Physician

Hussein El-Newihi, MD

According to 2025 Medicare claims, Hussein El-Newihi, MD (NPI: 1275580698) practices gastroenterology in the El Centro, CA market, with the plurality of this provider's patient population coming from Imperial, CA. This provider's primary affiliated billing organization is IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC (NPI: 1275581894; TIN: 330652678) and primary practice location at 92243-4242. El-Newihi is affiliated with the Aledade 60 CA MSSP Enhanced (ACO ID: A4775) and Concord Hospital ACO, LLC (ACO ID: A4984), participating under the MSSP model.

El-Newihi's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,432 traditional Medicare patients, billed 3,464 HCPCS/CPT codes, and received $270,849 in Medicare payments. The top billing code was 45385 (Removal of polyps or growths of large bowel using an endoscope with mechanical snare). Part D data shows 4,882 prescription claims across 1,627 beneficiaries totaling $1,016,880 in drug costs, led by Ocaliva (Obeticholic Acid). 2022 DME data shows 22 claims. Open Payments data shows 38 records totaling $1,201. 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 declined steadily, from $391,791 to $270,849. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $2,235,140 to $1,016,880. 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$204K$408K2015 Medicare payment: $391,791 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $408,089 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $390,326 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $359,090 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $370,289 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $286,096 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $292,965 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $284,868 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $254,884 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $270,849 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,8574,076$391,791
20162,0534,691$408,089
20172,0355,028$390,326
20181,9174,871$359,090
20191,8825,281$370,289
20201,5384,169$286,096
20211,4763,748$292,965
20221,4453,791$284,868
20231,3553,341$254,884
20241,4323,464$270,849

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$1.3M$2.7M2015 Drug cost: $2,235,140 (USD; Tot_Drug_Cst)2016 Drug cost: $2,674,665 (USD; Tot_Drug_Cst)2017 Drug cost: $2,037,541 (USD; Tot_Drug_Cst)2018 Drug cost: $1,684,588 (USD; Tot_Drug_Cst)2019 Drug cost: $1,306,359 (USD; Tot_Drug_Cst)2020 Drug cost: $1,052,736 (USD; Tot_Drug_Cst)2021 Drug cost: $1,011,278 (USD; Tot_Drug_Cst)2022 Drug cost: $913,704 (USD; Tot_Drug_Cst)2023 Drug cost: $931,702 (USD; Tot_Drug_Cst)2024 Drug cost: $1,016,880 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20159266,567$2,235,140
20169987,520$2,674,665
20179986,736$2,037,541
20189556,234$1,684,588
20198775,789$1,306,359
20201,3865,745$1,052,736
20218294,626$1,011,278
20221,4875,320$913,704
20231,4604,965$931,702
20241,6274,882$1,016,880

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$4.2K$8.4K2015 Medicare payment: $8,377 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $5,246 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $4,098 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $3,132 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $692 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $644 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R81$8,377
2016N/R81$5,246
2017N/R79$4,098
2018N/R42$3,132
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R26$692
2022N/R22$644
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare230230$174
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more476675$96
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope241241$82
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more528698$68
G0500Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito664702$4

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OcalivaObeticholic Acid31930$280,444
LinzessLinaclotide1225,460$95,344
Cimzia (2 Pack)Certolizumab Pegol13364$69,589
CreonLipase/Protease/Amylase211,049$52,352
XifaxanRifaximin12340$35,754

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.38$1,201Phathom Pharmaceuticals, Inc.
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 Hussein El-Newihi, MD?

Tedicare shows public-source Medicare data for Hussein El-Newihi, MD (NPI 1275580698), 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 Hussein El-Newihi, MD have ACO affiliation data?

Hussein El-Newihi, MD is shown with ACO affiliation data for Aledade 60 CA MSSP Enhanced (MSSP, ACO ID A4775) and Concord Hospital ACO, LLC (MSSP, ACO ID A4984).

What billing organization is linked to Hussein El-Newihi, MD?

Hussein El-Newihi, MD is linked to IMPERIAL VALLEY FAMILY CARE MEDICAL GROUP APC (billing NPI 1275581894) in the available physician profile data.

Does Hussein El-Newihi, MD have Open Payments data?

Hussein El-Newihi, MD has 38 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.