Physician

Rotimi Royce Ayoola, M.D.

According to 2025 Medicare claims, Rotimi Ayoola, M.D. (NPI: 1639519523) practices gastroenterology in the Winchester, VA-WV market, with the plurality of this provider's patient population coming from Frederick, VA. This provider's primary affiliated billing organization is WINCHESTER GASTROENTEROLOGY ASSOCIATES (NPI: 1740248525; TIN: 541519210) and primary practice location at 22601-2872. Ayoola is affiliated with the ACO West Virginia (ACO ID: A3563), Sound Physicians Long Term Care Management, LLC (ACO ID: A5220), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Ayoola's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 500 traditional Medicare patients, billed 10,586 HCPCS/CPT codes, and received $248,342 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 474 prescription claims across 176 beneficiaries totaling $1,845,386 in drug costs, led by Stelara (Ustekinumab). Open Payments data shows 127 records totaling $1,899. 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 $5,985 to $248,342. Similarly, Part D prescription costs have risen steadily, from $1,226 to $1,845,386. 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$162K$324K2016 Medicare payment: $5,985 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $27,001 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $22,474 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $5,947 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $83,208 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $324,024 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $280,630 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $248,342 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
20164555$5,985
2017200226$27,001
2018174219$22,474
2019N/RN/RN/R
20203939$5,947
20211952,924$83,208
202259711,954$324,024
202357715,052$280,630
202450010,586$248,342

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$923K$1.8M2015 Drug cost: $1,226 (USD; Tot_Drug_Cst)2016 Drug cost: $3,212 (USD; Tot_Drug_Cst)2018 Drug cost: $1,054 (USD; Tot_Drug_Cst)2019 Drug cost: $2,746 (USD; Tot_Drug_Cst)2020 Drug cost: $3,823 (USD; Tot_Drug_Cst)2021 Drug cost: $35,835 (USD; Tot_Drug_Cst)2022 Drug cost: $295,196 (USD; Tot_Drug_Cst)2023 Drug cost: $839,790 (USD; Tot_Drug_Cst)2024 Drug cost: $1,845,386 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151774$1,226
20161638$3,212
2017N/RN/RN/R
20181111$1,054
20192239$2,746
20201135$3,823
20215290$35,835
2022133298$295,196
2023173453$839,790
2024176474$1,845,386

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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare163163$205
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes6868$106
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more4859$96
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope146156$63
45380Biopsy of large bowel using a flexible endoscope159160$55

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
StelaraUstekinumab611,736$1,699,892
LinzessLinaclotide271,800$36,617
OmeprazoleOmeprazole17314,482$2,666
LoperamideLoperamide Hcl23704$619
Pantoprazole SodiumPantoprazole Sodium463,301$601

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.127$1,899ABBVIE 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 Rotimi Royce Ayoola, M.D.?

Tedicare shows public-source Medicare data for Rotimi Royce Ayoola, M.D. (NPI 1639519523), 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 Rotimi Royce Ayoola, M.D. have ACO affiliation data?

Rotimi Royce Ayoola, M.D. is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563), Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Rotimi Royce Ayoola, M.D.?

Rotimi Royce Ayoola, M.D. is linked to WINCHESTER GASTROENTEROLOGY ASSOCIATES (billing NPI 1740248525) in the available physician profile data.

Does Rotimi Royce Ayoola, M.D. have Open Payments data?

Rotimi Royce Ayoola, M.D. has 127 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.