Physician

Nikolas Raufi, MD

According to 2025 Medicare claims, Nikolas Raufi, MD (NPI: 1851755995) practices ophthalmology in the Providence-Warwick, RI-MA market, with the plurality of this provider's patient population coming from Providence, RI. This provider's primary affiliated billing organization is OPHTHALMIC SURGEONS, LTD (NPI: 1518952258; TIN: 050370013) and primary practice location at 02777-4114. Raufi is affiliated with the Lifespan Health Alliance, LLC (ACO ID: A3336), participating under the MSSP model.

Raufi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 330 traditional Medicare patients, billed 2,759 HCPCS/CPT codes, and received $267,400 in Medicare payments. The top billing code was 68761 (Closure of tear duct opening using plug). Part D data shows 333 prescription claims across 153 beneficiaries totaling $25,913 in drug costs, led by Miebo (Perfluorohexyloctane/Pf). Open Payments data shows 21 records totaling $537. 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 sharply higher in recent years, from $6,628 to $267,400. Similarly, Part D prescription costs have moved sharply higher in recent years, from $453 to $25,913. 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$134K$267K2020 Medicare payment: $6,628 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $92,768 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $213,859 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $238,215 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $267,400 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20206286$6,628
20214341,583$92,768
20225944,615$213,859
20233282,556$238,215
20243302,759$267,400

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$68K$136K2016 Drug cost: $453 (USD; Tot_Drug_Cst)2017 Drug cost: $390 (USD; Tot_Drug_Cst)2018 Drug cost: $2,558 (USD; Tot_Drug_Cst)2019 Drug cost: $2,477 (USD; Tot_Drug_Cst)2020 Drug cost: $10,167 (USD; Tot_Drug_Cst)2021 Drug cost: $65,909 (USD; Tot_Drug_Cst)2022 Drug cost: $136,212 (USD; Tot_Drug_Cst)2023 Drug cost: $51,291 (USD; Tot_Drug_Cst)2024 Drug cost: $25,913 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R14$453
2017N/R14$390
20182235$2,558
20194477$2,477
202068169$10,167
2021269736$65,909
20224031,452$136,212
2023219598$51,291
2024153333$25,913

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
68761Closure of tear duct opening using plug192204$167
66984Removal of cataract with insertion of prosthetic lens207750$136
92136Measurement of corneal curvature and depth of eye241331$32
92250Photography of the retina220238$26
92025Ct scan of cornea220244$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MieboPerfluorohexyloctane/Pf12360$8,730
Prednisolone AcetatePrednisolone Acetate751,842$2,375
LatanoprostLatanoprost683,892$1,181
OfloxacinOfloxacin23468$302
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha24461$264

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.21$537Alcon Vision LLC
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 Nikolas Raufi, MD?

Tedicare shows public-source Medicare data for Nikolas Raufi, MD (NPI 1851755995), 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 Nikolas Raufi, MD have ACO affiliation data?

Nikolas Raufi, MD is shown with ACO affiliation data for Lifespan Health Alliance, LLC (MSSP, ACO ID A3336).

What billing organization is linked to Nikolas Raufi, MD?

Nikolas Raufi, MD is linked to OPHTHALMIC SURGEONS, LTD (billing NPI 1518952258) in the available physician profile data.

Does Nikolas Raufi, MD have Open Payments data?

Nikolas Raufi, MD has 21 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.