Physician

Ashgan Elshinawy, DO

According to 2025 Medicare claims, Ashgan Elshinawy, DO (NPI: 1417907528) practices sleep medicine in the Lakewood-New Brunswick, NJ market, with the plurality of this provider's patient population coming from Middlesex, NJ. This provider's primary affiliated billing organization is PRINCETON MEDICAL GROUP,P.A. (NPI: 1063513679; TIN: 222306123) and primary practice location at 08831-4922. Elshinawy is affiliated with the Optimus Healthcare Partners, LLC (ACO ID: A1059) and Aledade 25 NJ MSSP Enhanced (ACO ID: A3891), participating under the MSSP model.

Elshinawy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 516 traditional Medicare patients, billed 1,181 HCPCS/CPT codes, and received $109,282 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 1,280 prescription claims across 241 beneficiaries totaling $400,148 in drug costs, led by Xywav (Sodium,calcium,mag,pot Oxybate). DME data shows 2,635 claims. Open Payments data shows 3 records totaling $48. 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 sharply higher in recent years, from $49,566 to $109,282. Similarly, Part D prescription costs have moved sharply higher in recent years, from $51,435 to $400,148. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	361	744	$49,566
2016	271	527	$47,039
2017	252	548	$50,535
2018	325	703	$59,822
2019	331	718	$64,349
2020	316	714	$63,617
2021	289	533	$51,676
2022	320	681	$63,116
2023	435	950	$93,272
2024	516	1,181	$109,282

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	92	360	$51,435
2016	110	342	$50,906
2017	74	321	$50,842
2018	75	329	$65,741
2019	97	468	$80,955
2020	114	653	$132,710
2021	105	658	$126,454
2022	118	744	$158,748
2023	179	879	$229,327
2024	241	1,280	$400,148

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	832	1,858	$91,715
2016	808	1,727	$58,852
2017	728	1,549	$43,417
2018	716	1,584	$46,382
2019	716	1,518	$49,504
2020	761	2,051	$77,438
2021	707	1,792	$68,613
2022	653	1,511	$57,585
2023	758	1,717	$74,409
2024	1,047	2,635	$108,899

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	139	139	$135
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	353	$105
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	69	113	$100
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	151	199	$73
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	133	136	$35

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xywav	Sodium,calcium,mag,pot Oxybate	13	337	$108,916
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	100	3,600	$74,770
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	46	1,680	$34,443
Spiriva Respimat	Tiotropium Bromide	30	1,020	$17,151
Breo Ellipta	Fluticasone/Vilanterol	23	930	$11,593

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0601	Continuous positive airway pressure (cpap) device	Y	83	544	$15,834
A7031	Face mask interface, replacement for full face mask, each	N	68	141	$12,149
A7030	Full face mask used with positive airway pressure device, each	N	65	146	$11,385
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	127	298	$10,303
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	87	197	$9,163

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	3	$48	HARMONY BIOSCIENCES LLC
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Ashgan Elshinawy, DO?

Tedicare shows public-source Medicare data for Ashgan Elshinawy, DO (NPI 1417907528), 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 Ashgan Elshinawy, DO have ACO affiliation data?

Ashgan Elshinawy, DO is shown with ACO affiliation data for Optimus Healthcare Partners, LLC (MSSP, ACO ID A1059) and Aledade 25 NJ MSSP Enhanced (MSSP, ACO ID A3891).

What billing organization is linked to Ashgan Elshinawy, DO?

Ashgan Elshinawy, DO is linked to PRINCETON MEDICAL GROUP,P.A. (billing NPI 1063513679) in the available physician profile data.

Does Ashgan Elshinawy, DO have Open Payments data?

Ashgan Elshinawy, DO has 3 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.