Physician

Ahmed Elisa, MD

According to 2025 Medicare claims, Ahmed Elisa, MD (NPI: 1245768738) practices pediatric medicine in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is PROMEDICA CENTRAL PHYSICIANS (NPI: 1043270150; TIN: 341881137) and primary practice location at 43551-7124. Elisa is affiliated with the ProMedica Health Network, Inc. (ACO ID: A3016), Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171), and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Elisa's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 96 traditional Medicare patients, billed 3,235 HCPCS/CPT codes, and received $30,642 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 664 prescription claims across 165 beneficiaries totaling $222,623 in drug costs, led by Xolair (Omalizumab). DME data shows 47 claims. Open Payments data shows 34 records totaling $687. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,878 to $222,623. 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$15K$31K2023 Medicare payment: $13,730 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $30,642 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023571,402$13,730
2024963,235$30,642

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$111K$223K2019 Drug cost: $1,878 (USD; Tot_Drug_Cst)2020 Drug cost: $8,755 (USD; Tot_Drug_Cst)2021 Drug cost: $10,637 (USD; Tot_Drug_Cst)2022 Drug cost: $12,955 (USD; Tot_Drug_Cst)2023 Drug cost: $102,749 (USD; Tot_Drug_Cst)2024 Drug cost: $222,623 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/R16$1,878
20202469$8,755
20213064$10,637
20222866$12,955
202392341$102,749
2024165664$222,623

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$30K$60K2024 Medicare payment: $60,314 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R47$60,314

* / # = 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 more4040$109
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more55101$86
94375Test to measure rate of airflow1520$28
95117Professional service for multiple injections of allergen15417$8
95004Test for allergy using allergenic extract341,694$3

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XolairOmalizumab21616$59,967
NucalaMepolizumab14392$51,497
EpinephrineEpinephrine46657$6,650
Qvar RedihalerBeclomethasone Dipropionate13750$4,101
Azelastine HclAzelastine Hcl1445,628$3,583

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
J1559Injection, immune globulin (hizentra), 100 mgNN/R12$59,013
A4221Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately)NN/R12$920
K0552Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, eachNN/R12$221
E0779Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greaterYN/R11$159

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.34$687CSL Behring
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 Ahmed Elisa, MD?

Tedicare shows public-source Medicare data for Ahmed Elisa, MD (NPI 1245768738), 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 Ahmed Elisa, MD have ACO affiliation data?

Ahmed Elisa, MD is shown with ACO affiliation data for ProMedica Health Network, Inc. (MSSP, ACO ID A3016), Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171), and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Ahmed Elisa, MD?

Ahmed Elisa, MD is linked to PROMEDICA CENTRAL PHYSICIANS (billing NPI 1043270150) in the available physician profile data.

Does Ahmed Elisa, MD have Open Payments data?

Ahmed Elisa, MD has 34 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.