Physician

Sonia F Girgis, MD

According to 2025 Medicare claims, Sonia Girgis, MD (NPI: 1609873462) practices physical medicine and rehabilitation in the Toledo, OH market, with the plurality of this provider's patient population coming from Lucas, OH. This provider's primary affiliated billing organization is TOLEDO CLINIC INCORPORATED (NPI: 1144217894; TIN: 340936207) and primary practice location at 43560-2168. Girgis is affiliated with the CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under the REACH model.

Girgis' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 503 traditional Medicare patients, billed 3,585 HCPCS/CPT codes, and received $263,947 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 1,029 prescription claims across 212 beneficiaries totaling $50,588 in drug costs, led by Eliquis (Apixaban). DME data shows 91 claims. Open Payments data shows 4 records totaling $408. 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 declined steadily, from $83,240 to $50,588. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $8,499 and ending at $29,555.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	528	4,129	$276,302
2016	455	3,727	$245,865
2017	451	3,634	$244,212
2018	448	4,079	$284,346
2019	526	4,192	$294,962
2020	518	3,831	$275,472
2021	534	3,765	$257,674
2022	465	3,030	$204,755
2023	473	3,308	$244,807
2024	503	3,585	$263,947

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	260	1,620	$83,240
2016	254	1,697	$95,165
2017	224	1,332	$61,250
2018	240	1,391	$80,864
2019	244	1,545	$99,769
2020	236	1,387	$81,145
2021	222	1,087	$54,804
2022	192	915	$52,950
2023	199	995	$58,952
2024	212	1,029	$50,588

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	15	160	$4,229
2016	45	331	$5,847
2017	36	251	$4,933
2018	70	280	$6,814
2019	78	378	$7,501
2020	81	329	$7,219
2021	65	300	$5,898
2022	59	188	$4,282
2023	35	186	$3,971
2024	23	91	$3,845

* / # = 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	193	241	$129
99222	Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	249	268	$98
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	203	701	$89
99239	Hospital discharge day management, more than 30 minutes	110	115	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	445	2,234	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	27	887	$16,952
Jardiance	Empagliflozin	14	420	$8,243
Lantus Solostar	Insulin Glargine,hum.Rec.Anlog	40	2,410	$3,311
Midodrine Hcl	Midodrine Hcl	23	414	$785
Atorvastatin Calcium	Atorvastatin Calcium	72	2,190	$536

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
A4623	Tracheostomy, inner cannula	N	N/R	11	$1,790
E0143	Walker, folding, wheeled, adjustable or fixed height	N	23	23	$1,184
K0001	Standard wheelchair	Y	N/R	29	$628
E0149	Walker, heavy duty, wheeled, rigid or folding, any type	Y	N/R	17	$142
K0195	Elevating leg rests, pair (for use with capped rental wheelchair base)	Y	N/R	11	$102

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$408	Inari Medical, 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 Sonia F. Girgis, MD?

Tedicare shows public-source Medicare data for Sonia F. Girgis, MD (NPI 1609873462), 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 Sonia F. Girgis, MD have ACO affiliation data?

Sonia F. Girgis, MD is shown with ACO affiliation data for CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to Sonia F. Girgis, MD?

Sonia F. Girgis, MD is linked to TOLEDO CLINIC INCORPORATED (billing NPI 1144217894) in the available physician profile data.

Does Sonia F. Girgis, MD have Open Payments data?

Sonia F. Girgis, MD has 4 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.