Physician

Helen A Raynham, M.D.

According to 2025 Medicare claims, Helen Raynham, M.D. (NPI: 1467423541) practices dermatology in the Cambridge-Newton-Framingham, MA market, with the plurality of this provider's patient population coming from Middlesex, MA. This provider's primary affiliated billing organization is DERMCARE PHYSICIANS AND SURGEONS LLC (NPI: 1780636597; TIN: 204012780) and primary practice location at 01824-2712. Raynham is affiliated with the Lahey Clinical Performance ACO (ACO ID: A1490), Mass General Brigham ACO, LLC (ACO ID: A4641), and Wellforce ACO, LLC (ACO ID: A4922), participating under the MSSP model.

Raynham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 771 traditional Medicare patients, billed 3,251 HCPCS/CPT codes, and received $792,145 in Medicare payments. The top billing code was 17313 (Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks). Part D data shows 390 prescription claims across 258 beneficiaries totaling $6,500 in drug costs, led by Betamethasone Diprop Augmented (Betamethasone/Propylene Glyc). Open Payments data shows 26 records totaling $624. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $3,676 to $6,500. 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$396K$792K2015 Medicare payment: $545,768 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $517,153 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $543,925 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $640,697 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $655,110 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $651,513 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $713,727 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $662,453 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $694,871 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $792,145 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155272,129$545,768
20164791,997$517,153
20175302,021$543,925
20184982,078$640,697
20195772,362$655,110
20206473,206$651,513
20217473,242$713,727
20226102,226$662,453
20236322,512$694,871
20247713,251$792,145

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$5.7K$11K2015 Drug cost: $3,676 (USD; Tot_Drug_Cst)2016 Drug cost: $2,045 (USD; Tot_Drug_Cst)2017 Drug cost: $2,100 (USD; Tot_Drug_Cst)2018 Drug cost: $1,456 (USD; Tot_Drug_Cst)2019 Drug cost: $2,670 (USD; Tot_Drug_Cst)2020 Drug cost: $9,981 (USD; Tot_Drug_Cst)2021 Drug cost: $11,435 (USD; Tot_Drug_Cst)2022 Drug cost: $6,724 (USD; Tot_Drug_Cst)2023 Drug cost: $4,106 (USD; Tot_Drug_Cst)2024 Drug cost: $6,500 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015151247$3,676
2016144209$2,045
2017135201$2,100
2018154205$1,456
2019178274$2,670
2020213353$9,981
2021252410$11,435
2022213305$6,724
2023222337$4,106
2024258390$6,500

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
17313Removal and microscopic exam of growth of trunk, arms, or legs, 1-5 tissue blocks118140$525
17311Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks393473$524
13132Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm207227$215
13121Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm124136$214
11102Biopsy of related skin growth, first growth112126$67

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Betamethasone Diprop AugmentedBetamethasone/Propylene Glyc14405$1,172
MupirocinMupirocin1642,959$1,060
Gentamicin SulfateGentamicin Sulfate22567$911
KetoconazoleKetoconazole23770$487
Fluocinolone AcetonideFluocinolone Acetonide11330$373

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.26$624ABBVIE 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 Helen A. Raynham, M.D.?

Tedicare shows public-source Medicare data for Helen A. Raynham, M.D. (NPI 1467423541), 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 Helen A. Raynham, M.D. have ACO affiliation data?

Helen A. Raynham, M.D. is shown with ACO affiliation data for Lahey Clinical Performance ACO (MSSP, ACO ID A1490), Mass General Brigham ACO, LLC (MSSP, ACO ID A4641), and Wellforce ACO, LLC (MSSP, ACO ID A4922).

What billing organization is linked to Helen A. Raynham, M.D.?

Helen A. Raynham, M.D. is linked to DERMCARE PHYSICIANS AND SURGEONS LLC (billing NPI 1780636597) in the available physician profile data.

Does Helen A. Raynham, M.D. have Open Payments data?

Helen A. Raynham, M.D. has 26 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.