Active NPI 1760468953 Individual Practitioner Male Practitioner

Dr. Neelkant Raya , MD

Internal Medicine • Lancaster, OH

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Neelkant Raya, MD is a certified Internal Medicine practicing in Lancaster, OH. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Raya delivers high-quality medical care to the local community at 2658 N COLUMBUS ST STE A.

Dr. Raya accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2658 N Columbus St Ste A

Lancaster, OH 431308796

Telephone 7406546596

Fax 7406532791

Associated Practice Facility / Clinic

🏢 Neel Raya Md Inc Facility NPI 1720268626

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lancaster, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +22.7 yrs vs City Avg

City Avg: 18.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

38 Specialists

Practicing in Lancaster, OH (5516 Statewide)

Telehealth Adoption Rate

10.5% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

32.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Raya (41 Years) 41 Yrs

Lancaster Specialty Average (18.3 Years) 18.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	664	75	$85.00	$60.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	608	205	$199.93	$123.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	179	179	$220.00	$125.24
99497 Advance care planning, first 30 minutes	161	160	$125.00	$79.23
99213 Established patient office or other outpatient visit, typically 15 minutes	102	70	$149.71	$86.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	59	$300.00	$174.15
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	64	39	$155.00	$128.63
99441 Telephone medical discussion with physician, 5-10 minutes	44	29	$80.00	$53.82
93000 Routine ekg using at least 12 leads including interpretation and report	34	32	$35.00	$13.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$325.00	$213.57
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	14	$80.00	$51.20
99496 Transitional care management services for problem of high complexity	13	11	$300.00	$268.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$240.91	$161.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	639	198	$199.77	$121.25
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	568	61	$85.00	$60.40
99497 Advance care planning, first 30 minutes	160	155	$125.00	$80.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$190.00	$124.72
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	96	43	$155.00	$127.24
99213 Established patient office or other outpatient visit, typically 15 minutes	80	59	$147.00	$77.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	46	$299.55	$173.16
99441 Telephone medical discussion with physician, 5-10 minutes	62	47	$80.00	$53.51
99442 Telephone medical discussion with physician, 11-20 minutes	34	30	$123.53	$87.07
93000 Routine ekg using at least 12 leads including interpretation and report	30	24	$35.00	$13.87
99496 Transitional care management services for problem of high complexity	20	18	$296.22	$263.71
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	11	$80.00	$50.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	659	198	$174.68	$121.90
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	567	61	$82.97	$62.05
99497 Advance care planning, first 30 minutes	153	146	$125.00	$83.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	146	146	$177.12	$129.51
99213 Established patient office or other outpatient visit, typically 15 minutes	89	64	$118.15	$75.75
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	62	30	$154.66	$129.27
93000 Routine ekg using at least 12 leads including interpretation and report	42	40	$34.76	$13.94
99441 Telephone medical discussion with physician, 5-10 minutes	31	26	$77.58	$54.36
99442 Telephone medical discussion with physician, 11-20 minutes	30	27	$97.50	$87.61
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	18	$257.14	$169.94
99496 Transitional care management services for problem of high complexity	21	17	$337.00	$234.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	19	15	$78.00	$51.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	866	228	$160.32	$124.68
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	606	75	$62.04	$40.16
99213 Established patient office or other outpatient visit, typically 15 minutes	122	92	$117.75	$81.66
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	114	48	$134.00	$88.21
99441 Telephone medical discussion with physician, 5-10 minutes	57	44	$74.56	$51.93
99497 Advance care planning, first 30 minutes	48	47	$125.00	$83.87
93000 Routine ekg using at least 12 leads including interpretation and report	45	44	$35.00	$14.50
99442 Telephone medical discussion with physician, 11-20 minutes	37	27	$93.92	$85.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$169.36	$130.68
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	21	$226.04	$176.47
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	23	18	$78.00	$51.73
99496 Transitional care management services for problem of high complexity	22	18	$337.00	$266.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$240.41	$166.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,067	240	$160.00	$100.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	619	72	$62.00	$40.91
99213 Established patient office or other outpatient visit, typically 15 minutes	142	98	$115.42	$62.85
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	107	52	$134.00	$88.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	13	$149.44	$90.19
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	69	68	$100.00	$82.54
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	56	44	$50.00	$36.79
99497 Advance care planning, first 30 minutes	51	51	$125.00	$84.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	51	51	$169.00	$111.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	40	30	$78.00	$51.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	28	$225.00	$138.13
