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Dr. Paramesh B. Ramadugu, MD, MBBS

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Specializes in: Adult Nephrology

Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)

855 A Avenue Ne Suite 400
Cedar Rapids, IA 52402

(319) 451-2125

Dr. Paramesh B. Ramadugu, MD, MBBS is a nephrologist in Rapids, IA specializing in adult nephrology. He graduated from Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER). Dr. Paramesh B. Ramadugu, MD, MBBS is affiliated with Mercy Hospital, UnityPoint Health, St. Luke's Hospital and Jones Regional Medical Center.

Office Locations

1002 4th Avenue Se #b Cedar
Rapids, IA 52403

open_in_new

1026 A Avenue Ne
Cedar Rapids, IA 52402

open_in_new

855 A Avenue Ne Suite 400
Cedar Rapids, IA 52402

(319) 451-2125

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500 E Market Street
Iowa City, IA 52245

(319) 339-3551

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Noteworthy Medicare Patient Procedures Performed by Dr. Paramesh B. Ramadugu, MD, MBBS in 2024

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 25%

By Volume:

inpatient hospital care

By Affordability:

dialysis

hemodialysis

In 2012, among providers in related specialties within Iowa, Dr. Paramesh B. Ramadugu, MD, MBBS performed more inpatient hospital care (for patient admitted to hospital) procedures for Medicare patients than 75% of them and he also had a list price for dialysis, and hemodialysis that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2012 were hospital care, inpatient care, lab tests and blood draw.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

blood draw	648
diabetes management	81
dialysis	72
doctor visit	1189
hospital care	2189
inpatient care	2189
lab tests	1894
nursing home care	75
preventive care	181
thyroid function tests	55
vaccines	65

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2013 were lab tests, hospital care, inpatient care and blood draw.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

blood draw	753
diabetes management	96
dialysis	61
doctor visit	1446
hospital care	2108
inpatient care	2108
lab tests	2629
nursing home care	57
preventive care	163
thyroid function tests	68
vaccines	25

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	440
Female	376

**Ethnicity**
Non-Hispanic White	766
Black	33
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	250
From 75 to 84	268
85 and over	143
Less than 65	155

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2013

Hypertension	75
High Cholesterol	74
Stroke	7
Ischemic Heart Disease	58
Depression	30
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	9
Atrial Fibrilation	29
Heart Failure	50
Chronic Obstructive Pulmonary Disease	38
Diabetes	62
Dementia	13
Cancer	12

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2014 were lab tests, hospital care, inpatient care and blood draw.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

blood draw	626
diabetes management	81
dialysis	87
doctor visit	1077
hospital care	1802
inpatient care	1802
lab tests	2199
preventive care	115
thyroid function tests	41

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	411
Female	355

**Ethnicity**
Non-Hispanic White	725
Black	27
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	247
From 75 to 84	256
85 and over	130
Less than 65	133

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2014

Hypertension	75
High Cholesterol	66
Stroke	6
Ischemic Heart Disease	56
Depression	28
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	8
Atrial Fibrilation	27
Heart Failure	50
Chronic Obstructive Pulmonary Disease	32
Diabetes	58
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2015 were lab tests, hospital care, inpatient care and blood draw.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

blood draw	309
diabetes management	68
dialysis	33
doctor visit	958
hospital care	1541
inpatient care	1541
lab tests	2264
preventive care	117
thyroid function tests	52
vaccines	12

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	782
Female	780

**Ethnicity**
Non-Hispanic White	1472
Black	66
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	538
From 75 to 84	556
85 and over	220
Less than 65	248

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2015

Hypertension	75
High Cholesterol	74
Stroke	6
Ischemic Heart Disease	57
Depression	30
Chronic Kidney Disease	75
Asthma	19
Osteoperosis	8
Atrial Fibrilation	25
Heart Failure	50
Chronic Obstructive Pulmonary Disease	31
Diabetes	62
Dementia	13
Cancer	11

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2016 were hospital care, inpatient care, lab tests and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

blood draw	47
dialysis	130
doctor visit	945
hospital care	1396
inpatient care	1396
lab tests	267

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	425
Female	407

**Ethnicity**
Non-Hispanic White	772
Black	29
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	315
From 75 to 84	280
85 and over	119
Less than 65	118

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2016

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	58
Depression	31
Chronic Kidney Disease	75
Asthma	29
Osteoperosis	8
Atrial Fibrilation	28
Heart Failure	53
Chronic Obstructive Pulmonary Disease	29
Diabetes	60
Dementia	14
Cancer	11

