Physician

Ali A Valika, MD

According to 2025 Medicare claims, Ali Valika, MD (NPI: 1760696314) practices advanced heart failure and transplant cardiology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Du Page, IL. This provider's primary affiliated billing organization is ADVOCATE HEALTH AND HOSPITALS CORPORATION (NPI: 1700824455; TIN: 362169147) and primary practice location at 60515-1560. Valika is affiliated with the Advocate Physician Partners Accountable Care, Inc. (ACO ID: A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (ACO ID: D0260), participating under both the MSSP and REACH models.

Valika's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 829 traditional Medicare patients, billed 2,899 HCPCS/CPT codes, and received $245,779 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 6,334 prescription claims across 498 beneficiaries totaling $9,473,470 in drug costs, led by Vyndamax (Tafamidis). DME data shows 139 claims. Open Payments data shows 72 records totaling $68,999. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $1,164,945 to $9,473,470. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $35,819 and ending at $21,114.

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$142K$284K2015 Medicare payment: $266,116 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $271,151 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $276,673 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $283,402 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $283,522 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $229,492 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $248,706 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $161,466 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $246,280 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $245,779 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159712,937$266,116
20161,2823,279$271,151
20171,2853,417$276,673
20181,1413,270$283,402
20191,1433,455$283,522
20209092,733$229,492
20217002,723$248,706
20224721,753$161,466
20235882,392$246,280
20248292,899$245,779

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$4.7M$9.5M2015 Drug cost: $1,164,945 (USD; Tot_Drug_Cst)2016 Drug cost: $2,752,922 (USD; Tot_Drug_Cst)2017 Drug cost: $3,188,292 (USD; Tot_Drug_Cst)2018 Drug cost: $2,866,118 (USD; Tot_Drug_Cst)2019 Drug cost: $3,689,520 (USD; Tot_Drug_Cst)2020 Drug cost: $5,279,189 (USD; Tot_Drug_Cst)2021 Drug cost: $5,382,860 (USD; Tot_Drug_Cst)2022 Drug cost: $5,511,235 (USD; Tot_Drug_Cst)2023 Drug cost: $6,598,790 (USD; Tot_Drug_Cst)2024 Drug cost: $9,473,470 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153964,500$1,164,945
20164585,418$2,752,922
20174845,789$3,188,292
20185006,202$2,866,118
20195136,168$3,689,520
20204926,176$5,279,189
20214996,325$5,382,860
20224516,332$5,511,235
20234405,963$6,598,790
20244986,334$9,473,470

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$92K$183K2015 Medicare payment: $183,309 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $125,644 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $11,754 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $19,599 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $35,135 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $16,799 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $40,587 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $38,397 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $6,286 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $8,068 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R289$183,309
2016N/R446$125,644
2017N/R210$11,754
2018N/R326$19,599
2019N/R546$35,135
2020N/R269$16,799
2021N/R250$40,587
2022N/R174$38,397
2023N/R83$6,286
2024N/R139$8,068

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more285506$135
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function257270$114
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes143334$94
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more121138$93
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only239258$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
VyndamaxTafamidis1143,540$2,688,328
UptraviSelexipag641,920$1,459,722
Tyvaso DpiTreprostinil501,454$1,198,222
CamzyosMavacamten972,885$799,127
OpsumitMacitentan591,770$735,533

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4222Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately)NN/R40$4,983
J2260Injection, milrinone lactate, 5 mgNN/R31$1,777
A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)NN/R33$633
J7517Mycophenolate mofetil, oral, 250 mgNN/R11$278
J7520Sirolimus, oral, 1 mgNN/R13$228

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.56$20,309E.R. Squibb & Sons, L.L.C.
Research PaymentsReported research-related payment or transfer-of-value amount.16$48,690Bayer Healthcare Pharmaceuticals Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

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FAQ

What Medicare data is available for Ali A. Valika, MD?

Tedicare shows public-source Medicare data for Ali A. Valika, MD (NPI 1760696314), 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 Ali A. Valika, MD have ACO affiliation data?

Ali A. Valika, MD is shown with ACO affiliation data for Advocate Physician Partners Accountable Care, Inc. (MSSP, ACO ID A1033) and Accountable Care Organization of Advocate Aurora Health, LLC (REACH, ACO ID D0260).

What billing organization is linked to Ali A. Valika, MD?

Ali A. Valika, MD is linked to ADVOCATE HEALTH AND HOSPITALS CORPORATION (billing NPI 1700824455) in the available physician profile data.

Does Ali A. Valika, MD have Open Payments data?

Ali A. Valika, MD has 72 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.