Physician

Randal John West, M.D.

According to 2025 Medicare claims, Randal West, M.D. (NPI: 1861592339) practices gynecologist/oncologist in the Richmond, VA market, with the plurality of this provider's patient population coming from Chesterfield, VA. This provider's primary affiliated billing organization is CENTRAL VIRGINIA GYNECOLOGIC ONCOLOGY PC (NPI: 1285764738; TIN: 541953579) and primary practice location at 23235-3235.

West's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 759 traditional Medicare patients, billed 210,833 HCPCS/CPT codes, and received $2,961,464 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,232 prescription claims across 454 beneficiaries totaling $1,263,608 in drug costs, led by Lynparza (Olaparib). DME data shows 92 claims. Open Payments data shows 53 records totaling $1,319. 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 up and down with repeated peaks and valleys, starting at $1,414,108 and ending at $2,961,464. Concurrently, Part D prescription costs have risen steadily, from $71,270 to $1,263,608. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $4,928 to $6,164.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	640	134,024	$1,414,108
2016	671	118,512	$1,425,244
2017	686	131,683	$1,656,259
2018	725	119,420	$2,343,377
2019	709	143,425	$2,606,088
2020	656	115,387	$2,133,682
2021	628	145,820	$2,134,454
2022	644	119,363	$1,275,915
2023	638	137,889	$1,555,102
2024	759	210,833	$2,961,464

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	260	1,507	$71,270
2016	247	1,461	$71,141
2017	293	1,482	$125,625
2018	291	1,500	$83,786
2019	304	1,408	$121,695
2020	316	1,529	$270,903
2021	347	1,897	$375,343
2022	383	1,935	$528,293
2023	384	2,004	$434,896
2024	454	2,232	$1,263,608

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	12	$939
2016	N/R	24	$1,935
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	37	$3,052
2021	N/R	87	$36,289
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	92	$56,980

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	589	1,310	$81
77063	Screening 3d breast mammography	187	187	$21
99459	Pelvic exam	648	1,016	$15
G2211	Visit 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's	378	635	$11
36415	Insertion of needle into vein for collection of blood sample	290	1,266	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lynparza	Olaparib	45	1,350	$611,401
Zarxio	Filgrastim-Sndz	22	454	$50,188
Eliquis	Apixaban	56	2,275	$43,293
Ondansetron Hcl	Ondansetron Hcl	224	3,889	$21,242
Veozah	Fezolinetant	22	660	$11,926

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
B4197	Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix	N	N/R	20	$41,935
B4185	Parenteral nutrition solution, not otherwise specified, 10 grams lipids	N	N/R	20	$8,557
B4224	Parenteral nutrition administration kit, per day	N	N/R	26	$4,915
B4220	Parenteral nutrition supply kit; premix, per day	N	N/R	26	$1,574

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	53	$1,319	Eisai Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Randal John West, M.D.?

Tedicare shows public-source Medicare data for Randal John West, M.D. (NPI 1861592339), 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 Randal John West, 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 Randal John West, M.D.?

Randal John West, M.D. is linked to CENTRAL VIRGINIA GYNECOLOGIC ONCOLOGY PC (billing NPI 1285764738) in the available physician profile data.

Does Randal John West, M.D. have Open Payments data?

Randal John West, M.D. has 53 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.