Physician

Rafael Arturo Penunuri, M.D.

According to 2025 Medicare claims, Rafael Penunuri, M.D. (NPI: 1831270362) practices internal medicine in the Anaheim-Santa Ana-Irvine, CA market, with the plurality of this provider's patient population coming from Orange, CA. This provider's primary affiliated billing organization is LIFE HEALTH CARE MEDICAL GROUP INC (NPI: 1417685355; TIN: 883233831) and primary practice location at 92705-3777. Penunuri is affiliated with the CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under the REACH model.

Penunuri's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,634 traditional Medicare patients, billed 14,676 HCPCS/CPT codes, and received $1,823,599 in Medicare payments. The top billing code was 99345 (Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes). Part D data shows 3,002 prescription claims across 244 beneficiaries totaling $251,184 in drug costs, led by Buprenorphine-Naloxone (Buprenorphine Hcl/Naloxone Hcl). DME data shows 155 claims. Open Payments data shows 29 records totaling $735. 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 $9,111 to $1,823,599. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and rose steadily, from $151 to $26,347.

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$912K$1.8M2015 Medicare payment: $9,111 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $19,991 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $30,541 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $386,720 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $859,189 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,217,101 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $515,328 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $835,603 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,093,046 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,823,599 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201534101$9,111
201675261$19,991
2017104432$30,541
20186783,725$386,720
20191,71910,079$859,189
20201,71013,939$1,217,101
20219386,088$515,328
20221,4909,310$835,603
20231,34113,175$1,093,046
20241,63414,676$1,823,599

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$181K$361K2015 Drug cost: $326,408 (USD; Tot_Drug_Cst)2016 Drug cost: $339,577 (USD; Tot_Drug_Cst)2017 Drug cost: $348,773 (USD; Tot_Drug_Cst)2018 Drug cost: $276,500 (USD; Tot_Drug_Cst)2019 Drug cost: $361,173 (USD; Tot_Drug_Cst)2020 Drug cost: $339,822 (USD; Tot_Drug_Cst)2021 Drug cost: $280,601 (USD; Tot_Drug_Cst)2022 Drug cost: $261,141 (USD; Tot_Drug_Cst)2023 Drug cost: $281,543 (USD; Tot_Drug_Cst)2024 Drug cost: $251,184 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152725,878$326,408
20162865,373$339,577
20172754,514$348,773
20182403,052$276,500
20193013,864$361,173
20203603,604$339,822
20212252,911$280,601
20222122,815$261,141
20232072,729$281,543
20242443,002$251,184

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$5.1K$10K2015 Medicare payment: $193 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $156 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $220 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,211 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,079 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $270 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,078 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $6,147 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $8,810 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R27$193
2016N/RN/RN/R
2017N/R13$156
2018N/R28$220
201933271$10,211
202030221$4,079
2021N/R12$270
2022N/R37$1,078
2023N/R104$6,147
202412155$8,810

* / # = 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
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes738738$159
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes7681,787$149
G0181Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow8103,373$86
99497Advance care planning, first 30 minutes1,3722,586$67
G0318Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualif1,2972,388$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Buprenorphine-NaloxoneBuprenorphine Hcl/Naloxone Hcl2587,625$41,851
SublocadeBuprenorphine13390$28,215
JanuviaSitagliptin Phosphate151,110$21,550
EliquisApixaban27990$19,151
OzempicSemaglutide21616$19,039

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R37$2,641
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R11$2,383
E0295Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattressYN/R21$1,226
E0260Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattressYN/R17$786
E0143Walker, folding, wheeled, adjustable or fixed heightN1212$548

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.29$735Braeburn 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 Rafael Arturo Penunuri, M.D.?

Tedicare shows public-source Medicare data for Rafael Arturo Penunuri, M.D. (NPI 1831270362), 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 Rafael Arturo Penunuri, M.D. have ACO affiliation data?

Rafael Arturo Penunuri, M.D. is shown with ACO affiliation data for CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to Rafael Arturo Penunuri, M.D.?

Rafael Arturo Penunuri, M.D. is linked to LIFE HEALTH CARE MEDICAL GROUP INC (billing NPI 1417685355) in the available physician profile data.

Does Rafael Arturo Penunuri, M.D. have Open Payments data?

Rafael Arturo Penunuri, M.D. has 29 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.