Physician

Ash Ghaly, M.D.

According to 2025 Medicare claims, Ash Ghaly, M.D. (NPI: 1619081528) practices unknown physician specialty in the Visalia, CA market, with the plurality of this provider's patient population coming from Tulare, CA. This provider's primary affiliated billing organization is ASH GHALY, MD, INC (NPI: 1073753356; TIN: 770565674) and primary practice location at 93277-8309.

Ghaly's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 425 traditional Medicare patients, billed 1,735 HCPCS/CPT codes, and received $136,072 in Medicare payments. The top billing code was 99306 (Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more). Part D data shows 13,289 prescription claims across 179 beneficiaries totaling $364,191 in drug costs, led by Eliquis (Apixaban). DME data shows 581 claims. No Open Payments records. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have declined steadily, from $781,182 to $364,191. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $84,048 and ending at $28,609.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	316	2,139	$197,349
2016	383	2,169	$195,700
2017	393	2,247	$190,956
2018	545	3,094	$254,214
2019	681	3,347	$256,226
2020	520	2,045	$150,079
2021	477	2,226	$159,425
2022	588	2,618	$185,091
2023	543	2,362	$189,318
2024	425	1,735	$136,072

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	753	18,544	$781,182
2016	747	17,401	$764,220
2017	604	14,650	$628,685
2018	469	13,147	$660,148
2019	494	17,179	$760,731
2020	415	13,695	$500,448
2021	274	14,626	$461,143
2022	268	13,654	$400,080
2023	227	15,484	$440,894
2024	179	13,289	$364,191

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	359	1,653	$62,859
2016	485	1,880	$83,896
2017	331	1,472	$62,376
2018	295	1,512	$62,345
2019	484	1,762	$81,981
2020	329	1,417	$72,409
2021	308	978	$60,963
2022	195	715	$43,110
2023	169	564	$39,577
2024	133	581	$37,716

* / # = 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
99306	Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more	60	61	$144
99316	Nursing facility discharge management, more than 30 minutes	80	81	$103
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	185	583	$93
99239	Hospital discharge day management, more than 30 minutes	106	107	$90
99308	Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more	213	830	$56

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	248	1,926	$40,466
Januvia	Sitagliptin Phosphate	229	1,824	$39,163
Xarelto	Rivaroxaban	165	1,362	$27,373
Linzess	Linaclotide	40	1,200	$22,693
Jardiance	Empagliflozin	122	850	$19,141

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	11	$9,359
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	48	$6,695
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	34	$4,840
B4154	Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	11	$2,967
B4034	Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	31	$2,509

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Ash Ghaly, M.D.?

Tedicare shows public-source Medicare data for Ash Ghaly, M.D. (NPI 1619081528), 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 Ash Ghaly, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Ash Ghaly, M.D.?

Ash Ghaly, M.D. is linked to ASH GHALY, MD, INC (billing NPI 1073753356) in the available physician profile data.

Does Ash Ghaly, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.