Physician

Ajay Virmani, MD

According to 2025 Medicare claims, Ajay Virmani, MD (NPI: 1871559773) practices interventional cardiology in the Hagerstown-Martinsburg, MD-WV market, with the plurality of this provider's patient population coming from Berkeley, WV. This provider's primary affiliated billing organization is WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (NPI: 1275504508; TIN: 550492006) and primary practice location at 22601-6452. Virmani is affiliated with the ACO West Virginia (ACO ID: A3563) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Virmani's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,524 traditional Medicare patients, billed 5,145 HCPCS/CPT codes, and received $292,077 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 9,261 prescription claims across 980 beneficiaries totaling $3,272,956 in drug costs, led by Farxiga (Dapagliflozin Propanediol). 2021 DME data shows 11 claims. Open Payments data shows 17 records totaling $1,582. 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 declined steadily, from $642,227 to $292,077. In contrast, Part D prescription costs have moved sharply higher in recent years, from $583,442 to $3,272,956. For DME billing, this smaller-volume category declined steadily, from $36,266 to $2,967.

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$321K$642K2015 Medicare payment: $642,227 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $508,018 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $399,407 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $526,375 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $442,397 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $389,861 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $328,307 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $322,609 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $285,718 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $292,077 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,1558,674$642,227
20161,7916,617$508,018
20171,7645,611$399,407
20181,3896,203$526,375
20191,2624,821$442,397
20201,4574,903$389,861
20211,0533,819$328,307
20229943,921$322,609
20231,2114,520$285,718
20241,5245,145$292,077

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$1.6M$3.3M2015 Drug cost: $583,442 (USD; Tot_Drug_Cst)2016 Drug cost: $689,741 (USD; Tot_Drug_Cst)2017 Drug cost: $880,053 (USD; Tot_Drug_Cst)2018 Drug cost: $1,034,498 (USD; Tot_Drug_Cst)2019 Drug cost: $1,038,102 (USD; Tot_Drug_Cst)2020 Drug cost: $1,220,745 (USD; Tot_Drug_Cst)2021 Drug cost: $965,762 (USD; Tot_Drug_Cst)2022 Drug cost: $712,812 (USD; Tot_Drug_Cst)2023 Drug cost: $2,093,018 (USD; Tot_Drug_Cst)2024 Drug cost: $3,272,956 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157186,244$583,442
20167287,152$689,741
20177567,797$880,053
20189766,911$1,034,498
20191,0466,263$1,038,102
20209686,613$1,220,745
20218164,490$965,762
20226903,138$712,812
20238635,904$2,093,018
20249809,261$3,272,956

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$22K$44K2015 Medicare payment: $32,477 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,905 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $43,984 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $4,651 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $4,231 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $16,919 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $114 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R129$32,477
20161177$2,905
201713105$43,984
201822154$4,651
201923147$4,231
20202482$16,919
2021N/R11$114
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6541,175$87
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function373382$75
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days108324$20
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report304359$10
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only622768$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
FarxigaDapagliflozin Propanediol45128,152$507,391
MounjaroTirzepatide40913,480$491,374
EntrestoSacubitril/Valsartan34222,872$477,524
EliquisApixaban42224,393$465,403
OzempicSemaglutide33612,664$388,799

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.17$1,582Boston Scientific Corporation
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 Ajay Virmani, MD?

Tedicare shows public-source Medicare data for Ajay Virmani, MD (NPI 1871559773), 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 Virmani, MD have ACO affiliation data?

Ajay Virmani, MD is shown with ACO affiliation data for ACO West Virginia (MSSP, ACO ID A3563) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Ajay Virmani, MD?

Ajay Virmani, MD is linked to WEST VIRGINIA UNIVERSITY MEDICAL CORPORATION (billing NPI 1275504508) in the available physician profile data.

Does Ajay Virmani, MD have Open Payments data?

Ajay Virmani, MD has 17 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.