Physician

Ajay Dhakal, M.B.B.S.

According to 2025 Medicare claims, Ajay Dhakal, M.B.B.S. (NPI: 1235493594) practices hematology in the Rochester, NY market, with the plurality of this provider's patient population coming from Monroe, NY. This provider's primary affiliated billing organization is UNIVERSITY OF ROCHESTER (NPI: 1821152588; TIN: 160743209) and primary practice location at 14623-4262.

Dhakal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 63 traditional Medicare patients, billed 242 HCPCS/CPT codes, and received $15,652 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 245 prescription claims across 68 beneficiaries totaling $567,472 in drug costs, led by Ibrance (Palbociclib). Open Payments data shows 8 records totaling $75,939. 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 moved up and down with repeated peaks and valleys, starting at $2,138 and ending at $15,652. Concurrently, Part D prescription costs have risen steadily, from $59,303 to $567,472. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	18	29	$2,138
2019	78	182	$12,269
2020	86	221	$17,244
2021	93	248	$23,512
2022	71	196	$18,039
2023	66	128	$11,383
2024	63	242	$15,652

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	50	170	$59,303
2016	51	146	$34,516
2017	15	71	$2,640
2018	36	91	$39,206
2019	59	251	$374,465
2020	93	343	$479,124
2021	81	264	$399,775
2022	71	309	$777,547
2023	51	176	$499,790
2024	68	245	$567,472

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	99	$108
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	17	$78
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	40	91	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ibrance	Palbociclib	20	560	$290,991
Exemestane	Exemestane	26	1,124	$1,880
Anastrozole	Anastrozole	104	4,780	$1,264
Tamoxifen Citrate	Tamoxifen Citrate	11	485	$392
Letrozole	Letrozole	11	540	$171

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$74	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	5	$75,865	Eli Lilly and Company
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 Ajay Dhakal, M.B.B.S.?

Tedicare shows public-source Medicare data for Ajay Dhakal, M.B.B.S. (NPI 1235493594), 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 Ajay Dhakal, M.B.B.S. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Ajay Dhakal, M.B.B.S.?

Ajay Dhakal, M.B.B.S. is linked to UNIVERSITY OF ROCHESTER (billing NPI 1821152588) in the available physician profile data.

Does Ajay Dhakal, M.B.B.S. have Open Payments data?

Ajay Dhakal, M.B.B.S. has 8 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.