Physician

Ashish Kumar Mathur, M.D.

According to 2025 Medicare claims, Ashish Mathur, M.D. (NPI: 1639499841) practices allergy/immunology in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Hamilton, OH. This provider's primary affiliated billing organization is ALLERGY & ASTHMA CARE INC (NPI: 1366740524; TIN: 274592999) and primary practice location at 45246-1520. Mathur is affiliated with the Healthcare Solutions Network (ACO ID: A3283), participating under the MSSP model.

Mathur's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 382 traditional Medicare patients, billed 11,085 HCPCS/CPT codes, and received $160,497 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,041 prescription claims across 323 beneficiaries totaling $353,642 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 34 claims. Open Payments data shows 1 records totaling $51. 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 risen steadily, from $39,380 to $160,497. Similarly, Part D prescription costs have moved sharply higher in recent years, from $13,268 to $353,642. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $472 and ending at $413.

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$80K$160K2016 Medicare payment: $39,380 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $96,535 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $93,581 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $98,929 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $99,371 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $91,824 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $98,358 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $111,990 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $160,497 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
20162683,732$39,380
201736210,089$96,535
20183519,989$93,581
201939010,076$98,929
202043910,932$99,371
20214178,754$91,824
20224279,129$98,358
20234209,745$111,990
202438211,085$160,497

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$198K$395K2015 Drug cost: $13,268 (USD; Tot_Drug_Cst)2016 Drug cost: $71,571 (USD; Tot_Drug_Cst)2017 Drug cost: $131,782 (USD; Tot_Drug_Cst)2018 Drug cost: $126,430 (USD; Tot_Drug_Cst)2019 Drug cost: $126,278 (USD; Tot_Drug_Cst)2020 Drug cost: $177,387 (USD; Tot_Drug_Cst)2021 Drug cost: $199,762 (USD; Tot_Drug_Cst)2022 Drug cost: $209,407 (USD; Tot_Drug_Cst)2023 Drug cost: $395,271 (USD; Tot_Drug_Cst)2024 Drug cost: $353,642 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201561177$13,268
2016136484$71,571
2017194761$131,782
2018186849$126,430
20192281,096$126,278
20202191,247$177,387
20212331,287$199,762
20222681,331$209,407
20233041,984$395,271
20243232,041$353,642

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$601$1.2K2020 Medicare payment: $588 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $464 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $54 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,201 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $411 (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/R43$588
2021N/R41$464
2022N/R13$54
2023N/R55$1,201
2024N/R34$411

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more131199$87
94010Test to measure expiratory airflow and volume4146$19
95165Professional service for preparation and provision of 1 or more antigens1423,508$10
95117Professional service for multiple injections of allergen2101,980$8
96160Administration and interpretation of patient-focused health risk assessment66102$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter1214,228$86,662
Breo ElliptaFluticasone/Vilanterol672,970$38,961
Spiriva RespimatTiotropium Bromide361,440$24,973
Advair HfaFluticasone Propion/Salmeterol642,160$21,718
DuleraMometasone/Formoterol501,980$21,702

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
Q0513Pharmacy dispensing fee for inhalation drug(s); per 30 daysNN/R14$336
E0570Nebulizer, with compressorYN/R20$74

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$51Blueprint Medicines 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 Ashish Kumar Mathur, M.D.?

Tedicare shows public-source Medicare data for Ashish Kumar Mathur, M.D. (NPI 1639499841), 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 Ashish Kumar Mathur, M.D. have ACO affiliation data?

Ashish Kumar Mathur, M.D. is shown with ACO affiliation data for Healthcare Solutions Network (MSSP, ACO ID A3283).

What billing organization is linked to Ashish Kumar Mathur, M.D.?

Ashish Kumar Mathur, M.D. is linked to ALLERGY & ASTHMA CARE INC (billing NPI 1366740524) in the available physician profile data.

Does Ashish Kumar Mathur, M.D. have Open Payments data?

Ashish Kumar Mathur, M.D. has 1 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.