Physician

Amar Rawal, MD

According to 2025 Medicare claims, Amar Rawal, MD (NPI: 1538591268) practices urology in the Peoria, IL market, with the plurality of this provider's patient population coming from Tazewell, IL. This provider's primary affiliated billing organization is OSF MULTI-SPECIALTY GROUP (NPI: 1922445527; TIN: 383852646) and primary practice location at 61603-3201. Rawal is affiliated with the IRCCO (ACO ID: A2619), OSF Healthcare System (ACO ID: A3289), IHCI ACO Midwest LLC (ACO ID: A5516), and Quality Health Partners, LLC (ACO ID: A5553), participating under the MSSP model.

Rawal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 144 traditional Medicare patients, billed 433 HCPCS/CPT codes, and received $32,257 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 162 prescription claims across 72 beneficiaries totaling $53,907 in drug costs, led by Finasteride (Finasteride). DME data shows 51 claims. Open Payments data shows 19 records totaling $387. 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 risen steadily, from $611 to $53,907. 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$49K$98K2019 Medicare payment: $48,057 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $78,168 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $97,855 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $57,968 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $59,133 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $32,257 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019172549$48,057
20203411,208$78,168
20214201,213$97,855
2022310686$57,968
2023213708$59,133
2024144433$32,257

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$27K$54K2015 Drug cost: $611 (USD; Tot_Drug_Cst)2016 Drug cost: $878 (USD; Tot_Drug_Cst)2017 Drug cost: $164 (USD; Tot_Drug_Cst)2018 Drug cost: $210 (USD; Tot_Drug_Cst)2019 Drug cost: $3,096 (USD; Tot_Drug_Cst)2020 Drug cost: $26,065 (USD; Tot_Drug_Cst)2021 Drug cost: $44,947 (USD; Tot_Drug_Cst)2022 Drug cost: $53,628 (USD; Tot_Drug_Cst)2023 Drug cost: $20,294 (USD; Tot_Drug_Cst)2024 Drug cost: $53,907 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152345$611
20163458$878
2017N/R12$164
20181323$210
201961128$3,096
2020137446$26,065
2021160473$44,947
2022138450$53,628
202382196$20,294
202472162$53,907

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$22K$44K2020 Medicare payment: $2,108 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $29,932 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $29,934 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $24,635 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $43,584 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/R19$2,108
20211575$29,932
2022N/R77$29,934
2023N/R38$24,635
2024N/R51$43,584

* / # = 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 more2630$110
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7094$75
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2729$57
51798Ultrasound measurement of bladder capacity after voiding3540$7
81003Automated urinalysis test3441$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FinasterideFinasteride322,820$514
Tamsulosin HclTamsulosin Hcl332,389$366
Oxybutynin ChlorideOxybutynin Chloride16288$122
Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim16137$51
Ciprofloxacin HclCiprofloxacin Hcl1236$13

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R51$43,584

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.19$387COLOPLAST CORP
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 Amar Rawal, MD?

Tedicare shows public-source Medicare data for Amar Rawal, MD (NPI 1538591268), 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 Amar Rawal, MD have ACO affiliation data?

Amar Rawal, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619), OSF Healthcare System (MSSP, ACO ID A3289), IHCI ACO Midwest LLC (MSSP, ACO ID A5516), and Quality Health Partners, LLC (MSSP, ACO ID A5553).

What billing organization is linked to Amar Rawal, MD?

Amar Rawal, MD is linked to OSF MULTI-SPECIALTY GROUP (billing NPI 1922445527) in the available physician profile data.

Does Amar Rawal, MD have Open Payments data?

Amar Rawal, MD has 19 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.