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2017 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	125
doctor visit	855
hospital care	1045
inpatient care	1045

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	393
Female	351

**Ethnicity**
Non-Hispanic White	690
Black	26
Hispanic	0
Asian	0
Other	15
Native American	0

**Age**
From 65 to 74	260
From 75 to 84	260
85 and over	122
Less than 65	102

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2017

Hypertension	75
High Cholesterol	75
Stroke	7
Ischemic Heart Disease	57
Depression	34
Chronic Kidney Disease	75
Asthma	13
Osteoperosis	9
Atrial Fibrilation	27
Heart Failure	55
Chronic Obstructive Pulmonary Disease	29
Diabetes	62
Dementia	12
Cancer	12

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2018 were hospital care, inpatient care, dialysis and preventive care.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	173
doctor visit	935
hospital care	1049
inpatient care	1049
preventive care	24
vaccines	24

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	404
Female	373

**Ethnicity**
Non-Hispanic White	724
Black	33
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	271
From 75 to 84	262
85 and over	128
Less than 65	116

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2018

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	56
Depression	33
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	10
Atrial Fibrilation	25
Heart Failure	51
Chronic Obstructive Pulmonary Disease	27
Diabetes	59
Dementia	12
Cancer	11

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2019 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	98
doctor visit	898
hospital care	652
inpatient care	652

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	434
Female	374

**Ethnicity**
Non-Hispanic White	751
Black	29
Hispanic	0
Asian	0
Other	13
Native American	0

**Age**
From 65 to 74	278
From 75 to 84	263
85 and over	154
Less than 65	113

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2019

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	56
Depression	35
Chronic Kidney Disease	75
Asthma	9
Osteoperosis	11
Atrial Fibrilation	25
Heart Failure	53
Chronic Obstructive Pulmonary Disease	25
Diabetes	60
Dementia	13
Cancer	11

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2020 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	82
doctor visit	485
hospital care	480
inpatient care	480

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	376
Female	304

**Ethnicity**
Non-Hispanic White	631
Black	26
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	229
From 75 to 84	242
85 and over	129
Less than 65	80

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2020

Hypertension	75
High Cholesterol	72
Stroke	5
Ischemic Heart Disease	54
Depression	34
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	9
Atrial Fibrilation	25
Heart Failure	53
Chronic Obstructive Pulmonary Disease	21
Diabetes	63
Dementia	14
Cancer	10

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2021 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	78
doctor visit	544
hospital care	445
inpatient care	445

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	353
Female	281

**Ethnicity**
Non-Hispanic White	585
Black	24
Hispanic	0
Asian	0
Other	14
Native American	0

**Age**
From 65 to 74	239
From 75 to 84	202
85 and over	121
Less than 65	72

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2021

Hypertension	75
High Cholesterol	75
Stroke	5
Ischemic Heart Disease	55
Depression	31
Chronic Kidney Disease	75
Asthma	8
Osteoperosis	9
Atrial Fibrilation	27
Heart Failure	51
Chronic Obstructive Pulmonary Disease	18
Diabetes	59
Dementia	12
Cancer	10

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2022 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	91
doctor visit	585
hospital care	519
inpatient care	519

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	340
Female	251

**Ethnicity**
Non-Hispanic White	550
Black	0
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	212
From 75 to 84	204
85 and over	107
Less than 65	68

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2022

Hypertension	75
High Cholesterol	75
Stroke	9
Ischemic Heart Disease	48
Depression	32
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	12
Atrial Fibrilation	38
Heart Failure	48
Chronic Obstructive Pulmonary Disease	23
Diabetes	57
Dementia	10
Cancer	17

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2023 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	81
doctor visit	663
hospital care	549
inpatient care	549

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	384
Female	310

**Ethnicity**
Non-Hispanic White	648
Black	12
Hispanic	0
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	252
From 75 to 84	245
85 and over	135
Less than 65	62

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2023

Hypertension	75
High Cholesterol	75
Stroke	8
Ischemic Heart Disease	46
Depression	32
Chronic Kidney Disease	75
Asthma	11
Osteoperosis	13
Atrial Fibrilation	39
Heart Failure	47
Chronic Obstructive Pulmonary Disease	22
Diabetes	55
Dementia	12
Cancer	17

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

The top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA during 2024 were hospital care, inpatient care and dialysis.

