Physician

Raisa Joy Epistola, M.D.

According to 2025 Medicare claims, Raisa Epistola, M.D. (NPI: 1417482910) practices hematology/oncology in the Everett, WA market, with the plurality of this provider's patient population coming from Snohomish, WA. This provider's primary affiliated billing organization is OPTUM CARE WASHINGTON PLLC (NPI: 1831186766; TIN: 910214500) and primary practice location at 98201-1621.

Epistola's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 105 traditional Medicare patients, billed 18,450 HCPCS/CPT codes, and received $460,615 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 225 prescription claims across 106 beneficiaries totaling $837,758 in drug costs, led by Lenalidomide (Lenalidomide). Open Payments data shows 11 records totaling $476. 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 $2,847 to $837,758. 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$230K$461K2024 Medicare payment: $460,615 (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
2022N/RN/RN/R
2023N/RN/RN/R
202410518,450$460,615

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$857K$1.7M2018 Drug cost: $2,847 (USD; Tot_Drug_Cst)2019 Drug cost: $14,770 (USD; Tot_Drug_Cst)2020 Drug cost: $17,119 (USD; Tot_Drug_Cst)2021 Drug cost: $167,466 (USD; Tot_Drug_Cst)2022 Drug cost: $236,775 (USD; Tot_Drug_Cst)2023 Drug cost: $1,714,358 (USD; Tot_Drug_Cst)2024 Drug cost: $837,758 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181650$2,847
201958288$14,770
202026160$17,119
202123145$167,466
20223299$236,775
2023106380$1,714,358
2024106225$837,758

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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more2130$143
96413Administration of chemotherapy into vein, 1 hour or less3146$103
96372Injection of drug or substance under skin or into muscle2233$11
36415Insertion of needle into vein for collection of blood sample1933$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count2044$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LenalidomideLenalidomide13364$228,877
AnastrozoleAnastrozole191,620$389
Ondansetron HclOndansetron Hcl12220$280
Oxycodone HclOxycodone Hcl13164$214

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.11$476Exelixis 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 Raisa Joy Epistola, M.D.?

Tedicare shows public-source Medicare data for Raisa Joy Epistola, M.D. (NPI 1417482910), 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 Raisa Joy Epistola, 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 Raisa Joy Epistola, M.D.?

Raisa Joy Epistola, M.D. is linked to OPTUM CARE WASHINGTON PLLC (billing NPI 1831186766) in the available physician profile data.

Does Raisa Joy Epistola, M.D. have Open Payments data?

Raisa Joy Epistola, M.D. has 11 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.