Physician

Ammar Ghanem, MD

According to 2025 Medicare claims, Ammar Ghanem, MD (NPI: 1528026424) practices pulmonary disease in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Lapeer, MI. This provider's primary affiliated billing organization is AMMAR GHANEM MD PLLC (NPI: 1346790896) and primary practice location at 48446-4421. Ghanem is affiliated with the McLaren High Performance Network, LLC (ACO ID: A3317) and Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Ghanem's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 461 traditional Medicare patients, billed 1,869 HCPCS/CPT codes, and received $197,792 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 683 prescription claims across 143 beneficiaries totaling $409,086 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 752 claims. Open Payments data shows 34 records totaling $839. 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 up and down with repeated peaks and valleys, starting at $299,257 and ending at $409,086. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $186,695 to $44,343.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	472	2,303	$164,768
2016	442	2,051	$146,092
2017	475	1,481	$156,202
2018	708	2,442	$187,031
2019	847	2,900	$193,964
2020	765	2,382	$172,770
2021	760	2,406	$189,929
2022	542	1,859	$168,059
2023	456	1,846	$194,355
2024	461	1,869	$197,792

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	206	1,339	$299,257
2016	265	1,953	$809,142
2017	163	666	$239,336
2018	75	312	$77,696
2019	172	613	$216,507
2020	271	1,289	$642,509
2021	297	1,185	$611,779
2022	247	1,186	$799,524
2023	92	264	$252,227
2024	143	683	$409,086

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	928	2,796	$197,291
2016	1,131	3,253	$151,438
2017	802	2,150	$75,609
2018	592	1,558	$58,443
2019	743	1,751	$58,963
2020	592	1,741	$82,002
2021	434	1,259	$57,350
2022	381	1,000	$44,588
2023	287	835	$50,386
2024	274	752	$43,694

* / # = 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
99291	Critical care, first 30-74 minutes	128	363	$171
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	160	172	$135
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	85	$97
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	283	774	$96
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	76	$64

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ofev	Nintedanib Esylate	18	540	$197,221
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	124	4,260	$87,955
Spiriva Respimat	Tiotropium Bromide	70	2,160	$36,793
Stiolto Respimat	Tiotropium Br/Olodaterol Hcl	45	1,590	$24,541
Breo Ellipta	Fluticasone/Vilanterol	50	1,620	$21,080

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
E0466	Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)	Y	N/R	12	$12,157
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	11	72	$5,933
A7031	Face mask interface, replacement for full face mask, each	N	25	60	$5,621
A7030	Full face mask used with positive airway pressure device, each	N	25	56	$4,780
E0601	Continuous positive airway pressure (cpap) device	Y	18	80	$3,010

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	34	$839	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 Ammar Ghanem, MD?

Tedicare shows public-source Medicare data for Ammar Ghanem, MD (NPI 1528026424), 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 Ammar Ghanem, MD have ACO affiliation data?

Ammar Ghanem, MD is shown with ACO affiliation data for McLaren High Performance Network, LLC (MSSP, ACO ID A3317) and Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Ammar Ghanem, MD?

Ammar Ghanem, MD is linked to AMMAR GHANEM MD PLLC (billing NPI 1346790896) in the available physician profile data.

Does Ammar Ghanem, MD have Open Payments data?

Ammar Ghanem, MD has 34 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.