEtanercept25700$182,939
XeljanzTofacitinib Citrate13390$66,499
Hydroxychloroquine SulfateHydroxychloroquine Sulfate845,103$4,170
MethotrexateMethotrexate Sodium1295,412$2,524

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.63$1,234ABBVIE 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 Amala Reddy Ambati, MD?

Tedicare shows public-source Medicare data for Amala Reddy Ambati, MD (NPI 1144758665), 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 Amala Reddy Ambati, MD have ACO affiliation data?

Amala Reddy Ambati, MD is shown with ACO affiliation data for ProMedica Health Network, Inc. (MSSP, ACO ID A3016), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Amala Reddy Ambati, MD?

Amala Reddy Ambati, MD is linked to PROMEDICA CENTRAL PHYSICIANS (billing NPI 1043270150) in the available physician profile data.

Does Amala Reddy Ambati, MD have Open Payments data?

Amala Reddy Ambati, MD has 63 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.