Physician

Assem Houssein, M.D.

According to 2025 Medicare claims, Assem Houssein, M.D. (NPI: 1700865722) practices endocrinology in the Columbus, OH market, with the plurality of this provider's patient population coming from Fairfield, OH. This provider's primary affiliated billing organization is ENDOCRINOLOGY OF LANCASTER LLC (NPI: 1811710197; TIN: 994658990) and primary practice location at 43130-8185. Houssein is affiliated with the Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Houssein's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 363 traditional Medicare patients, billed 1,213 HCPCS/CPT codes, and received $71,283 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 8,448 prescription claims across 838 beneficiaries totaling $4,148,040 in drug costs, led by Ozempic (Semaglutide). DME data shows 823 claims. Open Payments data shows 48 records totaling $704. 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 declined steadily, from $132,844 to $71,283. In contrast, Part D prescription costs have risen steadily, from $2,490,741 to $4,148,040. For DME billing, reported payments moved sharply higher in recent years, from $14,459 to $274,836.

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$70K$140K2015 Medicare payment: $132,844 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $131,278 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $135,084 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $129,171 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $140,034 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $100,468 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $126,813 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $114,832 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $102,587 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $71,283 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20154863,897$132,844
20165393,569$131,278
20175473,545$135,084
20185643,405$129,171
20195703,733$140,034
20205522,018$100,468
20215052,283$126,813
20224582,310$114,832
20234381,863$102,587
20243631,213$71,283

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$2.8M$5.7M2015 Drug cost: $2,490,741 (USD; Tot_Drug_Cst)2016 Drug cost: $2,930,899 (USD; Tot_Drug_Cst)2017 Drug cost: $3,501,716 (USD; Tot_Drug_Cst)2018 Drug cost: $3,729,383 (USD; Tot_Drug_Cst)2019 Drug cost: $4,231,925 (USD; Tot_Drug_Cst)2020 Drug cost: $4,629,381 (USD; Tot_Drug_Cst)2021 Drug cost: $5,396,588 (USD; Tot_Drug_Cst)2022 Drug cost: $5,022,906 (USD; Tot_Drug_Cst)2023 Drug cost: $5,698,733 (USD; Tot_Drug_Cst)2024 Drug cost: $4,148,040 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20156616,115$2,490,741
20166786,823$2,930,899
20177186,705$3,501,716
20187336,868$3,729,383
20197497,224$4,231,925
20208057,608$4,629,381
20218287,777$5,396,588
20228177,541$5,022,906
20238248,106$5,698,733
20248388,448$4,148,040

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$142K$283K2015 Medicare payment: $30,021 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $28,012 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $20,017 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $38,975 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $137,163 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $203,004 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $218,646 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $227,091 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $283,205 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $280,418 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015390896$30,021
2016403932$28,012
2017242660$20,017
2018298824$38,975
20194271,291$137,163
20202701,298$203,004
20212721,314$218,646
20222451,302$227,091
20232521,526$283,205
2024205823$280,418

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more322664$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4655$43
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report113206$25
83036Hemoglobin a1c level2737$10
36415Insertion of needle into vein for collection of blood sample3447$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide35417,826$574,106
Tresiba Flextouch U-200Insulin Degludec28618,761$493,804
JardianceEmpagliflozin32220,368$390,142
Tresiba Flextouch U-100Insulin Degludec33521,236$301,879
MounjaroTirzepatide1796,948$254,411

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN116518$244,079
E0784External ambulatory infusion pump, insulinYN/R22$7,234
A4238Supply allowance for adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R20$6,765
A4224Supplies for maintenance of insulin infusion catheter, per weekNN/R31$6,486
J1817Insulin for administration through dme (i.e., insulin pump) per 50 unitsNN/R22$5,741

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.48$704Insulet Corporation
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 Assem Houssein, M.D.?

Tedicare shows public-source Medicare data for Assem Houssein, M.D. (NPI 1700865722), 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 Assem Houssein, M.D. have ACO affiliation data?

Assem Houssein, M.D. is shown with ACO affiliation data for Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Assem Houssein, M.D.?

Assem Houssein, M.D. is linked to ENDOCRINOLOGY OF LANCASTER LLC (billing NPI 1811710197) in the available physician profile data.

Does Assem Houssein, M.D. have Open Payments data?

Assem Houssein, M.D. has 48 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.