Physician

Rafique Ahmed, MD

According to 2025 Medicare claims, Rafique Ahmed, MD (NPI: 1457354854) practices cardiology in the Gettysburg, PA market, with the plurality of this provider's patient population coming from Adams, PA. This provider's primary affiliated billing organization is WELLSPAN MEDICAL GROUP (NPI: 1972906667; TIN: 23-2730785) and primary practice location at 17325-2516. Ahmed is affiliated with the WellSpan Population Health Services (ACO ID: A2500), participating under the MSSP model.

Ahmed's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,205 traditional Medicare patients, billed 5,740 HCPCS/CPT codes, and received $186,267 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,435 prescription claims across 650 beneficiaries totaling $931,932 in drug costs, led by Eliquis (Apixaban). 2019 DME data shows 12 claims. Open Payments data shows 3 records totaling $71. 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 fallen sharply in recent years, from $294,011 to $186,267. In contrast, Part D prescription costs have risen steadily, from $78,039 to $931,932. 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$157K$313K2015 Medicare payment: $294,011 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $294,192 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $276,747 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $313,266 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $276,447 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $231,042 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $169,180 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $139,490 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $155,840 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $186,267 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,2372,741$294,011
20169912,553$294,192
20179832,966$276,747
20181,1163,751$313,266
20191,1023,372$276,447
20201,2254,013$231,042
20211,3433,841$169,180
20221,0213,607$139,490
20231,1154,945$155,840
20241,2055,740$186,267

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$466K$932K2015 Drug cost: $78,039 (USD; Tot_Drug_Cst)2016 Drug cost: $48,574 (USD; Tot_Drug_Cst)2017 Drug cost: $81,853 (USD; Tot_Drug_Cst)2018 Drug cost: $133,333 (USD; Tot_Drug_Cst)2019 Drug cost: $131,040 (USD; Tot_Drug_Cst)2020 Drug cost: $85,587 (USD; Tot_Drug_Cst)2021 Drug cost: $164,173 (USD; Tot_Drug_Cst)2022 Drug cost: $446,916 (USD; Tot_Drug_Cst)2023 Drug cost: $716,207 (USD; Tot_Drug_Cst)2024 Drug cost: $931,932 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015151752$78,039
2016148761$48,574
2017163830$81,853
2018154870$133,333
2019138684$131,040
2020108463$85,587
2021272828$164,173
20223771,825$446,916
20235002,695$716,207
20246503,435$931,932

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$24K$47K2016 Medicare payment: $47,484 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $40,662 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $33,887 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $25,005 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R23$47,484
2017N/R20$40,662
2018N/R17$33,887
2019N/R12$25,005
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more414634$90
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more245261$53
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days295669$19
93296Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days4071,084$14
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report8581,142$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban70537,275$698,244
XareltoRivaroxaban755,092$92,057
EntrestoSacubitril/Valsartan502,990$59,826
Metoprolol SuccinateMetoprolol Succinate49639,717$11,368
Flecainide AcetateFlecainide Acetate21616,347$8,783

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.3$71Kiniksa Pharmaceuticals International, plc
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 Rafique Ahmed, MD?

Tedicare shows public-source Medicare data for Rafique Ahmed, MD (NPI 1457354854), 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 Rafique Ahmed, MD have ACO affiliation data?

Rafique Ahmed, MD is shown with ACO affiliation data for WellSpan Population Health Services (MSSP, ACO ID A2500).

What billing organization is linked to Rafique Ahmed, MD?

Rafique Ahmed, MD is linked to WELLSPAN MEDICAL GROUP (billing NPI 1972906667) in the available physician profile data.

Does Rafique Ahmed, MD have Open Payments data?

Rafique Ahmed, MD has 3 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.