Physician

Rahul Pandey, M.D.

According to 2025 Medicare claims, Rahul Pandey, M.D. (NPI: 1609051853) practices nephrology in the Houston-Pasadena-The Woodlands, TX market, with the plurality of this provider's patient population coming from Harris, TX. This provider's primary affiliated billing organization is WOUND MEDIC LLC (NPI: 1144971615; TIN: 873980363) and primary practice location at 77003-9998. Pandey is affiliated with the Main Street Rural Health Hickory ACO LLC (ACO ID: A5334), participating under the MSSP model.

Pandey's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 321 traditional Medicare patients, billed 37,657 HCPCS/CPT codes, and received $70,435,723 in Medicare payments. The top billing code was Q4275 (Esano aca, per square centimeter). Part D data shows 1,669 prescription claims across 327 beneficiaries totaling $444,006 in drug costs, led by Farxiga (Dapagliflozin Propanediol). Open Payments data shows 41 records totaling $171,554. 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 sharply higher in recent years, from $162,959 to $70,435,723. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $134,631 to $444,006. 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.

Year	Patients	Clm Lines	Payment
2015	426	2,031	$162,959
2016	403	2,360	$193,392
2017	384	2,853	$196,454
2018	383	2,226	$204,758
2019	369	2,044	$209,261
2020	320	1,750	$196,674
2021	285	1,402	$172,397
2022	238	1,208	$138,412
2023	219	1,853	$145,752
2024	321	37,657	$70,435,723

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	133	881	$134,631
2016	190	1,253	$136,031
2017	228	1,831	$266,610
2018	301	1,924	$292,425
2019	306	1,610	$286,096
2020	247	1,406	$252,346
2021	270	1,659	$286,917
2022	317	1,797	$481,527
2023	313	1,768	$369,672
2024	327	1,669	$444,006

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

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.

Code	Description	Patients	Clm Lines	Total Payment
Q4275	Esano aca, per square centimeter	110	33,098	$2,079
97610	Therapy procedure using ultrasound	86	1,181	$331
15271	Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	116	758	$121
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	79	260	$61
99342	Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	89	89	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Farxiga	Dapagliflozin Propanediol	87	6,570	$116,176
Xphozah	Tenapanor Hcl	37	1,110	$102,878
Procrit	Epoetin Alfa	45	1,340	$46,545
Paricalcitol	Paricalcitol	105	8,214	$19,606
Sevelamer Carbonate	Sevelamer Carbonate	72	3,144	$19,393

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	27	$589	AstraZeneca Pharmaceuticals LP
Research Payments	Reported research-related payment or transfer-of-value amount.	14	$170,965	AstraZeneca Pharmaceuticals LP
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Rahul Pandey, M.D.?

Tedicare shows public-source Medicare data for Rahul Pandey, M.D. (NPI 1609051853), 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 Rahul Pandey, M.D. have ACO affiliation data?

Rahul Pandey, M.D. is shown with ACO affiliation data for Main Street Rural Health Hickory ACO LLC (MSSP, ACO ID A5334).

What billing organization is linked to Rahul Pandey, M.D.?

Rahul Pandey, M.D. is linked to WOUND MEDIC LLC (billing NPI 1144971615) in the available physician profile data.

Does Rahul Pandey, M.D. have Open Payments data?

Rahul Pandey, M.D. has 41 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.