Physician

Ashish Rai, MD

According to 2025 Medicare claims, Ashish Rai, MD (NPI: 1184004012) practices critical care (intensivists) in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Bergen, NJ. This provider's primary affiliated billing organization is VALLEY PHYSICIAN SERVICES PC (NPI: 1467815928; TIN: 465285330) and primary practice location at 07652-3619. Rai is affiliated with the ColigoCare, LLC (ACO ID: A3591) and Community Care of Brooklyn IPA, Inc. (ACO ID: A4723), participating under the MSSP model.

Rai's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 66 traditional Medicare patients, billed 124 HCPCS/CPT codes, and received $14,513 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). 2021 Part D data shows 30 prescription claims totaling $4,174 in drug costs. Open Payments data shows 7 records totaling $146. 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 $608 to $4,174. 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$7.8K$16K2019 Medicare payment: $15,523 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $7,002 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $14,513 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
201983206$15,523
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
20231866$7,002
202466124$14,513

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$2.6K$5.2K2015 Drug cost: $608 (USD; Tot_Drug_Cst)2016 Drug cost: $3,845 (USD; Tot_Drug_Cst)2017 Drug cost: $1,356 (USD; Tot_Drug_Cst)2018 Drug cost: $403 (USD; Tot_Drug_Cst)2020 Drug cost: $5,199 (USD; Tot_Drug_Cst)2021 Drug cost: $4,174 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152135$608
20164491$3,845
20171729$1,356
2018N/R12$403
2019N/RN/RN/R
2020N/R16$5,199
2021N/R30$4,174
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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
99291Critical care, first 30-74 minutes2327$180
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2853$103
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1314$67

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

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.7$146GlaxoSmithKline, LLC.
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 Ashish Rai, MD?

Tedicare shows public-source Medicare data for Ashish Rai, MD (NPI 1184004012), 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 Ashish Rai, MD have ACO affiliation data?

Ashish Rai, MD is shown with ACO affiliation data for ColigoCare, LLC (MSSP, ACO ID A3591) and Community Care of Brooklyn IPA, Inc. (MSSP, ACO ID A4723).

What billing organization is linked to Ashish Rai, MD?

Ashish Rai, MD is linked to VALLEY PHYSICIAN SERVICES PC (billing NPI 1467815928) in the available physician profile data.

Does Ashish Rai, MD have Open Payments data?

Ashish Rai, MD has 7 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.