Physician

Ajay Kumar Varma Buddaraju, MD

According to 2025 Medicare claims, Ajay Buddaraju, MD (NPI: 1548247448) practices rheumatology, with the plurality of this provider's patient population coming from Whiteside, IL. This provider's primary affiliated billing organization is CGH MEDICAL CENTER (NPI: 1548540636; TIN: 363479824) and primary practice location at 61081-1252. Buddaraju is affiliated with the OSF Healthcare System (ACO ID: A3289), participating under the MSSP model.

Buddaraju's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 461 traditional Medicare patients, billed 1,163 HCPCS/CPT codes, and received $63,416 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 3,687 prescription claims across 573 beneficiaries totaling $2,037,640 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 5 records totaling $144. 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 sharply higher in recent years, from $489,994 to $2,037,640. 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$46K$92K2015 Medicare payment: $91,537 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $85,284 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $81,579 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $80,216 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $72,645 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $85,517 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $90,630 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $68,627 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $68,801 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $63,416 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155181,745$91,537
20165891,622$85,284
20175371,472$81,579
20184971,415$80,216
20195391,304$72,645
20205161,281$85,517
20215161,124$90,630
20224911,078$68,627
20234651,077$68,801
20244611,163$63,416

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$1.0M$2.0M2015 Drug cost: $489,994 (USD; Tot_Drug_Cst)2016 Drug cost: $586,001 (USD; Tot_Drug_Cst)2017 Drug cost: $694,611 (USD; Tot_Drug_Cst)2018 Drug cost: $713,833 (USD; Tot_Drug_Cst)2019 Drug cost: $1,025,582 (USD; Tot_Drug_Cst)2020 Drug cost: $1,009,610 (USD; Tot_Drug_Cst)2021 Drug cost: $1,277,149 (USD; Tot_Drug_Cst)2022 Drug cost: $1,525,849 (USD; Tot_Drug_Cst)2023 Drug cost: $1,570,829 (USD; Tot_Drug_Cst)2024 Drug cost: $2,037,640 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154323,685$489,994
20164783,958$586,001
20174923,281$694,611
20185013,326$713,833
20194843,246$1,025,582
20204803,547$1,009,610
20215043,425$1,277,149
20225403,498$1,525,849
20235333,436$1,570,829
20245733,687$2,037,640

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 more5562$98
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5252$79
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more408661$65
20610Aspiration and/or injection of fluid from large joint72106$35
73130X-ray of hand, minimum of 3 views6262$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept802,716$776,689
Humira(Cf) PenAdalimumab732,380$621,894
Humira PenAdalimumab20784$236,903
HumiraAdalimumab12336$84,396
RasuvoMethotrexate/Pf28784$15,453

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.5$144Janssen Biotech, 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 Ajay Kumar Varma Buddaraju, MD?

Tedicare shows public-source Medicare data for Ajay Kumar Varma Buddaraju, MD (NPI 1548247448), 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 Varma Buddaraju, MD have ACO affiliation data?

Ajay Kumar Varma Buddaraju, MD is shown with ACO affiliation data for OSF Healthcare System (MSSP, ACO ID A3289).

What billing organization is linked to Ajay Kumar Varma Buddaraju, MD?

Ajay Kumar Varma Buddaraju, MD is linked to CGH MEDICAL CENTER (billing NPI 1548540636) in the available physician profile data.

Does Ajay Kumar Varma Buddaraju, MD have Open Payments data?

Ajay Kumar Varma Buddaraju, MD has 5 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.