Physician

Julio A Ramos, MD

According to 2025 Medicare claims, Julio Ramos, MD (NPI: 1275519530) practices rheumatology in the Scranton--Wilkes-Barre, PA market, with the plurality of this provider's patient population coming from Lackawanna, PA. This provider's primary affiliated billing organization is RAMOS RHEUMATOLOGY, P.C. (NPI: 1023446150; TIN: 463499981) and primary practice location at 18641-1518. Ramos is affiliated with the Keystone ACO (ACO ID: A1552), participating under the MSSP model.

Ramos' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 992 traditional Medicare patients, billed 136,746 HCPCS/CPT codes, and received $2,065,527 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 4,906 prescription claims across 805 beneficiaries totaling $1,253,313 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2018 DME data shows 11 claims. Open Payments data shows 114 records totaling $34,006. 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 $780,932 to $2,065,527. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $1,634,910 and ending at $1,253,313. 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$1.1M$2.2M2015 Medicare payment: $780,932 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $681,105 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $678,919 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $815,022 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,129,880 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,421,786 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,593,186 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,737,146 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,159,789 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,065,527 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201560437,762$780,932
201661423,476$681,105
201761228,303$678,919
201862330,376$815,022
201971646,334$1,129,880
202069256,316$1,421,786
202181784,809$1,593,186
202281491,970$1,737,146
2023855128,130$2,159,789
2024992136,746$2,065,527

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$937K$1.9M2015 Drug cost: $1,634,910 (USD; Tot_Drug_Cst)2016 Drug cost: $1,271,836 (USD; Tot_Drug_Cst)2017 Drug cost: $1,410,622 (USD; Tot_Drug_Cst)2018 Drug cost: $1,874,260 (USD; Tot_Drug_Cst)2019 Drug cost: $1,797,027 (USD; Tot_Drug_Cst)2020 Drug cost: $1,381,251 (USD; Tot_Drug_Cst)2021 Drug cost: $1,151,125 (USD; Tot_Drug_Cst)2022 Drug cost: $1,381,716 (USD; Tot_Drug_Cst)2023 Drug cost: $1,186,678 (USD; Tot_Drug_Cst)2024 Drug cost: $1,253,313 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156205,842$1,634,910
20165664,250$1,271,836
20174762,881$1,410,622
20185474,135$1,874,260
20196184,543$1,797,027
20206294,799$1,381,251
20216944,723$1,151,125
20227334,847$1,381,716
20237684,880$1,186,678
20248054,906$1,253,313

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$791$1.6K2015 Medicare payment: $1,581 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,240 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $341 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151230$1,581
2016N/RN/RN/R
2017N/R11$1,240
2018N/R11$341
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7991,800$91
99497Advance care planning, first 30 minutes227228$53
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month330772$49
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month254802$37
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's5551,018$13

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab26728$205,126
Enbrel SureclickEtanercept11308$82,391
Xeljanz XrTofacitinib Citrate12360$68,293
BenlystaBelimumab28784$66,003
ActemraTocilizumab11308$53,656

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.114$34,006ABBVIE 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 Julio A. Ramos, MD?

Tedicare shows public-source Medicare data for Julio A. Ramos, MD (NPI 1275519530), 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 Julio A. Ramos, MD have ACO affiliation data?

Julio A. Ramos, MD is shown with ACO affiliation data for Keystone ACO (MSSP, ACO ID A1552).

What billing organization is linked to Julio A. Ramos, MD?

Julio A. Ramos, MD is linked to RAMOS RHEUMATOLOGY, P.C. (billing NPI 1023446150) in the available physician profile data.

Does Julio A. Ramos, MD have Open Payments data?

Julio A. Ramos, MD has 114 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.