Physician

Zoheir A Abdelbaki, MD

According to 2025 Medicare claims, Zoheir Abdelbaki, MD (NPI: 1396818571) practices cardiology in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC (NPI: 1518589803; TIN: 850900392) and primary practice location at 45805-4602.

Abdelbaki's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 4,475 traditional Medicare patients, billed 13,372 HCPCS/CPT codes, and received $464,358 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 23,327 prescription claims across 3,100 beneficiaries totaling $4,515,094 in drug costs, led by Eliquis (Apixaban). 2020 DME data shows 11 claims. Open Payments data shows 23 records totaling $345. 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 changed little. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $1,030,933 to $4,515,094. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $47,146 to $16,864.

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$264K$529K2015 Medicare payment: $487,203 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $515,151 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $437,192 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $453,415 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $478,828 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $484,851 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $528,943 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $474,527 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $487,293 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $464,358 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153,61611,441$487,203
20164,14312,192$515,151
20173,90910,344$437,192
20184,55411,814$453,415
20194,84312,449$478,828
20204,69913,321$484,851
20214,31613,271$528,943
20224,33812,545$474,527
20234,63613,896$487,293
20244,47513,372$464,358

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$2.3M$4.5M2015 Drug cost: $1,030,933 (USD; Tot_Drug_Cst)2016 Drug cost: $1,107,723 (USD; Tot_Drug_Cst)2017 Drug cost: $1,378,721 (USD; Tot_Drug_Cst)2018 Drug cost: $1,786,202 (USD; Tot_Drug_Cst)2019 Drug cost: $2,261,557 (USD; Tot_Drug_Cst)2020 Drug cost: $2,823,820 (USD; Tot_Drug_Cst)2021 Drug cost: $3,344,862 (USD; Tot_Drug_Cst)2022 Drug cost: $3,939,785 (USD; Tot_Drug_Cst)2023 Drug cost: $4,388,791 (USD; Tot_Drug_Cst)2024 Drug cost: $4,515,094 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,49815,994$1,030,933
20161,61616,513$1,107,723
20171,82317,766$1,378,721
20182,12619,296$1,786,202
20192,30120,039$2,261,557
20202,47022,442$2,823,820
20212,60923,311$3,344,862
20222,73222,553$3,939,785
20232,74922,239$4,388,791
20243,10023,327$4,515,094

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$46K$91K2015 Medicare payment: $47,054 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $91,207 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $70,999 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $23,332 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $57,399 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $22,574 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R22$47,054
20161475$91,207
20171148$70,999
2018N/R12$23,332
2019N/R28$57,399
2020N/R11$22,574
2021N/RN/RN/R
2022N/RN/RN/R
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,1441,279$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more1,0771,088$53
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function1,2051,228$49
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1,0151,046$9
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1,8813,329$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EliquisApixaban1,962128,419$2,409,272
XareltoRivaroxaban46129,615$537,964
EntrestoSacubitril/Valsartan26018,320$391,860
Repatha SureclickEvolocumab18213,794$264,602
BrilintaTicagrelor24014,602$207,363

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.23$345ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
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 Zoheir A. Abdelbaki, MD?

Tedicare shows public-source Medicare data for Zoheir A. Abdelbaki, MD (NPI 1396818571), 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 Zoheir A. Abdelbaki, MD have ACO affiliation data?

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

What billing organization is linked to Zoheir A. Abdelbaki, MD?

Zoheir A. Abdelbaki, MD is linked to MERCY HEALTH PHYSICIANS LIMA SPECIALTY CARE LLC (billing NPI 1518589803) in the available physician profile data.

Does Zoheir A. Abdelbaki, MD have Open Payments data?

Zoheir A. Abdelbaki, MD has 23 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.