Physician

Ali Mehmood Raufi, M.D.

According to 2025 Medicare claims, Ali Raufi, M.D. (NPI: 1801088687) practices hematology/oncology 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 MULTI SPECIALTY PHYSICIANS (NPI: 1306105150; TIN: 34-1881137) and primary practice location at 43560-2193. Raufi is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Raufi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 404 traditional Medicare patients, billed 1,331 HCPCS/CPT codes, and received $122,479 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 939 prescription claims across 172 beneficiaries totaling $2,478,901 in drug costs, led by Xtandi (Enzalutamide). 2023 DME data shows 11 claims. Open Payments data shows 5 records totaling $179. 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 risen steadily, from $24,432 to $122,479. Similarly, Part D prescription costs have risen steadily, from $198,418 to $2,478,901. 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$61K$122K2017 Medicare payment: $24,432 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $82,508 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $98,425 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $76,278 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $98,640 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $106,273 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $116,963 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $122,479 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017183289$24,432
20183781,139$82,508
20193701,199$98,425
2020371988$76,278
20213511,021$98,640
20223771,143$106,273
20234001,273$116,963
20244041,331$122,479

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$1.2M$2.5M2017 Drug cost: $198,418 (USD; Tot_Drug_Cst)2018 Drug cost: $1,311,076 (USD; Tot_Drug_Cst)2019 Drug cost: $940,615 (USD; Tot_Drug_Cst)2020 Drug cost: $918,324 (USD; Tot_Drug_Cst)2021 Drug cost: $1,223,457 (USD; Tot_Drug_Cst)2022 Drug cost: $1,388,083 (USD; Tot_Drug_Cst)2023 Drug cost: $1,862,880 (USD; Tot_Drug_Cst)2024 Drug cost: $2,478,901 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
201748107$198,418
2018140700$1,311,076
2019163700$940,615
2020134652$918,324
2021155800$1,223,457
2022168849$1,388,083
2023163842$1,862,880
2024172939$2,478,901

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$1.6K$3.1K2018 Medicare payment: $2,206 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,121 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $327 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $140 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R11$2,206
2019N/R13$3,121
2020N/R12$327
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R11$140
2024N/RN/RN/R

* / # = 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 more5151$143
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes3435$137
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more103358$123
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more256569$82
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more110132$52

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XtandiEnzalutamide32960$422,492
BrukinsaZanubrutinib24720$374,854
CalquenceAcalabrutinib Maleate17510$263,816
RevlimidLenalidomide15385$237,707
LenalidomideLenalidomide20532$220,689

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.5$179Incyte Corporation
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 Ali Mehmood Raufi, M.D.?

Tedicare shows public-source Medicare data for Ali Mehmood Raufi, M.D. (NPI 1801088687), 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 Mehmood Raufi, M.D. have ACO affiliation data?

Ali Mehmood Raufi, M.D. is shown with ACO affiliation data for ProMedica Health Network, Inc. (MSSP, ACO ID A3016), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Ali Mehmood Raufi, M.D.?

Ali Mehmood Raufi, M.D. is linked to PROMEDICA MULTI SPECIALTY PHYSICIANS (billing NPI 1306105150) in the available physician profile data.

Does Ali Mehmood Raufi, M.D. have Open Payments data?

Ali Mehmood Raufi, M.D. has 5 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.