Physician

Saurabh Rajpal, MD

According to 2025 Medicare claims, Saurabh Rajpal, MD (NPI: 1194956482) practices adult congenital heart disease in the Columbus, OH market, with the plurality of this provider's patient population coming from Franklin, OH. This provider's primary affiliated billing organization is MOUNT CARMEL HEALTHPROVIDERS TWO LLC (NPI: 1134154750; TIN: 311439334) and primary practice location at 43213-1502. Rajpal is affiliated with the CVS ACO (ACO ID: A5407), participating under the MSSP model.

Rajpal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 205 traditional Medicare patients, billed 463 HCPCS/CPT codes, and received $30,249 in Medicare payments. The top billing code was 99222 (Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes). Part D data shows 623 prescription claims across 67 beneficiaries totaling $5,411,640 in drug costs, led by Tyvaso Dpi (Treprostinil). DME data shows 44 claims. Open Payments data shows 19 records totaling $6,851. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $7,154 to $5,411,640. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $4,516 and ending at $3,006.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	187	257	$13,315
2018	464	653	$41,590
2019	659	855	$36,567
2020	757	949	$34,092
2021	469	655	$31,238
2022	957	1,315	$31,251
2023	290	664	$39,218
2024	205	463	$30,249

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	34	158	$7,154
2016	N/R	13	$849
2017	N/R	32	$118,693
2018	27	233	$1,074,019
2019	44	400	$1,498,399
2020	55	529	$2,096,738
2021	60	540	$2,307,907
2022	59	450	$2,541,219
2023	64	605	$4,862,940
2024	67	623	$5,411,640

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	73	$267,783
2020	N/R	128	$562,446
2021	N/R	155	$811,663
2022	N/R	88	$693,857
2023	N/R	66	$337,056
2024	N/R	44	$2,659

* / # = 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
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	26	$99
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	36	91	$83
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	59	76	$68
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	19	19	$52
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	29	32	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tyvaso Dpi	Treprostinil	88	2,464	$2,077,191
Opsumit	Macitentan	141	4,230	$1,755,028
Uptravi	Selexipag	50	1,478	$1,233,929
Ambrisentan	Ambrisentan	21	630	$102,934
Tadalafil	Tadalafil	122	3,660	$68,439

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	22	$2,230
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	22	$429

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	19	$6,851	Actelion Pharmaceuticals US, 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

Explore More Providers

FAQ

What Medicare data is available for Saurabh Rajpal, MD?

Tedicare shows public-source Medicare data for Saurabh Rajpal, MD (NPI 1194956482), 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 Saurabh Rajpal, MD have ACO affiliation data?

Saurabh Rajpal, MD is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Saurabh Rajpal, MD?

Saurabh Rajpal, MD is linked to MOUNT CARMEL HEALTHPROVIDERS TWO LLC (billing NPI 1134154750) in the available physician profile data.

Does Saurabh Rajpal, MD have Open Payments data?

Saurabh Rajpal, MD has 19 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.