Physician

Mehrdad Ghaffari, M.D.

According to 2025 Medicare claims, Mehrdad Ghaffari, M.D. (NPI: 1770700718) practices pulmonary disease in the Altoona, PA market, with the plurality of this provider's patient population coming from Blair, PA. This provider's primary affiliated billing organization is UPMC ALTOONA REGIONAL HEALTH SERVICES, INC (NPI: 1639158488; TIN: 251219302) and primary practice location at 16602-2415.

Ghaffari's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,064 traditional Medicare patients, billed 2,989 HCPCS/CPT codes, and received $194,250 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 3,448 prescription claims across 572 beneficiaries totaling $2,330,469 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 3,047 claims. Open Payments data shows 1 records totaling $64. 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 sharply higher in recent years, from $347,250 to $2,330,469. For DME billing, reported payments moved from a lower plateau to a higher plateau, from $81,802 to $122,508.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	910	2,980	$220,913
2016	890	2,807	$213,599
2017	984	3,071	$210,264
2018	989	3,064	$193,077
2019	834	2,913	$201,558
2020	917	2,622	$193,214
2021	1,117	2,433	$188,426
2022	1,123	2,408	$175,816
2023	1,196	2,518	$178,428
2024	1,064	2,989	$194,250

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	233	904	$347,250
2016	289	1,301	$594,923
2017	331	1,714	$995,581
2018	399	2,038	$1,276,778
2019	434	2,050	$1,087,247
2020	441	2,385	$1,262,024
2021	487	2,570	$1,204,478
2022	519	2,876	$1,805,165
2023	556	3,117	$2,038,657
2024	572	3,448	$2,330,469

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	524	1,335	$77,060
2016	1,077	2,752	$95,189
2017	911	2,375	$60,343
2018	949	2,513	$75,384
2019	1,141	3,039	$114,410
2020	1,184	3,206	$187,578
2021	935	2,976	$154,824
2022	1,087	2,889	$156,507
2023	1,043	3,131	$135,734
2024	1,109	3,047	$118,317

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	185	185	$108
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	162	180	$91
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	467	712	$84
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	262	277	$51
G2211	Visit 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's	214	268	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	993	32,820	$671,791
Ofev	Nintedanib Esylate	47	1,410	$553,724
Hetlioz	Tasimelteon	11	330	$246,709
Pirfenidone	Pirfenidone	31	930	$209,218
Breo Ellipta	Fluticasone/Vilanterol	432	15,570	$199,550

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	41	296	$22,172
E0601	Continuous positive airway pressure (cpap) device	Y	94	543	$18,521
A7030	Full face mask used with positive airway pressure device, each	N	88	154	$13,874
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	15	87	$7,678
A7031	Face mask interface, replacement for full face mask, each	N	65	121	$7,270

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$64	Curonix LLC
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 Mehrdad Ghaffari, M.D.?

Tedicare shows public-source Medicare data for Mehrdad Ghaffari, M.D. (NPI 1770700718), 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 Mehrdad Ghaffari, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Mehrdad Ghaffari, M.D.?

Mehrdad Ghaffari, M.D. is linked to UPMC ALTOONA REGIONAL HEALTH SERVICES, INC (billing NPI 1639158488) in the available physician profile data.

Does Mehrdad Ghaffari, M.D. have Open Payments data?

Mehrdad Ghaffari, M.D. has 1 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.