Physician

Ajay Kumar Rachakonda, MD

According to 2025 Medicare claims, Ajay Rachakonda, MD (NPI: 1467605014) practices nephrology in the Stockton-Lodi, CA market, with the plurality of this provider's patient population coming from San Joaquin, CA. This provider's primary affiliated billing organization is SAN JOAQUIN KIDNEY CLINIC, INC (NPI: 1407897358; TIN: 050550573) and primary practice location at 95204-6019. Rachakonda is affiliated with the Commonwealth Primary Care ACO LLC (ACO ID: D0224) and P3 Health Partners REACH ACO LLC (ACO ID: D0327), participating under the REACH model.

Rachakonda's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 805 traditional Medicare patients, billed 3,282 HCPCS/CPT codes, and received $388,829 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 4,747 prescription claims across 638 beneficiaries totaling $1,051,265 in drug costs, led by Ozempic (Semaglutide). 2022 DME data shows 40 claims. Open Payments data shows 64 records totaling $1,323. 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 up and down with repeated peaks and valleys, starting at $480,726 and ending at $1,051,265. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $1,494 to $1,983.

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$207K$413K2015 Medicare payment: $347,778 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $413,160 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $203,305 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $311,605 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $328,038 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $327,052 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $392,166 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $386,943 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $372,882 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $388,829 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154586,534$347,778
201660011,939$413,160
20174812,868$203,305
20186833,049$311,605
20198173,574$328,038
20207883,236$327,052
20218133,340$392,166
20228303,411$386,943
20238013,053$372,882
20248053,282$388,829

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$574K$1.1M2015 Drug cost: $480,726 (USD; Tot_Drug_Cst)2016 Drug cost: $1,148,047 (USD; Tot_Drug_Cst)2017 Drug cost: $1,020,308 (USD; Tot_Drug_Cst)2018 Drug cost: $193,606 (USD; Tot_Drug_Cst)2019 Drug cost: $448,778 (USD; Tot_Drug_Cst)2020 Drug cost: $486,900 (USD; Tot_Drug_Cst)2021 Drug cost: $329,501 (USD; Tot_Drug_Cst)2022 Drug cost: $576,901 (USD; Tot_Drug_Cst)2023 Drug cost: $802,348 (USD; Tot_Drug_Cst)2024 Drug cost: $1,051,265 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152622,545$480,726
20163174,716$1,148,047
20172942,601$1,020,308
2018213932$193,606
20192211,385$448,778
20202781,935$486,900
20213702,619$329,501
20224623,505$576,901
20235713,990$802,348
20246384,747$1,051,265

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$3.7K$7.4K2015 Medicare payment: $1,380 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $7,445 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $6,819 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $823 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $1,239 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $901 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R38$1,380
2016N/R174$7,445
2017N/R93$6,819
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R13$823
2021N/R48$1,239
2022N/R40$901
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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes244296$141
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more209310$115
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes220444$97
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more201248$87
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3641,291$65

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide1144,622$123,677
JardianceEmpagliflozin896,690$121,461
VelphoroSucroferric Oxyhydroxide21930$102,010
FarxigaDapagliflozin Propanediol694,325$76,847
LokelmaSodium Zirconium Cyclosilicate542,908$74,983

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.64$1,323AstraZeneca Pharmaceuticals LP
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 Ajay Kumar Rachakonda, MD?

Tedicare shows public-source Medicare data for Ajay Kumar Rachakonda, MD (NPI 1467605014), 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 Ajay Kumar Rachakonda, MD have ACO affiliation data?

Ajay Kumar Rachakonda, MD is shown with ACO affiliation data for Commonwealth Primary Care ACO LLC (REACH, ACO ID D0224) and P3 Health Partners REACH ACO LLC (REACH, ACO ID D0327).

What billing organization is linked to Ajay Kumar Rachakonda, MD?

Ajay Kumar Rachakonda, MD is linked to SAN JOAQUIN KIDNEY CLINIC, INC (billing NPI 1407897358) in the available physician profile data.

Does Ajay Kumar Rachakonda, MD have Open Payments data?

Ajay Kumar Rachakonda, MD has 64 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.