Physician

Ali Gheissari, M.D.

According to 2025 Medicare claims, Ali Gheissari, M.D. (NPI: 1376545269) practices thoracic surgery 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 PIH HEALTH PHYSICIANS (NPI: 1588829006; TIN: 953942828) and primary practice location at 90017-1901.

Gheissari's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 128 traditional Medicare patients, billed 261 HCPCS/CPT codes, and received $108,495 in Medicare payments. The top billing code was 33533 (Coronary artery bypass using artery graft, 1 graft). Part D data shows 35 prescription claims across 18 beneficiaries totaling $535 in drug costs. Open Payments data shows 24 records totaling $1,575. 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 $384,070 to $108,495. Similarly, Part D prescription costs have declined steadily, from $25,293 to $535. 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$239K$477K2015 Medicare payment: $384,070 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $477,412 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $331,645 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $331,483 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $334,050 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $196,435 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $242,160 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $204,533 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $170,678 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $108,495 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152361,905$384,070
20163233,049$477,412
20173362,093$331,645
20183901,690$331,483
20193811,729$334,050
20202251,086$196,435
20212981,261$242,160
20222521,104$204,533
2023170547$170,678
2024128261$108,495

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$13K$25K2015 Drug cost: $25,293 (USD; Tot_Drug_Cst)2016 Drug cost: $21,822 (USD; Tot_Drug_Cst)2017 Drug cost: $19,002 (USD; Tot_Drug_Cst)2018 Drug cost: $12,017 (USD; Tot_Drug_Cst)2019 Drug cost: $19,035 (USD; Tot_Drug_Cst)2020 Drug cost: $24,293 (USD; Tot_Drug_Cst)2021 Drug cost: $9,793 (USD; Tot_Drug_Cst)2022 Drug cost: $4,062 (USD; Tot_Drug_Cst)2023 Drug cost: $2,072 (USD; Tot_Drug_Cst)2024 Drug cost: $535 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201529137$25,293
20162494$21,822
201734111$19,002
20181790$12,017
201915107$19,035
20201496$24,293
20211486$9,793
2022N/R40$4,062
2023N/R24$2,072
20241835$535

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
33533Coronary artery bypass using artery graft, 1 graft1111$1,404
33361Replacement of aortic valve through the skin and femoral artery1313$591
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3131$143
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1818$107
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1212$68

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

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.24$1,575Edwards Lifesciences Corporation
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 Ali Gheissari, M.D.?

Tedicare shows public-source Medicare data for Ali Gheissari, M.D. (NPI 1376545269), 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 Ali Gheissari, 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 Ali Gheissari, M.D.?

Ali Gheissari, M.D. is linked to PIH HEALTH PHYSICIANS (billing NPI 1588829006) in the available physician profile data.

Does Ali Gheissari, M.D. have Open Payments data?

Ali Gheissari, M.D. has 24 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.