Physician

Ajay Wagh

According to 2025 Medicare claims, Ajay Wagh (NPI: 1851594121) practices pulmonary disease in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is THE UNIVERSITY OF CHICAGO MEDICAL CENTER (NPI: 1033218128; TIN: 36-3488183) and primary practice location at 60637-1447. Wagh is affiliated with the Northwestern Medicine Physician Network ACO (ACO ID: A2620) and UCMCNACO, LLC (ACO ID: A3531), participating under the MSSP model.

Wagh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 221 traditional Medicare patients, billed 538 HCPCS/CPT codes, and received $54,945 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 297 prescription claims across 74 beneficiaries totaling $123,422 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 111 claims. Open Payments data shows 27 records totaling $43,493. 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 started with an early spike, then settled into a lower baseline, moving from $219,312 to $54,945. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $42,443 and ending at $123,422. In contrast, DME billing represents a smaller volume and fell sharply in recent years, from $7,126 to $4,973.

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$110K$219K2015 Medicare payment: $219,312 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $209,272 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $217,742 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $193,666 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $112,875 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $40,044 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $61,609 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $70,325 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $58,046 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $54,945 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0952,707$219,312
20161,0052,463$209,272
20179072,544$217,742
20188672,467$193,666
20195711,373$112,875
2020162346$40,044
2021243550$61,609
2022234593$70,325
2023243515$58,046
2024221538$54,945

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$232K$464K2015 Drug cost: $42,443 (USD; Tot_Drug_Cst)2016 Drug cost: $96,374 (USD; Tot_Drug_Cst)2017 Drug cost: $366,960 (USD; Tot_Drug_Cst)2018 Drug cost: $463,602 (USD; Tot_Drug_Cst)2019 Drug cost: $326,391 (USD; Tot_Drug_Cst)2020 Drug cost: $46,285 (USD; Tot_Drug_Cst)2021 Drug cost: $53,418 (USD; Tot_Drug_Cst)2022 Drug cost: $96,245 (USD; Tot_Drug_Cst)2023 Drug cost: $107,849 (USD; Tot_Drug_Cst)2024 Drug cost: $123,422 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201586287$42,443
2016137630$96,374
2017200994$366,960
2018206991$463,602
2019132622$326,391
20202661$46,285
202141153$53,418
202267279$96,245
202363251$107,849
202474297$123,422

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$13K$27K2015 Medicare payment: $11,267 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $26,710 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $26,417 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $18,971 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,262 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $12,942 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $13,483 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,879 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,598 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $4,766 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R178$11,267
201611290$26,710
201725343$26,417
201813339$18,971
201923303$10,262
2020N/R58$12,942
2021N/R96$13,483
2022N/R85$2,879
2023N/R77$1,598
2024N/R111$4,766

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4646$113
31629Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope3839$105
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3952$79
31628Biopsy of lobe of lung using an endoscope, 1 lobe2525$42
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's4968$14

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter361,860$37,293
Anoro ElliptaUmeclidinium Brm/Vilanterol Tr18900$13,915
Breztri AerosphereBudesonide/Glycopyr/Formoterol17570$10,914
Incruse ElliptaUmeclidinium Bromide14600$6,965
Albuterol Sulfate HfaAlbuterol Sulfate601,822$2,278

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/R48$3,457
E1392Portable oxygen concentrator, rentalYN/R36$1,231
E0570Nebulizer, with compressorYN/R27$78

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.24$15,793Ambu Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.3$27,700Pulmonx Corporation
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Ajay Wagh?

Tedicare shows public-source Medicare data for Ajay Wagh (NPI 1851594121), 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 Ajay Wagh have ACO affiliation data?

Ajay Wagh is shown with ACO affiliation data for Northwestern Medicine Physician Network ACO (MSSP, ACO ID A2620) and UCMCNACO, LLC (MSSP, ACO ID A3531).

What billing organization is linked to Ajay Wagh?

Ajay Wagh is linked to THE UNIVERSITY OF CHICAGO MEDICAL CENTER (billing NPI 1033218128) in the available physician profile data.

Does Ajay Wagh have Open Payments data?

Ajay Wagh has 27 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.