Physician

Reza Rafie, M.D.

According to 2025 Medicare claims, Reza Rafie, M.D. (NPI: 1780910810) practices cardiology in the Visalia, CA market, with the plurality of this provider's patient population coming from Tulare, CA. This provider's primary affiliated billing organization is ADVENTIST HEALTH PHYSICIANS NETWORK (NPI: 1700592920; TIN: 68-0357690) and primary practice location at 93291-8222. Rafie is affiliated with the Adventist Health Accountable Care, LLC (ACO ID: A3873) and Aledade 91 CA MSSP Basic E (ACO ID: A5193), participating under the MSSP model.

Rafie's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,737 traditional Medicare patients, billed 5,292 HCPCS/CPT codes, and received $372,886 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 3,332 prescription claims across 517 beneficiaries totaling $761,461 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 33 records totaling $784. 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 moved from a lower plateau to a higher plateau, from $232,978 to $372,886. Similarly, Part D prescription costs have risen steadily, from $13,330 to $761,461. 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$195K$389K2017 Medicare payment: $232,978 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $188,787 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $122,175 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $321,491 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $380,038 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $389,457 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $331,746 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $372,886 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20171,2503,167$232,978
20181,4423,214$188,787
20199362,008$122,175
20201,5084,469$321,491
20211,2314,795$380,038
20221,3145,006$389,457
20231,3024,440$331,746
20241,7375,292$372,886

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$381K$761K2015 Drug cost: $13,330 (USD; Tot_Drug_Cst)2016 Drug cost: $13,043 (USD; Tot_Drug_Cst)2017 Drug cost: $46,942 (USD; Tot_Drug_Cst)2018 Drug cost: $106,843 (USD; Tot_Drug_Cst)2019 Drug cost: $27,266 (USD; Tot_Drug_Cst)2020 Drug cost: $59,555 (USD; Tot_Drug_Cst)2021 Drug cost: $126,035 (USD; Tot_Drug_Cst)2022 Drug cost: $211,246 (USD; Tot_Drug_Cst)2023 Drug cost: $495,060 (USD; Tot_Drug_Cst)2024 Drug cost: $761,461 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201587352$13,330
201693419$13,043
2017249888$46,942
20182671,114$106,843
2019172538$27,266
2020175596$59,555
2021192940$126,035
20222871,452$211,246
20234222,465$495,060
20245173,332$761,461

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
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function724750$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6121,403$90
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2171,152$62
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report500572$10
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only373411$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban23414,722$279,358
EntrestoSacubitril/Valsartan1487,154$140,040
FarxigaDapagliflozin Propanediol1064,830$89,022
JardianceEmpagliflozin622,953$54,899
XareltoRivaroxaban522,220$39,950

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.33$784Amgen 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 Reza Rafie, M.D.?

Tedicare shows public-source Medicare data for Reza Rafie, M.D. (NPI 1780910810), 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 Reza Rafie, M.D. have ACO affiliation data?

Reza Rafie, M.D. is shown with ACO affiliation data for Adventist Health Accountable Care, LLC (MSSP, ACO ID A3873) and Aledade 91 CA MSSP Basic E (MSSP, ACO ID A5193).

What billing organization is linked to Reza Rafie, M.D.?

Reza Rafie, M.D. is linked to ADVENTIST HEALTH PHYSICIANS NETWORK (billing NPI 1700592920) in the available physician profile data.

Does Reza Rafie, M.D. have Open Payments data?

Reza Rafie, M.D. has 33 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.