Physician

Ahmed Ismail Elnaggar, M.D.

According to 2025 Medicare claims, Ahmed Elnaggar, M.D. (NPI: 1255323804) practices pulmonary disease in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Iredell, NC. This provider's primary affiliated billing organization is PIEDMONT HEALTHCARE, P.A. (NPI: 1912999897; TIN: 561965983) and primary practice location at 28625-1953. Elnaggar is affiliated with the agilon health Columbus Ohio ACO, Inc. (DBA: Senior Health Connect ACO 1) (ACO ID: D0114), participating under the REACH model.

Elnaggar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 687 traditional Medicare patients, billed 12,913 HCPCS/CPT codes, and received $543,991 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 1,629 prescription claims across 380 beneficiaries totaling $839,702 in drug costs, led by Prolastin C (Alpha-1-Proteinase Inhibitor). DME data shows 3,725 claims. Open Payments data shows 67 records totaling $1,547. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $1,362,204 to $839,702. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $848,023 to $263,334.

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$376K$752K2015 Medicare payment: $436,220 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $409,166 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $623,368 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $650,337 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $714,648 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $751,933 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $652,384 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $610,335 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $531,152 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $543,991 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,27712,949$436,220
20161,2269,866$409,166
20171,18618,276$623,368
20181,21417,967$650,337
20191,18322,441$714,648
20201,13622,507$751,933
202192616,855$652,384
202285514,322$610,335
202369911,522$531,152
202468712,913$543,991

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$681K$1.4M2015 Drug cost: $1,362,204 (USD; Tot_Drug_Cst)2016 Drug cost: $1,022,153 (USD; Tot_Drug_Cst)2017 Drug cost: $1,261,203 (USD; Tot_Drug_Cst)2018 Drug cost: $1,139,810 (USD; Tot_Drug_Cst)2019 Drug cost: $1,267,800 (USD; Tot_Drug_Cst)2020 Drug cost: $607,296 (USD; Tot_Drug_Cst)2021 Drug cost: $494,470 (USD; Tot_Drug_Cst)2022 Drug cost: $633,670 (USD; Tot_Drug_Cst)2023 Drug cost: $645,300 (USD; Tot_Drug_Cst)2024 Drug cost: $839,702 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155164,087$1,362,204
20164863,605$1,022,153
20174732,988$1,261,203
20184442,956$1,139,810
20193982,617$1,267,800
20204202,163$607,296
20213671,850$494,470
20222831,143$633,670
2023263937$645,300
20243801,629$839,702

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$576K$1.2M2015 Medicare payment: $1,152,327 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $769,695 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $626,783 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $580,777 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $577,799 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $514,909 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $414,414 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $296,852 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $356,539 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $278,515 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20152,3409,207$1,152,327
20162,2248,596$769,695
20171,9847,224$626,783
20181,8936,607$580,777
20191,7026,346$577,799
20201,6815,850$514,909
20211,5525,094$414,414
20221,3724,097$296,852
20231,3514,322$356,539
20241,2023,725$278,515

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more269453$90
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes110186$61
94726Test to determine lung volumes using sensors228229$37
94729Test to examine how well the lungs exchange gases234235$37
94060Test to measure expiratory airflow and volume changes before and after medication administration238241$26

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prolastin CAlpha-1-Proteinase Inhibitor13343$231,686
FasenraBenralizumab15812$94,626
Fasenra PenBenralizumab14728$85,929
XolairOmalizumab24672$83,531
TezspireTezepelumab-Ekko19532$78,094

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R91$92,263
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY53443$32,558
A7031Face mask interface, replacement for full face mask, eachN81219$21,092
A7030Full face mask used with positive airway pressure device, eachN90234$20,568
A7032Cushion for use on nasal mask interface, replacement only, eachN50119$12,314

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.67$1,547GlaxoSmithKline, LLC.
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 Ismail Elnaggar, M.D.?

Tedicare shows public-source Medicare data for Ahmed Ismail Elnaggar, M.D. (NPI 1255323804), 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 Ismail Elnaggar, M.D. have ACO affiliation data?

Ahmed Ismail Elnaggar, M.D. is shown with ACO affiliation data for agilon health Columbus Ohio ACO, Inc. (DBA: Senior Health Connect ACO 1) (REACH, ACO ID D0114).

What billing organization is linked to Ahmed Ismail Elnaggar, M.D.?

Ahmed Ismail Elnaggar, M.D. is linked to PIEDMONT HEALTHCARE, P.A. (billing NPI 1912999897) in the available physician profile data.

Does Ahmed Ismail Elnaggar, M.D. have Open Payments data?

Ahmed Ismail Elnaggar, M.D. has 67 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.