Physician

Bala S. Somayaji, MD

According to 2025 Medicare claims, Bala Somayaji, MD (NPI: 1407868268) practices infectious disease in the Kansas City, MO-KS market, with the plurality of this provider's patient population coming from Johnson, KS. This provider's primary affiliated billing organization is METRO INFECTIOUS DISEASE CONSULTANTS, LLC (NPI: 1235125717; TIN: 363966745) and primary practice location at 66211-1313. Somayaji is affiliated with the Aledade 98 MO MSSP Enhanced (ACO ID: A4998) and American Choice Healthcare, LLC (ACO ID: D0086), participating under both the MSSP and REACH models.

Somayaji's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 636 traditional Medicare patients, billed 118,360 HCPCS/CPT codes, and received $831,282 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 476 prescription claims across 125 beneficiaries totaling $400,225 in drug costs, led by Biktarvy (Bictegrav/Emtricit/Tenofov Ala). Open Payments data shows 1 records totaling $62. 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 $206,142 to $831,282. Similarly, Part D prescription costs have risen steadily, from $33,826 to $400,225. 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$416K$831K2015 Medicare payment: $206,142 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $170,615 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $172,041 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $179,968 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $213,397 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $227,807 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $208,255 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $304,715 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $591,249 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $831,282 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155043,500$206,142
20165117,251$170,615
201747411,749$172,041
201847110,910$179,968
201949030,486$213,397
202042340,372$227,807
202139614,103$208,255
202241323,842$304,715
202359863,680$591,249
2024636118,360$831,282

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$206K$412K2015 Drug cost: $33,826 (USD; Tot_Drug_Cst)2016 Drug cost: $111,827 (USD; Tot_Drug_Cst)2017 Drug cost: $272,098 (USD; Tot_Drug_Cst)2018 Drug cost: $286,766 (USD; Tot_Drug_Cst)2019 Drug cost: $308,615 (USD; Tot_Drug_Cst)2020 Drug cost: $356,902 (USD; Tot_Drug_Cst)2021 Drug cost: $321,605 (USD; Tot_Drug_Cst)2022 Drug cost: $362,948 (USD; Tot_Drug_Cst)2023 Drug cost: $412,077 (USD; Tot_Drug_Cst)2024 Drug cost: $400,225 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201563269$33,826
201697426$111,827
2017107607$272,098
2018105668$286,766
2019104575$308,615
2020100602$356,902
2021107524$321,605
2022120638$362,948
2023117640$412,077
2024125476$400,225

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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes381434$127
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes333938$87
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes164305$58
96401Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle74170$51
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less84460$44

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BiktarvyBictegrav/Emtricit/Tenofov Ala742,220$317,952
ErtapenemErtapenem Sodium27179$10,692
DaptomycinDaptomycin1489$7,048
Cefepime HclCefepime Hcl1177$4,390
MeropenemMeropenem20119$4,072

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.1$62SPR Therapeutics, 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 Bala S. Somayaji, MD?

Tedicare shows public-source Medicare data for Bala S. Somayaji, MD (NPI 1407868268), 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 Bala S. Somayaji, MD have ACO affiliation data?

Bala S. Somayaji, MD is shown with ACO affiliation data for Aledade 98 MO MSSP Enhanced (MSSP, ACO ID A4998) and American Choice Healthcare, LLC (REACH, ACO ID D0086).

What billing organization is linked to Bala S. Somayaji, MD?

Bala S. Somayaji, MD is linked to METRO INFECTIOUS DISEASE CONSULTANTS, LLC (billing NPI 1235125717) in the available physician profile data.

Does Bala S. Somayaji, MD have Open Payments data?

Bala S. Somayaji, 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.