Physician

Pavan K Yerramsetty, M.D.

According to 2025 Medicare claims, Pavan Yerramsetty, M.D. (NPI: 1245269513) practices neurology in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is RALEIGH NEUROLOGY ASSOCIATES, P. A. (NPI: 1215954003; TIN: 562002729) and primary practice location at 27607-5253.

Yerramsetty's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 591 traditional Medicare patients, billed 64,037 HCPCS/CPT codes, and received $1,035,357 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 3,765 prescription claims across 694 beneficiaries totaling $269,717 in drug costs, led by Buprenorphine (Buprenorphine). 2017 DME data shows 12 claims. Open Payments data shows 112 records totaling $2,244. 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 sharply higher in recent years, from $191,612 to $1,035,357. In contrast, Part D prescription costs have declined steadily, from $499,444 to $269,717. 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$518K$1.0M2015 Medicare payment: $191,612 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $254,201 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $430,233 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $458,565 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $507,758 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $607,250 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $240,279 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $380,890 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,008,818 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,035,357 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156834,438$191,612
20166998,840$254,201
201769921,458$430,233
201870720,159$458,565
201965821,435$507,758
202055025,872$607,250
202153511,921$240,279
202255811,764$380,890
202352935,437$1,008,818
202459164,037$1,035,357

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$250K$500K2015 Drug cost: $499,444 (USD; Tot_Drug_Cst)2016 Drug cost: $407,380 (USD; Tot_Drug_Cst)2017 Drug cost: $402,311 (USD; Tot_Drug_Cst)2018 Drug cost: $500,343 (USD; Tot_Drug_Cst)2019 Drug cost: $373,048 (USD; Tot_Drug_Cst)2020 Drug cost: $457,577 (USD; Tot_Drug_Cst)2021 Drug cost: $331,554 (USD; Tot_Drug_Cst)2022 Drug cost: $237,266 (USD; Tot_Drug_Cst)2023 Drug cost: $288,802 (USD; Tot_Drug_Cst)2024 Drug cost: $269,717 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155223,628$499,444
20164773,181$407,380
20175342,748$402,311
20185432,633$500,343
20195192,271$373,048
20205402,800$457,577
20215733,012$331,554
20225882,774$237,266
20236133,269$288,802
20246943,765$269,717

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$408$8172017 Medicare payment: $817 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R12$817
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more7575$125
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more161161$107
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more176233$84
G2211Visit 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's113128$12
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg169738$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BuprenorphineBuprenorphine1403,928$28,743
Ajovy AutoinjectorFremanezumab-Vfrm26852$22,596
LamictalLamotrigine13390$18,012
Aimovig AutoinjectorErenumab-Aooe21630$15,642
UbrelvyUbrogepant15450$15,089

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.111$2,244ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.1$25,000Contego Medical, Inc

FAQ

What Medicare data is available for Pavan K. Yerramsetty, M.D.?

Tedicare shows public-source Medicare data for Pavan K. Yerramsetty, M.D. (NPI 1245269513), 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 Pavan K. Yerramsetty, M.D. have ACO affiliation data?

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

What billing organization is linked to Pavan K. Yerramsetty, M.D.?

Pavan K. Yerramsetty, M.D. is linked to RALEIGH NEUROLOGY ASSOCIATES, P. A. (billing NPI 1215954003) in the available physician profile data.

Does Pavan K. Yerramsetty, M.D. have Open Payments data?

Pavan K. Yerramsetty, M.D. has 112 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.