Physician

Raj K. Sinha, M.D.

According to 2025 Medicare claims, Raj Sinha, M.D. (NPI: 1164445920) practices orthopedic surgery in the Killeen-Temple, TX market, with the plurality of this provider's patient population coming from Bell, TX. This provider's primary affiliated billing organization is METROPLEX CLINIC PHYSICIANS, INC. (NPI: 1891730396; TIN: 113762050) and primary practice location at 76549-4198. Sinha is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Sinha's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 269 traditional Medicare patients, billed 13,702 HCPCS/CPT codes, and received $139,514 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 445 prescription claims across 104 beneficiaries totaling $6,001 in drug costs, led by Celecoxib (Celecoxib). DME data shows 16 claims. Open Payments data shows 37 records totaling $57,490. 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 fallen sharply in recent years, from $436,079 to $139,514. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $214,763 to $6,001. For DME billing, reported payments declined steadily, from $77,092 to $8,756.

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$418K$836K2015 Medicare payment: $436,079 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $444,601 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $456,036 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $348,952 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $526,205 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $583,316 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $835,619 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $121,639 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $110,176 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $139,514 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20157972,757$436,079
20168293,770$444,601
201780012,335$456,036
20185812,260$348,952
20198087,773$526,205
20206729,013$583,316
20215956,254$835,619
20222652,276$121,639
202323212,505$110,176
202426913,702$139,514

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$175K$349K2015 Drug cost: $214,763 (USD; Tot_Drug_Cst)2016 Drug cost: $349,356 (USD; Tot_Drug_Cst)2017 Drug cost: $295,264 (USD; Tot_Drug_Cst)2018 Drug cost: $165,138 (USD; Tot_Drug_Cst)2019 Drug cost: $18,892 (USD; Tot_Drug_Cst)2020 Drug cost: $27,158 (USD; Tot_Drug_Cst)2021 Drug cost: $44,409 (USD; Tot_Drug_Cst)2022 Drug cost: $19,852 (USD; Tot_Drug_Cst)2023 Drug cost: $2,325 (USD; Tot_Drug_Cst)2024 Drug cost: $6,001 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015309822$214,763
20163611,047$349,356
20173491,065$295,264
2018273929$165,138
2019252775$18,892
2020226671$27,158
2021170354$44,409
202294176$19,852
202375302$2,325
2024104445$6,001

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$59K$117K2015 Medicare payment: $106,773 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $103,509 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $102,228 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $117,476 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $107,645 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $97,933 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $50,649 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $25,472 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $7,860 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015356677$106,773
2016363629$103,509
2017412780$102,228
20184141,054$117,476
2019376869$107,645
2020373730$97,933
2021266480$50,649
202297240$25,472
2023N/RN/RN/R
20241616$7,860

* / # = 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 more136136$108
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more192387$86
20610Aspiration and/or injection of fluid from large joint111193$50
73562X-ray of knee, 3 views105180$25
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg102334$1

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
CelecoxibCelecoxib14510$462
CephalexinCephalexin55467$440
NaproxenNaproxen391,327$358
Tramadol HclTramadol Hcl92687$318
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen42203$297

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0935Continuous passive motion exercise device for use on knee onlyY1616$7,860

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.37$57,490restor3d, 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 Raj K. Sinha, M.D.?

Tedicare shows public-source Medicare data for Raj K. Sinha, M.D. (NPI 1164445920), 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 Raj K. Sinha, M.D. have ACO affiliation data?

Raj K. Sinha, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Raj K. Sinha, M.D.?

Raj K. Sinha, M.D. is linked to METROPLEX CLINIC PHYSICIANS, INC. (billing NPI 1891730396) in the available physician profile data.

Does Raj K. Sinha, M.D. have Open Payments data?

Raj K. Sinha, M.D. has 37 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.