Physician

Abdel H Elhoushy, MD

According to 2025 Medicare claims, Abdel Elhoushy, MD (NPI: 1548210305) practices pain management in the Lakeland-Winter Haven, FL market, with the plurality of this provider's patient population coming from Polk, FL. This provider's primary affiliated billing organization is BAYCARE MEDICAL GROUP, INC. (NPI: 1043269871; TIN: 593140335) and primary practice location at 33881-4131. Elhoushy is affiliated with the CHSPSC ACO 6, LLC (ACO ID: A3712), participating under the MSSP model.

Elhoushy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 60 traditional Medicare patients, billed 73 HCPCS/CPT codes, and received $4,720 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 165 prescription claims across 64 beneficiaries totaling $2,025 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). 2018 DME data shows 14 claims. Open Payments data shows 2 records totaling $52. 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 up and down with repeated peaks and valleys, starting at $65,904 and ending at $4,720. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $61,047 to $2,025. 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$89K$179K2015 Medicare payment: $65,904 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $6,180 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $73,245 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $178,814 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $58,205 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $11,074 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $31,199 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $13,636 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $24,781 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $4,720 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201584487$65,904
20164591$6,180
20174624,381$73,245
201888812,999$178,814
2019320789$58,205
2020127234$11,074
2021221362$31,199
202250148$13,636
2023149264$24,781
20246073$4,720

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$70K$140K2017 Drug cost: $61,047 (USD; Tot_Drug_Cst)2018 Drug cost: $140,183 (USD; Tot_Drug_Cst)2019 Drug cost: $20,673 (USD; Tot_Drug_Cst)2021 Drug cost: $20,111 (USD; Tot_Drug_Cst)2022 Drug cost: $1,653 (USD; Tot_Drug_Cst)2023 Drug cost: $28,043 (USD; Tot_Drug_Cst)2024 Drug cost: $2,025 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
20174551,247$61,047
20189422,822$140,183
2019234305$20,673
2020N/RN/RN/R
2021119272$20,111
202219146$1,653
2023139601$28,043
202464165$2,025

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$7.1K$14K2018 Medicare payment: $14,294 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181414$14,294
2019N/RN/RN/R
2020N/RN/RN/R
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
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more3133$58

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen17478$346
Duloxetine HclDuloxetine Hcl22720$302
GabapentinGabapentin26900$239
Tramadol HclTramadol Hcl20591$93
OmeprazoleOmeprazole1539$13

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.2$52EAGLE 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 Abdel H. Elhoushy, MD?

Tedicare shows public-source Medicare data for Abdel H. Elhoushy, MD (NPI 1548210305), 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 Abdel H. Elhoushy, MD have ACO affiliation data?

Abdel H. Elhoushy, MD is shown with ACO affiliation data for CHSPSC ACO 6, LLC (MSSP, ACO ID A3712).

What billing organization is linked to Abdel H. Elhoushy, MD?

Abdel H. Elhoushy, MD is linked to BAYCARE MEDICAL GROUP, INC. (billing NPI 1043269871) in the available physician profile data.

Does Abdel H. Elhoushy, MD have Open Payments data?

Abdel H. Elhoushy, MD has 2 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.