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

dialysis	75
doctor visit	569
hospital care	640
inpatient care	640

2024 Medicare Patient Data

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Male	346
Female	350

**Ethnicity**
Non-Hispanic White	638
Black	17
Hispanic	0
Asian	0
Other	20
Native American	0

**Age**
From 65 to 74	225
From 75 to 84	263
85 and over	148
Less than 65	60

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2024

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	46
Depression	31
Chronic Kidney Disease	75
Asthma	14
Osteoperosis	18
Atrial Fibrilation	35
Heart Failure	45
Chronic Obstructive Pulmonary Disease	23
Diabetes	54
Dementia	12
Cancer	16

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Volume of procedures performed by Dr. Paramesh B. Ramadugu, MD, MBBS for Medicare patients.

The highest averages for the top procedures that Dr. Paramesh B. Ramadugu, MD, MBBS treated as a nephrologist in Rapids, IA were lab tests, hospital care, inpatient care and blood draw.

blood draw	476
diabetes management	81
dialysis	91
doctor visit	857
hospital care	1108
inpatient care	1108
lab tests	1850
nursing home care	66
preventive care	120
thyroid function tests	54
vaccines	31

Average Medicare Patient Data From 2012 - 2024

Information about Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS.

**Gender**
Female	347
Male	391

**Ethnicity**
Black / African American	24
Asian / Pacific Islander	0
Non-Hispanic White	688
Native American / Alaskan Native	0
Hispanic	0
Other	9

**Age**
75 to 84	253
85 and over	127
Less than 65	102
65 to 74	255

Average of Total of Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS From 2012 - 2024

The highest averages of the most common conditions of Medicare patients that Dr. Paramesh B. Ramadugu, MD, MBBS treated were chronic kidney disease, hypertension, high cholesterol and diabetes.

Hypertension	69
High Cholesterol	68
Stroke	6
Ischemic Heart Disease	49
Depression	29
Chronic Kidney Disease	69
Asthma	11
Osteoporosis	9
Heart Failure	46
Chronic Obstructive Pulmonary Disease	24
Diabetes	54
Atrial Fibrillation	26
Dementia	11
Cancer	11

Education & Training

Dr. Paramesh B. Ramadugu, MD, MBBS graduated from Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER). He completed residency at University of Illinois Affiliated Hospitals. He is certified by the American Board of Nephrology and has a state license in Nevada.

Medical School: Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER)

Residency: University of Illinois Affiliated Hospitals

Board Certification: American Board of Nephrology

Licensed In: Nevada

Affiliations & Hospitals

Dr. Paramesh B. Ramadugu, MD, MBBS is associated with these hospitals and organizations:

Mercy Hospital

UnityPoint Health

St. Luke's Hospital

Jones Regional Medical Center

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Paramesh B. Ramadugu, MD, MBBS. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Lilly USA, LLC	$89 GLYXAMBI $16	TRULICITY $14	HUMALOG $12	$47
Janssen Pharmaceuticals, Inc	$61 OneTouch $61
Amgen Inc.	$54 Repatha $42	Prolia $12
Pfizer Inc.	$53 LYRICA $28	PREVNAR - 13 $13	VIAGRA $11
Fresenius USA Marketing, Inc.	$44 Velphoro $44
Other	$329 ACTHAR $33	SAMSCA $29	LANTUS $28	Rituxan $25	NATPARA $23	Other $191

**Types of Payments**
Food and Beverage	$539
Education	$90

Biography

Dr. Paramesh Ramadugu's area of specialization is adult nephrology. His hospital/clinic affiliations include UnityPoint Health, St. Luke's Hospital, and Mercy Hospital. Dr. Ramadugu has an open panel in Cedar Rapids, IA according to UnityPoint Health. He obtained his medical school training at Jawaharlal Institute of Postgraduate Medical Education & Research (JIPMER) and performed his residency at a hospital affiliated with the University of Illinois.

Select Year:

Dr. Paramesh B. Ramadugu, MD, MBBS

Office Locations

Noteworthy Medicare Patient Procedures Performed by Dr. Paramesh B. Ramadugu, MD, MBBS in 2024

By Volume:

By Affordability:

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

2021 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2021

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

2022 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2022

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

2023 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2023

Medicare Procedure and Patient Information

2024 Medicare Procedure Volume

2024 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS in 2024

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2024

Average Medicare Patient Data From 2012 - 2024

Average of Total of Conditions of Medicare patients treated by Dr. Paramesh B. Ramadugu, MD, MBBS From 2012 - 2024

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography