Physician

Anita A Goel, MD

According to 2025 Medicare claims, Anita Goel, MD (NPI: 1578663100) practices rheumatology in the Portland-Vancouver-Hillsboro, OR-WA market, with the plurality of this provider's patient population coming from Washington, OR. This provider's primary affiliated billing organization is NORTHWEST RHEUMATOLOGY ASSOCIATES, PC (NPI: 1043260920; TIN: 931100743) and primary practice location at 97225-6691. Goel is affiliated with the PSW ACO (ACO ID: A5323), participating under the MSSP model.

Goel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 299 traditional Medicare patients, billed 52,996 HCPCS/CPT codes, and received $649,200 in Medicare payments. The top billing code was 96413 (Administration of chemotherapy into vein, 1 hour or less). Part D data shows 1,962 prescription claims across 339 beneficiaries totaling $1,347,411 in drug costs, led by Enbrel Sureclick (Etanercept). No Open Payments records. 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 from a lower plateau to a higher plateau, from $464,642 to $1,347,411. 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$403K$807K2015 Medicare payment: $402,317 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $504,969 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $618,731 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $715,269 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $806,544 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $790,162 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $587,483 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $518,015 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $638,506 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $649,200 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201513810,842$402,317
201614911,465$504,969
201715413,861$618,731
201817819,489$715,269
201919338,686$806,544
202028939,175$790,162
202130837,047$587,483
202225228,907$518,015
202326647,729$638,506
202429952,996$649,200

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$674K$1.3M2015 Drug cost: $464,642 (USD; Tot_Drug_Cst)2016 Drug cost: $523,614 (USD; Tot_Drug_Cst)2017 Drug cost: $601,970 (USD; Tot_Drug_Cst)2018 Drug cost: $739,455 (USD; Tot_Drug_Cst)2019 Drug cost: $807,091 (USD; Tot_Drug_Cst)2020 Drug cost: $938,488 (USD; Tot_Drug_Cst)2021 Drug cost: $1,076,507 (USD; Tot_Drug_Cst)2022 Drug cost: $1,017,810 (USD; Tot_Drug_Cst)2023 Drug cost: $1,209,420 (USD; Tot_Drug_Cst)2024 Drug cost: $1,347,411 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152011,451$464,642
20161981,307$523,614
20172051,450$601,970
20182451,603$739,455
20192371,651$807,091
20202721,643$938,488
20213141,917$1,076,507
20223191,786$1,017,810
20233191,820$1,209,420
20243391,962$1,347,411

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
96413Administration of chemotherapy into vein, 1 hour or less6092$108
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more150245$92
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less67156$49
96415Administration of chemotherapy into vein, each additional hour3374$23
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's166271$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept421,288$335,982
Humira(Cf) PenAdalimumab441,260$302,180
Xeljanz XrTofacitinib Citrate22660$136,099
EnbrelEtanercept18525$127,676
OrenciaAbatacept18512$100,808

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Anita A. Goel, MD?

Tedicare shows public-source Medicare data for Anita A. Goel, MD (NPI 1578663100), 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 Anita A. Goel, MD have ACO affiliation data?

Anita A. Goel, MD is shown with ACO affiliation data for PSW ACO (MSSP, ACO ID A5323).

What billing organization is linked to Anita A. Goel, MD?

Anita A. Goel, MD is linked to NORTHWEST RHEUMATOLOGY ASSOCIATES, PC (billing NPI 1043260920) in the available physician profile data.

Does Anita A. Goel, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.