Physician

Nibash Budhathoki, MBBS

According to 2025 Medicare claims, Nibash Budhathoki, MBBS (NPI: 1861876526) practices hematology/oncology in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is SIOUXLAND REGIONAL CANCER CENTER (NPI: 1114904604; TIN: 421411233) and primary practice location at 51101-1733. Budhathoki is affiliated with the NPG Health Collaborative LLC (ACO ID: A3287), Bryan Health Connect ACO, LLC (ACO ID: A4573), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 50 LLC (ACO ID: A5160), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Budhathoki's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 785 traditional Medicare patients, billed 160,843 HCPCS/CPT codes, and received $3,706,235 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 1,734 prescription claims across 296 beneficiaries totaling $6,725,716 in drug costs, led by Revlimid (Lenalidomide). DME data shows 65 claims. Open Payments data shows 65 records totaling $1,171. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $43,672 to $6,725,716. 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.

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	350	41,306	$829,295
2022	775	149,358	$2,718,991
2023	772	176,930	$3,658,437
2024	785	160,843	$3,706,235

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	75	367	$43,672
2017	50	267	$20,396
2018	N/R	N/R	N/R
2019	N/R	11	$1,448
2020	23	38	$28,950
2021	91	280	$506,158
2022	200	1,012	$2,742,835
2023	245	1,341	$5,421,433
2024	296	1,734	$6,725,716

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	90	$85,065
2024	N/R	65	$69,547

* / # = 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	333	632	$87
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	521	908	$12
80053	Blood test, comprehensive group of blood chemicals	611	1,327	$10
36415	Insertion of needle into vein for collection of blood sample	532	1,075	$9
85025	Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	657	1,496	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Revlimid	Lenalidomide	75	2,093	$1,319,286
Xtandi	Enzalutamide	71	2,106	$800,887
Pomalyst	Pomalidomide	27	756	$604,848
Ibrance	Palbociclib	39	1,092	$602,090
Calquence	Acalabrutinib Maleate	38	1,140	$411,957

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
J1561	Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg	N	N/R	12	$65,110
Q2052	Services, supplies and accessories used in the home for the administration of intravenous immune globulin (ivig)	N	N/R	11	$3,626
J8700	Temozolomide, oral, 5 mg	N	N/R	17	$416
Q0511	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period	N	N/R	14	$245
Q0512	Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period	N	N/R	11	$151

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	65	$1,171	E.R. Squibb & Sons, L.L.C.
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 Nibash Budhathoki, MBBS?

Tedicare shows public-source Medicare data for Nibash Budhathoki, MBBS (NPI 1861876526), 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 Nibash Budhathoki, MBBS have ACO affiliation data?

Nibash Budhathoki, MBBS is shown with ACO affiliation data for NPG Health Collaborative LLC (MSSP, ACO ID A3287), Bryan Health Connect ACO, LLC (MSSP, ACO ID A4573), Avera Prairie View ACO (MSSP, ACO ID A4692), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Nibash Budhathoki, MBBS?

Nibash Budhathoki, MBBS is linked to SIOUXLAND REGIONAL CANCER CENTER (billing NPI 1114904604) in the available physician profile data.

Does Nibash Budhathoki, MBBS have Open Payments data?

Nibash Budhathoki, MBBS has 65 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.