Physician

Allon Rafael, M.D.

According to 2025 Medicare claims, Allon Rafael, M.D. (NPI: 1851553671) practices cardiac electrophysiology in the San Jose-Sunnyvale-Santa Clara, CA market, with the plurality of this provider's patient population coming from Santa Clara, CA. This provider's primary affiliated billing organization is GOLDEN STATE HEART & VASCULAR ASSOCIATES (NPI: 1982246575; TIN: 84-2742340) and primary practice location at 95124-3908.

Rafael's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 521 traditional Medicare patients, billed 1,803 HCPCS/CPT codes, and received $300,843 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 1,344 prescription claims across 339 beneficiaries totaling $387,939 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 11 records totaling $375. 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 $21,009 to $300,843. Similarly, Part D prescription costs have risen steadily, from $12,968 to $387,939. 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$177K$354K2016 Medicare payment: $21,009 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $188,654 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $202,959 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $266,212 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $345,903 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $353,883 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $239,109 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $277,188 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $300,843 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
201654150$21,009
20173591,402$188,654
20184221,869$202,959
20195682,468$266,212
20205312,430$345,903
20215572,345$353,883
20224841,932$239,109
20235132,003$277,188
20245211,803$300,843

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$227K$453K2015 Drug cost: $12,968 (USD; Tot_Drug_Cst)2016 Drug cost: $28,938 (USD; Tot_Drug_Cst)2017 Drug cost: $63,522 (USD; Tot_Drug_Cst)2018 Drug cost: $119,713 (USD; Tot_Drug_Cst)2019 Drug cost: $294,419 (USD; Tot_Drug_Cst)2020 Drug cost: $354,921 (USD; Tot_Drug_Cst)2021 Drug cost: $371,727 (USD; Tot_Drug_Cst)2022 Drug cost: $453,145 (USD; Tot_Drug_Cst)2023 Drug cost: $446,843 (USD; Tot_Drug_Cst)2024 Drug cost: $387,939 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153375$12,968
201632105$28,938
2017105324$63,522
2018139622$119,713
20192431,336$294,419
20202971,579$354,921
20213031,562$371,727
20222931,525$453,145
20233401,398$446,843
20243391,344$387,939

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
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more167167$180
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8585$152
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more225280$142
93622Insertion of catheters for recording and pacing of left lower heart chamber rhythm and induction of abnormal rhythm7578$138
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function100103$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban27012,850$242,827
XareltoRivaroxaban804,798$89,731
EntrestoSacubitril/Valsartan21750$16,532
ColchicineColchicine913,195$6,648
SotalolSotalol Hcl19111,331$2,998

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.11$375Biosense Webster, 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 Allon Rafael, M.D.?

Tedicare shows public-source Medicare data for Allon Rafael, M.D. (NPI 1851553671), 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 Allon Rafael, 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 Allon Rafael, M.D.?

Allon Rafael, M.D. is linked to GOLDEN STATE HEART & VASCULAR ASSOCIATES (billing NPI 1982246575) in the available physician profile data.

Does Allon Rafael, M.D. have Open Payments data?

Allon Rafael, M.D. has 11 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.