Physician

Amresh Raina, MD

According to 2025 Medicare claims, Amresh Raina, MD (NPI: 1447450705) practices advanced heart failure and transplant cardiology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is ALLEGHENY CLINIC (NPI: 1104826734; TIN: 251838458) and primary practice location at 15212-4756. Raina is affiliated with the Physician Partners of Western PA LLC (ACO ID: A3547), ACO West Virginia (ACO ID: A3563), and AdvantagePoint Health Alliance - Laurel Highlands, LLC (ACO ID: A4657), participating under the MSSP model.

Raina's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 342 traditional Medicare patients, billed 658 HCPCS/CPT codes, and received $44,601 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 3,381 prescription claims across 275 beneficiaries totaling $5,327,026 in drug costs, led by Vyndamax (Tafamidis). DME data shows 220 claims. Open Payments data shows 45 records totaling $203,076. 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 moved sharply higher in recent years, from $839,217 to $5,327,026. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $19,281 to $1,101.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	283	688	$52,946
2016	352	920	$67,653
2017	392	939	$65,629
2018	512	1,109	$77,187
2019	513	968	$66,042
2020	404	760	$52,143
2021	414	750	$55,602
2022	407	790	$61,868
2023	390	708	$56,011
2024	342	658	$44,601

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	230	1,766	$839,217
2016	278	2,019	$1,772,097
2017	300	2,856	$1,965,016
2018	313	2,853	$1,634,697
2019	255	2,562	$1,435,437
2020	254	2,812	$2,009,162
2021	241	3,039	$3,166,094
2022	228	2,855	$2,476,565
2023	236	2,655	$3,945,795
2024	275	3,381	$5,327,026

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	252	$33,198
2016	13	202	$241,782
2017	N/R	116	$143,562
2018	23	187	$196,557
2019	N/R	190	$60,864
2020	23	222	$381,558
2021	N/R	102	$3,563
2022	N/R	67	$1,948
2023	N/R	131	$2,507
2024	N/R	220	$201,925

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

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	84	$129
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	65	$93
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	188	190	$49
93308	Ultrasound of heart, follow-up	28	29	$18
G2211	Visit 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's	56	69	$13

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Vyndamax	Tafamidis	38	1,380	$1,040,358
Uptravi	Selexipag	40	1,200	$907,549
Tyvaso Dpi	Treprostinil	32	896	$832,046
Adempas	Riociguat	54	1,620	$716,743
Winrevair	Sotatercept-Csrk	28	588	$398,430

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
J7686	Treprostinil, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, 1.74 mg	N	N/R	12	$197,256
J7507	Tacrolimus, immediate release, oral, 1 mg	N	N/R	61	$1,632
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	54	$979
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	54	$765
J7518	Mycophenolic acid, oral, 180 mg	N	N/R	12	$718

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$137	Actelion Pharmaceuticals US, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	38	$202,938	Merck Sharp & Dohme LLC
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Amresh Raina, MD?

Tedicare shows public-source Medicare data for Amresh Raina, MD (NPI 1447450705), 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 Amresh Raina, MD have ACO affiliation data?

Amresh Raina, MD is shown with ACO affiliation data for Physician Partners of Western PA LLC (MSSP, ACO ID A3547), ACO West Virginia (MSSP, ACO ID A3563), and AdvantagePoint Health Alliance - Laurel Highlands, LLC (MSSP, ACO ID A4657).

What billing organization is linked to Amresh Raina, MD?

Amresh Raina, MD is linked to ALLEGHENY CLINIC (billing NPI 1104826734) in the available physician profile data.

Does Amresh Raina, MD have Open Payments data?

Amresh Raina, MD has 45 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.