Physician

Ajay Kaul, M.D.

According to 2025 Medicare claims, Ajay Kaul, M.D. (NPI: 1356370092) practices pediatric medicine in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Hamilton, OH. This provider's primary affiliated billing organization is CHILDREN'S HOSPITAL MEDICAL CENTER (NPI: 1609915784; TIN: 310833936) and primary practice location at 45229-3039.

Kaul's data goes back to 2015 and runs through 2024. For example, in 2019, this provider had 11 traditional Medicare patients, billed 17 HCPCS/CPT codes, and received $1,168 in Medicare payments. 2024 Part D data shows 150 prescription claims across 13 beneficiaries totaling $29,184 in drug costs, led by Motegrity (Prucalopride Succinate). 2024 DME data shows 59 claims. Open Payments data shows 2 records totaling $20,251. 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 $3,192 to $29,184. For DME billing, reported payments rose steadily, from $39 to $761.

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$584$1.2K2019 Medicare payment: $1,168 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20191117$1,168
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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$19K$38K2016 Drug cost: $3,192 (USD; Tot_Drug_Cst)2017 Drug cost: $4,818 (USD; Tot_Drug_Cst)2018 Drug cost: $5,610 (USD; Tot_Drug_Cst)2019 Drug cost: $9,502 (USD; Tot_Drug_Cst)2020 Drug cost: $24,824 (USD; Tot_Drug_Cst)2021 Drug cost: $30,418 (USD; Tot_Drug_Cst)2022 Drug cost: $36,166 (USD; Tot_Drug_Cst)2023 Drug cost: $38,206 (USD; Tot_Drug_Cst)2024 Drug cost: $29,184 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R30$3,192
2017N/R38$4,818
2018N/R41$5,610
2019N/R36$9,502
20201697$24,824
20211496$30,418
202217131$36,166
202314169$38,206
202413150$29,184

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$4.5K$9.1K2018 Medicare payment: $5,639 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $5,728 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $8,480 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $7,739 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $7,993 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $9,096 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $9,092 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R53$5,639
2019N/R51$5,728
2020N/R62$8,480
2021N/R58$7,739
2022N/R57$7,993
2023N/R59$9,096
2024N/R59$9,092

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

No connected Part B code-level records for 2024.

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MotegrityPrucalopride Succinate26780$14,059
FamotidineFamotidine28997$4,225
Esomeprazole MagnesiumEsomeprazole Magnesium31914$3,843
LansoprazoleLansoprazole14420$390

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeNN/R26$5,245
B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitNN/R21$3,794
E0776Iv poleYN/R12$52

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$20,251Genentech, 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 Ajay Kaul, M.D.?

Tedicare shows public-source Medicare data for Ajay Kaul, M.D. (NPI 1356370092), 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 Kaul, 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 Kaul, M.D.?

Ajay Kaul, M.D. is linked to CHILDREN'S HOSPITAL MEDICAL CENTER (billing NPI 1609915784) in the available physician profile data.

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

Ajay Kaul, M.D. has 2 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.