Physician

Ruby Risal, MD

According to 2025 Medicare claims, Ruby Risal, MD (NPI: 1255852224) practices pulmonary disease in the Gettysburg, PA market, with the plurality of this provider's patient population coming from Adams, PA. This provider's primary affiliated billing organization is WELLSPAN MEDICAL GROUP (NPI: 1073756672; TIN: 23-2730785) and primary practice location at 17325-7878. Risal is affiliated with the WellSpan Population Health Services (ACO ID: A2500), participating under the MSSP model.

Risal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 568 traditional Medicare patients, billed 908 HCPCS/CPT codes, and received $72,759 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,557 prescription claims across 454 beneficiaries totaling $1,024,398 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 2,515 claims. Open Payments data shows 1 records totaling $66. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $19,561 to $1,024,398. 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$36K$73K2022 Medicare payment: $6,070 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $51,037 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $72,759 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
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
20226263$6,070
2023376561$51,037
2024568908$72,759

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$512K$1.0M2017 Drug cost: $19,561 (USD; Tot_Drug_Cst)2018 Drug cost: $24,273 (USD; Tot_Drug_Cst)2019 Drug cost: $32,986 (USD; Tot_Drug_Cst)2020 Drug cost: $2,548 (USD; Tot_Drug_Cst)2022 Drug cost: $26,306 (USD; Tot_Drug_Cst)2023 Drug cost: $520,577 (USD; Tot_Drug_Cst)2024 Drug cost: $1,024,398 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20171897$19,561
201847348$24,273
201945243$32,986
2020N/R16$2,548
2021N/RN/RN/R
20224186$26,306
20232531,201$520,577
20244542,557$1,024,398

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$43K$86K2023 Medicare payment: $45,249 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $85,544 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
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
20235111,162$45,249
20249352,515$85,544

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more128128$114
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more439590$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2829$63
99406Smoking and tobacco use intensive counseling, 4-10 minutes1213$14
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's122123$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter66926,010$542,075
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr1465,940$89,643
Breztri AerosphereBudesonide/Glycopyr/Formoterol793,300$65,745
Breo ElliptaFluticasone/Vilanterol1074,590$58,088
Incruse ElliptaUmeclidinium Bromide541,980$22,604

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY37262$18,737
A7030Full face mask used with positive airway pressure device, eachN73140$10,898
A7031Face mask interface, replacement for full face mask, eachN60126$9,447
E0601Continuous positive airway pressure (cpap) deviceY53318$9,188
A7034Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strapN53111$5,183

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$66INTUITIVE SURGICAL, INC.
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 Ruby Risal, MD?

Tedicare shows public-source Medicare data for Ruby Risal, MD (NPI 1255852224), 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 Ruby Risal, MD have ACO affiliation data?

Ruby Risal, MD is shown with ACO affiliation data for WellSpan Population Health Services (MSSP, ACO ID A2500).

What billing organization is linked to Ruby Risal, MD?

Ruby Risal, MD is linked to WELLSPAN MEDICAL GROUP (billing NPI 1073756672) in the available physician profile data.

Does Ruby Risal, MD have Open Payments data?

Ruby Risal, MD has 1 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.