Physician

Gorav Ailawadi, MD

According to 2025 Medicare claims, Gorav Ailawadi, MD (NPI: 1710196894) practices cardiac surgery in the Flint, MI market, with the plurality of this provider's patient population coming from Genesee, MI. This provider's primary affiliated billing organization is REGENTS OF THE UNIVERSITY OF MICHIGAN (NPI: 1487689766; TIN: 386006309) and primary practice location at 48109-5000. Ailawadi is affiliated with the POM ACO (ACO ID: A1297), participating under the MSSP model.

Ailawadi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 105 traditional Medicare patients, billed 202 HCPCS/CPT codes, and received $98,548 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 120 prescription claims across 43 beneficiaries totaling $7,004 in drug costs, led by Potassium Chloride (Potassium Chloride). Open Payments data shows 165 records totaling $180,630. 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 fallen sharply in recent years, from $336,978 to $98,548. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $897 and ending at $7,004. 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$168K$337K2015 Medicare payment: $336,978 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $312,356 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $255,171 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $282,028 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $307,895 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $160,616 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $145,875 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $107,301 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $113,597 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $98,548 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015313667$336,978
2016274570$312,356
2017236494$255,171
2018259480$282,028
2019253492$307,895
2020126252$160,616
202192257$145,875
2022126255$107,301
2023129275$113,597
2024105202$98,548

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$6.0K$12K2015 Drug cost: $897 (USD; Tot_Drug_Cst)2016 Drug cost: $1,469 (USD; Tot_Drug_Cst)2017 Drug cost: $7,714 (USD; Tot_Drug_Cst)2018 Drug cost: $441 (USD; Tot_Drug_Cst)2019 Drug cost: $2,658 (USD; Tot_Drug_Cst)2020 Drug cost: $4,152 (USD; Tot_Drug_Cst)2021 Drug cost: $1,690 (USD; Tot_Drug_Cst)2022 Drug cost: $1,762 (USD; Tot_Drug_Cst)2023 Drug cost: $12,034 (USD; Tot_Drug_Cst)2024 Drug cost: $7,004 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151536$897
20161837$1,469
20171226$7,714
20181538$441
20191234$2,658
2020N/R36$4,152
20213680$1,690
20224481$1,762
202338105$12,034
202443120$7,004

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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more2121$147
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$138
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more1616$107
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more2932$78

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Potassium ChloridePotassium Chloride271,321$309
FurosemideFurosemide17739$78

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.153$119,355Medtronic, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.12$61,275Edwards Lifesciences Corporation
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Gorav Ailawadi, MD?

Tedicare shows public-source Medicare data for Gorav Ailawadi, MD (NPI 1710196894), 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 Gorav Ailawadi, MD have ACO affiliation data?

Gorav Ailawadi, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297).

What billing organization is linked to Gorav Ailawadi, MD?

Gorav Ailawadi, MD is linked to REGENTS OF THE UNIVERSITY OF MICHIGAN (billing NPI 1487689766) in the available physician profile data.

Does Gorav Ailawadi, MD have Open Payments data?

Gorav Ailawadi, MD has 165 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.