Physician

Hany Heshmat Guirgis, M.D

According to 2025 Medicare claims, Hany Guirgis, M.D (NPI: 1598720039) practices cardiology in the Palm Bay-Melbourne-Titusville, FL market, with the plurality of this provider's patient population coming from Brevard, FL. This provider's primary affiliated billing organization is PRESTIGE CARDIOLOGY CONSULTANTS LLC (NPI: 1508287137; TIN: 46-4387189) and primary practice location at 32940-6230. Guirgis is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Guirgis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,449 traditional Medicare patients, billed 15,404 HCPCS/CPT codes, and received $1,436,280 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 10,946 prescription claims across 1,548 beneficiaries totaling $2,368,970 in drug costs, led by Eliquis (Apixaban). DME data shows 23 claims. Open Payments data shows 57 records totaling $3,815. 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 risen steadily, from $658,336 to $1,436,280. Similarly, Part D prescription costs have moved sharply higher in recent years, from $135,069 to $2,368,970. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $33,419 and ending at $31,664.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,582	9,843	$658,336
2016	1,594	7,847	$647,450
2017	1,907	9,271	$804,285
2018	2,062	9,280	$813,536
2019	2,045	8,666	$772,862
2020	1,990	8,946	$866,671
2021	2,011	9,644	$1,003,887
2022	2,372	10,464	$975,498
2023	2,258	11,105	$1,038,835
2024	2,449	15,404	$1,436,280

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	271	1,720	$135,069
2016	416	3,082	$239,814
2017	536	4,025	$423,194
2018	664	4,910	$575,053
2019	796	5,552	$727,813
2020	921	6,706	$899,587
2021	1,106	7,920	$1,209,069
2022	1,268	9,189	$1,594,619
2023	1,404	9,710	$2,066,990
2024	1,548	10,946	$2,368,970

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	17	$33,419
2016	N/R	17	$33,155
2017	N/R	12	$23,078
2018	N/R	39	$44,170
2019	N/R	22	$1,245
2020	N/R	50	$69,676
2021	N/R	25	$28,844
2022	N/R	24	$1,675
2023	N/R	23	$1,372
2024	N/R	23	$29,197

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	446	466	$134
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	968	983	$92
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,577	3,128	$88
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	435	993	$61
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	1,217	1,313	$10

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	979	61,906	$1,156,840
Xarelto	Rivaroxaban	198	13,367	$238,121
Entresto	Sacubitril/Valsartan	181	11,413	$229,403
Repatha Sureclick	Evolocumab	156	9,892	$185,204
Jardiance	Empagliflozin	112	7,469	$138,452

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
K0606	Automatic external defibrillator, with integrated electrocardiogram analysis, garment type	Y	N/R	11	$28,286
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$911

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	57	$3,815	Penumbra, Inc.
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 Hany Heshmat Guirgis, M.D?

Tedicare shows public-source Medicare data for Hany Heshmat Guirgis, M.D (NPI 1598720039), 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 Hany Heshmat Guirgis, M.D have ACO affiliation data?

Hany Heshmat Guirgis, M.D is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Hany Heshmat Guirgis, M.D?

Hany Heshmat Guirgis, M.D is linked to PRESTIGE CARDIOLOGY CONSULTANTS LLC (billing NPI 1508287137) in the available physician profile data.

Does Hany Heshmat Guirgis, M.D have Open Payments data?

Hany Heshmat Guirgis, M.D has 57 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.