Physician

Ashok Biyani, M.D.

According to 2025 Medicare claims, Ashok Biyani, M.D. (NPI: 1780671032) practices orthopedic surgery in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is PROMEDICA CENTRAL PHYSICIANS (NPI: 1043270150; TIN: 341881137) and primary practice location at 43615-2035. Biyani is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Biyani's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 514 traditional Medicare patients, billed 1,907 HCPCS/CPT codes, and received $291,873 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 1,030 prescription claims across 296 beneficiaries totaling $7,037 in drug costs, led by Tizanidine Hcl (Tizanidine Hcl). DME data shows 59 claims. Open Payments data shows 17 records totaling $126,905. 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 up and down with repeated peaks and valleys, starting at $8,554 and ending at $7,037. 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	384	1,526	$286,006
2016	478	2,187	$308,412
2017	470	1,983	$330,811
2018	482	1,900	$301,970
2019	452	1,800	$311,813
2020	381	1,528	$267,507
2021	415	1,680	$266,987
2022	462	1,915	$322,351
2023	501	1,999	$333,211
2024	514	1,907	$291,873

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	175	611	$8,554
2016	200	741	$10,109
2017	210	715	$11,002
2018	237	804	$7,729
2019	263	1,042	$10,457
2020	259	971	$8,725
2021	208	723	$6,504
2022	263	1,054	$9,215
2023	274	1,003	$9,065
2024	296	1,030	$7,037

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	41	41	$12,416
2016	21	21	$6,451
2017	39	39	$11,547
2018	52	52	$15,864
2019	61	61	$19,237
2020	52	52	$16,753
2021	50	50	$10,773
2022	64	64	$13,598
2023	62	62	$12,734
2024	59	59	$11,745

* / # = 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	59	59	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	332	450	$92
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	186	227	$62
72040	X-ray of upper spine, 2-3 views	88	121	$27
72100	X-ray of lower and sacral spine, 2-3 views	295	385	$27

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tizanidine Hcl	Tizanidine Hcl	247	5,129	$1,649
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	161	1,066	$973
Naloxone Hcl	Naloxone Hcl	16	189	$959
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	114	774	$645
Gabapentin	Gabapentin	90	2,704	$616

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
L0642	Lumbar orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from l-1 to below l-5 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf	N	59	59	$11,745

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	17	$126,905	Stryker Corporation
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 Ashok Biyani, M.D.?

Tedicare shows public-source Medicare data for Ashok Biyani, M.D. (NPI 1780671032), 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 Ashok Biyani, M.D. have ACO affiliation data?

Ashok Biyani, M.D. is shown with ACO affiliation data for ProMedica Health Network, Inc. (MSSP, ACO ID A3016) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Ashok Biyani, M.D.?

Ashok Biyani, M.D. is linked to PROMEDICA CENTRAL PHYSICIANS (billing NPI 1043270150) in the available physician profile data.

Does Ashok Biyani, M.D. have Open Payments data?

Ashok Biyani, 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.