Physician

Senthil Prakash Ramaiyah, M.D.

According to 2025 Medicare claims, Senthil Ramaiyah, M.D. (NPI: 1699968628) practices nephrology in the Saginaw, MI market, with the plurality of this provider's patient population coming from Saginaw, MI. This provider's primary affiliated billing organization is KIDNEY DISEASE & HYPERTENSION CONSULTANTS PC (NPI: 1548329683; TIN: 20-5917382) and primary practice location at 48602-4727. Ramaiyah is affiliated with the POM ACO (ACO ID: A1297) and Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Ramaiyah's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 429 traditional Medicare patients, billed 1,466 HCPCS/CPT codes, and received $144,035 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 3,183 prescription claims across 625 beneficiaries totaling $1,639,502 in drug costs, led by Mounjaro (Tirzepatide). 2019 DME data shows 29 claims. Open Payments data shows 30 records totaling $4,565. 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 $331,335 to $144,035. In contrast, Part D prescription costs have risen steadily, from $336,478 to $1,639,502. 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$174K$348K2015 Medicare payment: $331,335 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $347,987 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $337,394 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $302,759 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $330,496 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $287,464 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $334,436 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $239,562 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $194,112 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $144,035 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0023,589$331,335
20161,0693,770$347,987
20179593,706$337,394
20188723,162$302,759
20198623,463$330,496
20207182,735$287,464
20217343,350$334,436
20225802,496$239,562
20235311,900$194,112
20244291,466$144,035

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$1.0M$2.0M2015 Drug cost: $336,478 (USD; Tot_Drug_Cst)2016 Drug cost: $611,101 (USD; Tot_Drug_Cst)2017 Drug cost: $417,735 (USD; Tot_Drug_Cst)2018 Drug cost: $359,240 (USD; Tot_Drug_Cst)2019 Drug cost: $291,497 (USD; Tot_Drug_Cst)2020 Drug cost: $325,356 (USD; Tot_Drug_Cst)2021 Drug cost: $457,581 (USD; Tot_Drug_Cst)2022 Drug cost: $1,435,256 (USD; Tot_Drug_Cst)2023 Drug cost: $2,023,712 (USD; Tot_Drug_Cst)2024 Drug cost: $1,639,502 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154302,233$336,478
20165022,741$611,101
20174982,944$417,735
20185643,059$359,240
20195723,127$291,497
20205432,802$325,356
20215513,086$457,581
20226123,813$1,435,256
20237194,339$2,023,712
20246253,183$1,639,502

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$7.1K$14K2015 Medicare payment: $1,742 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $14,119 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $9,160 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $7,867 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $910 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R39$1,742
2016N/R200$14,119
2017N/R151$9,160
2018N/R110$7,867
2019N/R29$910
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4649$132
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes7784$98
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more139212$77
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes199598$60
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's104146$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MounjaroTirzepatide2609,718$346,262
JardianceEmpagliflozin31117,926$336,334
OzempicSemaglutide2289,735$311,931
FarxigaDapagliflozin Propanediol1256,197$110,638
VelphoroSucroferric Oxyhydroxide18495$51,732

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.30$4,565Outset Medical 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 Senthil Prakash Ramaiyah, M.D.?

Tedicare shows public-source Medicare data for Senthil Prakash Ramaiyah, M.D. (NPI 1699968628), 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 Senthil Prakash Ramaiyah, M.D. have ACO affiliation data?

Senthil Prakash Ramaiyah, M.D. is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297) and Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Senthil Prakash Ramaiyah, M.D.?

Senthil Prakash Ramaiyah, M.D. is linked to KIDNEY DISEASE & HYPERTENSION CONSULTANTS PC (billing NPI 1548329683) in the available physician profile data.

Does Senthil Prakash Ramaiyah, M.D. have Open Payments data?

Senthil Prakash Ramaiyah, M.D. has 30 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.