Physician

Ajay Soni, M.D.

According to 2025 Medicare claims, Ajay Soni, M.D. (NPI: 1245354109) practices ophthalmology in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP (NPI: 1275508624; TIN: 251857035) and primary practice location at 17601-2762.

Soni's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 19 traditional Medicare patients, billed 45 HCPCS/CPT codes, and received $3,379 in Medicare payments. The top billing code was 92060 (Exam to measure eye deviation and range of motion). 2023 Part D data shows 12 prescription claims totaling $113 in drug costs. No Open Payments records. 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 declined steadily, from $12,767 to $3,379. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$6.4K$13K2015 Medicare payment: $12,767 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $4,748 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $8,784 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $5,634 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $5,835 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $6,448 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $4,596 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $3,975 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $5,984 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,379 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201546119$12,767
20164270$4,748
20172063$8,784
20183675$5,634
20192155$5,835
20202560$6,448
20211954$4,596
20222339$3,975
20232456$5,984
20241945$3,379

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$57$1132023 Drug cost: $113 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R12$113
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
92060Exam to measure eye deviation and range of motion1622$24

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

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Ajay Soni, M.D.?

Tedicare shows public-source Medicare data for Ajay Soni, M.D. (NPI 1245354109), 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 Soni, 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 Ajay Soni, M.D.?

Ajay Soni, M.D. is linked to THE MILTON S HERSHEY MEDICAL CENTER PHYSICIANS GROUP (billing NPI 1275508624) in the available physician profile data.

Does Ajay Soni, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.