Physician

Adel K El-Bialy, M.D.

According to 2025 Medicare claims, Adel El-Bialy, M.D. (NPI: 1063512473) practices cardiology in the Los Angeles-Long Beach-Glendale, CA market, with the plurality of this provider's patient population coming from Los Angeles, CA. This provider's primary affiliated billing organization is ADEL EL-BIALY MD INC (NPI: 1740804715; TIN: 270166375) and primary practice location at 91345-1237.

El-Bialy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 886 traditional Medicare patients, billed 7,057 HCPCS/CPT codes, and received $537,816 in Medicare payments. The top billing code was 93306 (Ultrasound of heart with color-depicted blood flow, rate, direction and valve function). Part D data shows 4,765 prescription claims across 563 beneficiaries totaling $771,704 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 26 records totaling $577. 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 $222,291 to $537,816. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $179,096 to $771,704. 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.

Year	Patients	Clm Lines	Payment
2015	648	2,201	$222,291
2016	717	2,408	$216,790
2017	677	2,721	$232,026
2018	686	2,955	$265,721
2019	626	2,843	$266,503
2020	631	3,151	$295,890
2021	708	4,260	$445,574
2022	745	4,659	$473,015
2023	884	5,458	$526,103
2024	886	7,057	$537,816

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	356	3,267	$179,096
2016	473	4,145	$258,835
2017	520	4,406	$364,026
2018	601	4,553	$481,675
2019	652	5,271	$680,150
2020	694	5,490	$727,507
2021	556	3,758	$545,728
2022	487	3,710	$554,919
2023	524	4,398	$714,868
2024	563	4,765	$771,704

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	537	638	$102
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	577	1,905	$96
99211	Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	306	673	$18
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	394	701	$13
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	314	498	$11

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	252	16,903	$324,093
Entresto	Sacubitril/Valsartan	90	5,760	$108,960
Brilinta	Ticagrelor	103	6,060	$81,361
Xarelto	Rivaroxaban	31	2,430	$43,958
Repatha Sureclick	Evolocumab	37	1,666	$31,450

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	26	$577	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 Adel K. El-Bialy, M.D.?

Tedicare shows public-source Medicare data for Adel K. El-Bialy, M.D. (NPI 1063512473), 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 Adel K. El-Bialy, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Adel K. El-Bialy, M.D.?

Adel K. El-Bialy, M.D. is linked to ADEL EL-BIALY MD INC (billing NPI 1740804715) in the available physician profile data.

Does Adel K. El-Bialy, M.D. have Open Payments data?

Adel K. El-Bialy, M.D. has 26 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.