Physician

Rachel L. Waldman, M.D.

According to 2025 Medicare claims, Rachel Waldman, M.D. (NPI: 1871613836) practices rheumatology in the Cleveland, OH market, with the plurality of this provider's patient population coming from Medina, OH. This provider's primary affiliated billing organization is UNITY HEALTH NETWORK, LLC (NPI: 1205169836; TIN: 270815205) and primary practice location at 44224-1015. Waldman is affiliated with the IHC Quality Partners, LLC (ACO ID: A2833), participating under the MSSP model.

Waldman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 215 traditional Medicare patients, billed 53,043 HCPCS/CPT codes, and received $1,179,637 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 2,202 prescription claims across 358 beneficiaries totaling $2,109,717 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 23 records totaling $532. 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 $25,331 to $1,179,637. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $879,040 to $2,109,717. 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$590K$1.2M2015 Medicare payment: $25,331 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $46,119 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $77,948 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $89,250 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $96,764 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $293,505 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $409,681 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $909,910 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,076,890 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,179,637 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015208958$25,331
2016841,434$46,119
20171283,253$77,948
20181394,544$89,250
20191764,573$96,764
202017015,813$293,505
202118715,777$409,681
202220431,896$909,910
202321746,940$1,076,890
202421553,043$1,179,637

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$1.2M$2.4M2015 Drug cost: $879,040 (USD; Tot_Drug_Cst)2016 Drug cost: $563,364 (USD; Tot_Drug_Cst)2017 Drug cost: $954,479 (USD; Tot_Drug_Cst)2018 Drug cost: $1,199,292 (USD; Tot_Drug_Cst)2019 Drug cost: $1,549,926 (USD; Tot_Drug_Cst)2020 Drug cost: $1,987,256 (USD; Tot_Drug_Cst)2021 Drug cost: $2,379,445 (USD; Tot_Drug_Cst)2022 Drug cost: $2,341,858 (USD; Tot_Drug_Cst)2023 Drug cost: $1,948,201 (USD; Tot_Drug_Cst)2024 Drug cost: $2,109,717 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151951,639$879,040
2016174971$563,364
20171821,323$954,479
20182401,750$1,199,292
20192732,015$1,549,926
20203362,355$1,987,256
20213952,554$2,379,445
20223852,346$2,341,858
20233731,962$1,948,201
20243582,202$2,109,717

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4949$122
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more98161$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3944$61
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less45144$45
96372Injection of drug or substance under skin or into muscle46186$11

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab391,260$378,355
EnbrelEtanercept321,064$245,495
Skyrizi PenRisankizumab-Rzaa11756$242,408
Enbrel SureclickEtanercept19644$189,863
Taltz AutoinjectorIxekizumab22616$149,122

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.23$532Amgen Inc.
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 Rachel L. Waldman, M.D.?

Tedicare shows public-source Medicare data for Rachel L. Waldman, M.D. (NPI 1871613836), 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 Rachel L. Waldman, M.D. have ACO affiliation data?

Rachel L. Waldman, M.D. is shown with ACO affiliation data for IHC Quality Partners, LLC (MSSP, ACO ID A2833).

What billing organization is linked to Rachel L. Waldman, M.D.?

Rachel L. Waldman, M.D. is linked to UNITY HEALTH NETWORK, LLC (billing NPI 1205169836) in the available physician profile data.

Does Rachel L. Waldman, M.D. have Open Payments data?

Rachel L. Waldman, M.D. has 23 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.