Physician

Hemraj R. Makwana, MD

According to 2025 Medicare claims, Hemraj Makwana, MD (NPI: 1245214196) practices cardiology in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is LIMA MEMORIAL PROFESSIONAL CORPORATION (NPI: 1457474900; TIN: 341935236) and primary practice location at 45804-2800. Makwana is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), CHSPSC ACO 21, LLC (ACO ID: A3698), and AdvantagePoint Health Alliance - Bluegrass, LLC (ACO ID: A5028), participating under the MSSP model.

Makwana's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 813 traditional Medicare patients, billed 2,244 HCPCS/CPT codes, and received $133,506 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,371 prescription claims across 384 beneficiaries totaling $392,608 in drug costs, led by Entresto (Sacubitril/Valsartan). 2021 DME data shows 19 claims. Open Payments data shows 32 records totaling $772. 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 up and down with repeated peaks and valleys, starting at $176,010 and ending at $392,608. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $22,720 to $10,852.

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$121K$242K2015 Medicare payment: $150,106 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $186,838 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $206,964 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $189,196 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $242,068 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $234,342 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $130,988 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $111,632 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $114,728 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $133,506 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0852,379$150,106
20161,8053,829$186,838
20171,8153,763$206,964
20181,3462,899$189,196
20192,1405,010$242,068
20201,9874,732$234,342
20211,4182,865$130,988
20221,2422,619$111,632
20231,3642,988$114,728
20248132,244$133,506

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$196K$393K2015 Drug cost: $176,010 (USD; Tot_Drug_Cst)2016 Drug cost: $213,629 (USD; Tot_Drug_Cst)2017 Drug cost: $321,451 (USD; Tot_Drug_Cst)2018 Drug cost: $318,024 (USD; Tot_Drug_Cst)2019 Drug cost: $116,028 (USD; Tot_Drug_Cst)2020 Drug cost: $185,352 (USD; Tot_Drug_Cst)2021 Drug cost: $174,937 (USD; Tot_Drug_Cst)2022 Drug cost: $185,975 (USD; Tot_Drug_Cst)2023 Drug cost: $312,350 (USD; Tot_Drug_Cst)2024 Drug cost: $392,608 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154843,020$176,010
20165093,657$213,629
20176554,661$321,451
20185714,400$318,024
20193592,037$116,028
20202912,729$185,352
20212871,958$174,937
20221621,167$185,975
20232171,585$312,350
20243842,371$392,608

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$42K$85K2015 Medicare payment: $21,914 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $24,478 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $59,319 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $54,997 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $54,267 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $84,503 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $36,936 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R11$21,914
2016N/R12$24,478
2017N/R31$59,319
2018N/R27$54,997
2019N/R25$54,267
20201339$84,503
2021N/R19$36,936
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more206331$70
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes130210$59
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function202205$44
99152Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes103108$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only327425$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EntrestoSacubitril/Valsartan1195,241$114,697
EliquisApixaban1215,317$100,811
FarxigaDapagliflozin Propanediol1105,070$91,909
BrilintaTicagrelor442,250$33,045
XareltoRivaroxaban12354$6,584

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.32$772ABIOMED
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 Hemraj R. Makwana, MD?

Tedicare shows public-source Medicare data for Hemraj R. Makwana, MD (NPI 1245214196), 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 Hemraj R. Makwana, MD have ACO affiliation data?

Hemraj R. Makwana, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215), CHSPSC ACO 21, LLC (MSSP, ACO ID A3698), and AdvantagePoint Health Alliance - Bluegrass, LLC (MSSP, ACO ID A5028).

What billing organization is linked to Hemraj R. Makwana, MD?

Hemraj R. Makwana, MD is linked to LIMA MEMORIAL PROFESSIONAL CORPORATION (billing NPI 1457474900) in the available physician profile data.

Does Hemraj R. Makwana, MD have Open Payments data?

Hemraj R. Makwana, MD has 32 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.