Physician

Kalyani P Govindaraju, MD

According to 2025 Medicare claims, Kalyani Govindaraju, MD (NPI: 1508952243) practices rheumatology in the Manchester-Nashua, NH market, with the plurality of this provider's patient population coming from Hillsborough, NH. This provider's primary affiliated billing organization is FOUNDATION MEDICAL PARTNERS INC (NPI: 1033162037; TIN: 020456218) and primary practice location at 03060-3957. Govindaraju is affiliated with the Southern New Hampshire Health ACO LLC (ACO ID: A5639), participating under the MSSP model.

Govindaraju's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 324 traditional Medicare patients, billed 69,352 HCPCS/CPT codes, and received $1,136,225 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 1,555 prescription claims across 253 beneficiaries totaling $1,063,635 in drug costs, led by Otezla (Apremilast). Open Payments data shows 7 records totaling $143. 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 moved from a lower plateau to a higher plateau, from $259,008 to $1,136,225. Similarly, Part D prescription costs have moved sharply higher in recent years, from $234,306 to $1,063,635. 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$568K$1.1M2015 Medicare payment: $259,008 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $277,608 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $278,609 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $374,833 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $646,557 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $741,648 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $793,913 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $938,852 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $883,149 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,136,225 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201524916,649$259,008
201624520,544$277,608
201725214,955$278,609
201823813,135$374,833
201925518,163$646,557
202029930,088$741,648
202131939,029$793,913
202233739,265$938,852
202331762,286$883,149
202432469,352$1,136,225

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$532K$1.1M2015 Drug cost: $234,306 (USD; Tot_Drug_Cst)2016 Drug cost: $264,121 (USD; Tot_Drug_Cst)2017 Drug cost: $407,216 (USD; Tot_Drug_Cst)2018 Drug cost: $443,148 (USD; Tot_Drug_Cst)2019 Drug cost: $563,866 (USD; Tot_Drug_Cst)2020 Drug cost: $568,504 (USD; Tot_Drug_Cst)2021 Drug cost: $687,553 (USD; Tot_Drug_Cst)2022 Drug cost: $999,017 (USD; Tot_Drug_Cst)2023 Drug cost: $1,055,052 (USD; Tot_Drug_Cst)2024 Drug cost: $1,063,635 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151941,253$234,306
20162061,421$264,121
20171971,331$407,216
20181951,265$443,148
20192021,364$563,866
20201991,447$568,504
20212011,475$687,553
20222171,553$999,017
20232391,603$1,055,052
20242531,555$1,063,635

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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more80143$137
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more179301$90
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more80101$61
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's7494$13
96372Injection of drug or substance under skin or into muscle62108$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OtezlaApremilast33990$152,272
Humira(Cf) PenAdalimumab13364$104,447
BenlystaBelimumab18504$101,407
Humira(Cf)Adalimumab13364$86,394
SavellaMilnacipran Hcl271,026$22,120

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.7$143GENZYME CORPORATION
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 Kalyani P. Govindaraju, MD?

Tedicare shows public-source Medicare data for Kalyani P. Govindaraju, MD (NPI 1508952243), 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 Kalyani P. Govindaraju, MD have ACO affiliation data?

Kalyani P. Govindaraju, MD is shown with ACO affiliation data for Southern New Hampshire Health ACO LLC (MSSP, ACO ID A5639).

What billing organization is linked to Kalyani P. Govindaraju, MD?

Kalyani P. Govindaraju, MD is linked to FOUNDATION MEDICAL PARTNERS INC (billing NPI 1033162037) in the available physician profile data.

Does Kalyani P. Govindaraju, MD have Open Payments data?

Kalyani P. Govindaraju, MD has 7 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.