Physician

Abhinav Raina, M.D.

According to 2025 Medicare claims, Abhinav Raina, M.D. (NPI: 1649214974) practices cardiology in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Oakland, MI. This provider's primary affiliated billing organization is HENRY FORD HEALTH PROVIDENCE HOSPITAL (NPI: 1871554626; TIN: 381358212) and primary practice location at 48374-1203. Raina is affiliated with the CCA ACO LLC (ACO ID: A2198), St. John Providence ACO, LLC (ACO ID: A5417), and VillageMD Primary Providers ACO II, LLC (ACO ID: D0025), participating under both the MSSP and REACH models.

Raina's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,846 traditional Medicare patients, billed 5,817 HCPCS/CPT codes, and received $282,927 in Medicare payments. The top billing code was 78452 (Nuclear medicine studies of heart muscle at rest and with stress and spect). Part D data shows 4,627 prescription claims across 731 beneficiaries totaling $1,074,052 in drug costs, led by Eliquis (Apixaban). 2017 DME data shows 14 claims. Open Payments data shows 17 records totaling $867. 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 declined steadily, from $492,500 to $282,927. In contrast, Part D prescription costs have moved sharply higher in recent years, from $218,408 to $1,074,052. 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	2,924	8,514	$492,500
2016	3,002	8,563	$528,373
2017	3,068	8,182	$520,973
2018	2,583	7,267	$446,103
2019	2,956	8,911	$544,820
2020	2,135	6,335	$377,634
2021	2,250	6,729	$412,262
2022	2,190	6,467	$357,386
2023	2,118	6,447	$336,031
2024	1,846	5,817	$282,927

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	370	2,611	$218,408
2016	368	2,730	$233,996
2017	402	3,051	$285,925
2018	443	3,453	$372,791
2019	509	3,543	$491,473
2020	547	3,983	$553,489
2021	604	4,158	$650,926
2022	628	4,442	$811,604
2023	688	4,609	$991,167
2024	731	4,627	$1,074,052

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	15	$30,507
2017	N/R	14	$29,122
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
78452	Nuclear medicine studies of heart muscle at rest and with stress and spect	312	312	$87
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	628	863	$69
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	859	868	$55
93016	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	300	301	$15
93018	Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	309	310	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	435	27,599	$509,301
Xarelto	Rivaroxaban	246	17,176	$302,798
Entresto	Sacubitril/Valsartan	69	3,630	$78,339
Repatha Sureclick	Evolocumab	35	1,874	$34,531
Multaq	Dronedarone Hcl	12	960	$23,027

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.	17	$867	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
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 Abhinav Raina, M.D.?

Tedicare shows public-source Medicare data for Abhinav Raina, M.D. (NPI 1649214974), 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 Abhinav Raina, M.D. have ACO affiliation data?

Abhinav Raina, M.D. is shown with ACO affiliation data for CCA ACO LLC (MSSP, ACO ID A2198), St. John Providence ACO, LLC (MSSP, ACO ID A5417), and VillageMD Primary Providers ACO II, LLC (REACH, ACO ID D0025).

What billing organization is linked to Abhinav Raina, M.D.?

Abhinav Raina, M.D. is linked to HENRY FORD HEALTH PROVIDENCE HOSPITAL (billing NPI 1871554626) in the available physician profile data.

Does Abhinav Raina, M.D. have Open Payments data?

Abhinav Raina, M.D. has 17 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.