Physician

Andrea Ramirez Gomez

According to 2025 Medicare claims, Andrea Gomez (NPI: 1427503077) practices rheumatology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is UNIVERSITY OF CHICAGO (NPI: 1821048786; TIN: 36-2177139) and primary practice location at 60462-2023. Gomez is affiliated with the UCMCNACO, LLC (ACO ID: A3531), participating under the MSSP model.

Gomez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 193 traditional Medicare patients, billed 866 HCPCS/CPT codes, and received $52,991 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 1,040 prescription claims across 165 beneficiaries totaling $1,379,624 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 8 records totaling $193. 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 $3,642 to $1,379,624. 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$26K$53K2021 Medicare payment: $3,077 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $21,312 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $45,703 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $52,991 (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
20211725$3,077
202294263$21,312
2023187576$45,703
2024193866$52,991

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$690K$1.4M2016 Drug cost: $3,642 (USD; Tot_Drug_Cst)2017 Drug cost: $3,582 (USD; Tot_Drug_Cst)2018 Drug cost: $4,446 (USD; Tot_Drug_Cst)2019 Drug cost: $100,196 (USD; Tot_Drug_Cst)2020 Drug cost: $440,556 (USD; Tot_Drug_Cst)2021 Drug cost: $305,225 (USD; Tot_Drug_Cst)2022 Drug cost: $41,144 (USD; Tot_Drug_Cst)2023 Drug cost: $341,818 (USD; Tot_Drug_Cst)2024 Drug cost: $1,379,624 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161956$3,642
20172488$3,582
20181952$4,446
201938202$100,196
202084672$440,556
202166408$305,225
202248202$41,144
2023111497$341,818
20241651,040$1,379,624

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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more3838$181
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more4556$132
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more130245$94
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2633$72
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's113200$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab451,400$444,516
Humira PenAdalimumab22952$215,592
RinvoqUpadacitinib231,020$212,703
HumiraAdalimumab11476$149,644
MethotrexateMethotrexate Sodium1177,834$3,663

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.8$193ABBVIE 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 Andrea Ramirez Gomez?

Tedicare shows public-source Medicare data for Andrea Ramirez Gomez (NPI 1427503077), 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 Andrea Ramirez Gomez have ACO affiliation data?

Andrea Ramirez Gomez is shown with ACO affiliation data for UCMCNACO, LLC (MSSP, ACO ID A3531).

What billing organization is linked to Andrea Ramirez Gomez?

Andrea Ramirez Gomez is linked to UNIVERSITY OF CHICAGO (billing NPI 1821048786) in the available physician profile data.

Does Andrea Ramirez Gomez have Open Payments data?

Andrea Ramirez Gomez has 8 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.