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	33	14	$60.00	$39.65
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$35.00	$16.55
99496 Transitional care management services for problem of high complexity	19	17	$337.00	$234.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,210	262	$159.99	$104.39
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	583	70	$62.00	$40.03
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	139	51	$134.00	$87.08
99213 Established patient office or other outpatient visit, typically 15 minutes	135	90	$109.93	$71.27
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	73	13	$149.45	$88.97
G0008 Administration of influenza virus vaccine	62	62	$29.92	$15.75
90662 Influenza vaccine split virus, preservative free	61	61	$75.00	$54.85
93000 Routine ekg using at least 12 leads including interpretation and report	60	54	$35.00	$16.20
99497 Advance care planning, first 30 minutes	55	52	$125.00	$82.90
99496 Transitional care management services for problem of high complexity	47	42	$337.00	$221.82
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	17	$60.00	$39.23
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	41	32	$78.00	$50.96
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	39	11	$142.82	$88.95
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	33	$225.00	$140.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	31	31	$169.00	$110.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$241.06	$158.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,105	289	$154.99	$99.43
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	431	63	$61.40	$39.36
99213 Established patient office or other outpatient visit, typically 15 minutes	200	130	$117.97	$68.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	88	15	$149.49	$86.41
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	84	47	$135.43	$85.90
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	21	$162.22	$99.08
G0008 Administration of influenza virus vaccine	63	63	$30.00	$18.99
90662 Influenza vaccine split virus, preservative free	63	63	$75.00	$51.47
93000 Routine ekg using at least 12 leads including interpretation and report	63	55	$46.90	$15.22
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	44	18	$69.55	$38.58
99497 Advance care planning, first 30 minutes	44	40	$125.00	$79.89
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	31	$98.51	$50.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	32	$229.82	$132.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	27	$300.09	$192.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$288.09	$108.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	31	12	$150.23	$86.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$244.46	$154.26
99238 Hospital discharge day management, 30 minutes or less	23	19	$128.00	$69.15
99306 Initial nursing facility visit, typically 45 minutes per day	19	17	$248.26	$158.15
99239 Hospital discharge day management, more than 30 minutes	18	14	$172.33	$101.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,036	274	$150.07	$99.56
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	236	40	$60.00	$39.27
99213 Established patient office or other outpatient visit, typically 15 minutes	205	130	$123.98	$67.87
G0008 Administration of influenza virus vaccine	128	126	$40.00	$23.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	110	14	$150.00	$85.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	99	38	$150.00	$98.77
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	75	75	$45.00	$17.48
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	67	23	$140.00	$82.72
93000 Routine ekg using at least 12 leads including interpretation and report	59	53	$64.32	$15.65
90662 Influenza vaccine split virus, preservative free	53	53	$70.00	$46.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	49	49	$300.00	$107.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	47	37	$300.00	$188.09
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	14	$90.00	$38.15
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	45	45	$100.00	$59.00
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	34	$247.44	$132.21
99238 Hospital discharge day management, 30 minutes or less	31	29	$130.00	$68.28
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$248.46	$152.93
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	17	17	$120.00	$49.86
99306 Initial nursing facility visit, typically 45 minutes per day	16	14	$250.00	$157.23
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	14	13	$320.00	$206.32

Medical Specialties & State Licenses

CMS Verified: 2024-05-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35069586

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0224359 (OH)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Practice Location May 17, 2024

Registered at 2658 N COLUMBUS ST STE A, LANCASTER, OH 431308796 (Tel: 7406546596)

✅

NPI Profile Active September 09, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 09, 2008

Registered at 1203 RIVER VALLEY BLVD, SUITE-A, LANCASTER, OH 431301662 (Tel: 7406546596)

📍

Updated Business Mailing Address September 09, 2008

Registered at 7643 LAURELWOOD DR, CANAL WINCHESTER, OH 431108837 (Tel: 7406546596)

👤

Provider Name / Credentials Updated September 09, 2008

Recorded as NEELKANT RAYA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2008

Internal Medicine (License #35069586 in OH)

🟢

Initial NPI Registration & Enumeration December 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760468953

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 19, 2005

Last Update: May 17, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

7643 Laurelwood Dr

Canal Winchester, OH 431108837

Phone: 7406546596

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.