Physician

M. Shereef Hilmy, MD

According to 2025 Medicare claims, M. Hilmy, MD (NPI: 1033113493) practices cardiology in the Brownsville-Harlingen, TX market, with the plurality of this provider's patient population coming from Cameron, TX. This provider's primary affiliated billing organization is SOUTH HEART CLINIC, PLLC (NPI: 1851626352; TIN: 271065453) and primary practice location at 78550-8200. Hilmy is affiliated with the Buena Vida y Salud LLC (ACO ID: A2142), participating under the MSSP model.

Hilmy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 447 traditional Medicare patients, billed 2,038 HCPCS/CPT codes, and received $175,515 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 5,214 prescription claims across 817 beneficiaries totaling $1,256,292 in drug costs, led by Eliquis (Apixaban). DME data shows 16 claims. Open Payments data shows 9 records totaling $349. 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 from a higher plateau to a lower plateau, from $679,382 to $175,515. In contrast, Part D prescription costs have risen steadily, from $455,640 to $1,256,292. For DME billing, this smaller-volume category started with an early spike, then settled into a lower baseline, moving from $26,104 to $10,169.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	2,029	12,950	$679,382
2016	2,095	11,389	$572,807
2017	1,834	8,639	$389,677
2018	1,702	6,394	$368,323
2019	1,479	5,307	$336,585
2020	1,029	3,964	$266,449
2021	615	3,352	$272,464
2022	607	3,350	$275,504
2023	512	2,577	$193,774
2024	447	2,038	$175,515

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	745	5,554	$455,640
2016	845	5,138	$530,628
2017	805	4,636	$564,201
2018	820	5,176	$668,937
2019	824	4,932	$746,950
2020	735	4,256	$675,000
2021	724	4,083	$824,339
2022	748	4,619	$815,737
2023	788	4,910	$1,018,593
2024	817	5,214	$1,256,292

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	23	$24,214
2016	N/R	N/R	N/R
2017	N/R	92	$1,398
2018	N/R	51	$714
2019	N/R	47	$455
2020	N/R	44	$600
2021	N/R	31	$257
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	16	$491

* / # = 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	283	464	$93
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	151	159	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	260	362	$64
93880	Ultrasound of both sides of head and neck blood flow	69	69	$56
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	84	88	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	370	21,083	$419,219
Vyndamax	Tafamidis	16	480	$397,474
Xarelto	Rivaroxaban	96	5,775	$114,564
Entresto	Sacubitril/Valsartan	101	4,755	$100,450
Multaq	Dronedarone Hcl	30	1,668	$40,757

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
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	16	$491

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	9	$349	Abbott Laboratories
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 M. Shereef Hilmy, MD?

Tedicare shows public-source Medicare data for M. Shereef Hilmy, MD (NPI 1033113493), 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 M. Shereef Hilmy, MD have ACO affiliation data?

M. Shereef Hilmy, MD is shown with ACO affiliation data for Buena Vida y Salud LLC (MSSP, ACO ID A2142).

What billing organization is linked to M. Shereef Hilmy, MD?

M. Shereef Hilmy, MD is linked to SOUTH HEART CLINIC, PLLC (billing NPI 1851626352) in the available physician profile data.

Does M. Shereef Hilmy, MD have Open Payments data?

M. Shereef Hilmy, MD has 9 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.