Physician

Rafath Ullah, M.D.

According to 2025 Medicare claims, Rafath Ullah, M.D. (NPI: 1326350034) practices internal medicine in the Kenosha, WI market, with the plurality of this provider's patient population coming from Kenosha, WI. This provider's primary affiliated billing organization is AURORA MEDICAL GROUP, INC. (NPI: 1427271378; TIN: 391678306) and primary practice location at 53142-7884. Ullah is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Ullah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 469 traditional Medicare patients, billed 2,018 HCPCS/CPT codes, and received $147,544 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 1,279 prescription claims across 324 beneficiaries totaling $183,345 in drug costs, led by Eliquis (Apixaban). 2018 DME data shows 14 claims. Open Payments data shows 5 records totaling $208. 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 risen steadily, from $28,216 to $183,345. 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$74K$148K2015 Medicare payment: $145,086 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $77,873 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $75,543 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $78,442 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,707 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $5,666 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $31,394 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $112,247 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $147,544 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20156231,761$145,086
20165161,301$77,873
20174771,282$75,543
20185061,308$78,442
2019N/RN/RN/R
20201818$2,707
20214040$5,666
2022331644$31,394
20232961,530$112,247
20244692,018$147,544

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$92K$183K2015 Drug cost: $28,216 (USD; Tot_Drug_Cst)2016 Drug cost: $19,330 (USD; Tot_Drug_Cst)2017 Drug cost: $14,093 (USD; Tot_Drug_Cst)2018 Drug cost: $37,584 (USD; Tot_Drug_Cst)2019 Drug cost: $15,890 (USD; Tot_Drug_Cst)2020 Drug cost: $14,519 (USD; Tot_Drug_Cst)2021 Drug cost: $24,938 (USD; Tot_Drug_Cst)2022 Drug cost: $77,274 (USD; Tot_Drug_Cst)2023 Drug cost: $86,865 (USD; Tot_Drug_Cst)2024 Drug cost: $183,345 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015157304$28,216
2016182400$19,330
2017156350$14,093
2018171423$37,584
201964173$15,890
202067214$14,519
202153168$24,938
2022176761$77,274
2023189795$86,865
20243241,279$183,345

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$2.9K$5.7K2015 Medicare payment: $5,733 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,493 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $1,898 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $690 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R109$5,733
2016N/R41$1,493
2017N/R45$1,898
2018N/R14$690
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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more8484$115
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes165188$100
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more131190$88
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function147155$68
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes150988$61

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban613,958$77,942
EntrestoSacubitril/Valsartan361,464$32,389
BrilintaTicagrelor371,470$22,023
XareltoRivaroxaban17810$15,332
Rosuvastatin CalciumRosuvastatin Calcium20215,807$1,906

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.5$208ShockWave Medical, 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 Rafath Ullah, M.D.?

Tedicare shows public-source Medicare data for Rafath Ullah, M.D. (NPI 1326350034), 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 Rafath Ullah, M.D. have ACO affiliation data?

Rafath Ullah, M.D. is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Rafath Ullah, M.D.?

Rafath Ullah, M.D. is linked to AURORA MEDICAL GROUP, INC. (billing NPI 1427271378) in the available physician profile data.

Does Rafath Ullah, M.D. have Open Payments data?

Rafath Ullah, M.D. has 5 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.