Physician

Ali Sameh Ali Ayesh, M.D

According to 2025 Medicare claims, Ali Ayesh, M.D (NPI: 1851877799) practices nephrology in the Bismarck, ND market, with the plurality of this provider's patient population coming from Burleigh, ND. This provider's primary affiliated billing organization is ST. ALEXIUS MEDICAL CENTER (NPI: 1205868429; TIN: 450226711) and primary practice location at 58501-4520. Ayesh is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Ayesh's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 328 traditional Medicare patients, billed 1,724 HCPCS/CPT codes, and received $164,400 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 900 prescription claims across 229 beneficiaries totaling $59,683 in drug costs, led by Jardiance (Empagliflozin). 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $4,741 to $59,683. 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$82K$164K2023 Medicare payment: $42,785 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $164,400 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023162587$42,785
20243281,724$164,400

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$30K$60K2018 Drug cost: $4,741 (USD; Tot_Drug_Cst)2019 Drug cost: $3,965 (USD; Tot_Drug_Cst)2020 Drug cost: $11,212 (USD; Tot_Drug_Cst)2021 Drug cost: $56,045 (USD; Tot_Drug_Cst)2022 Drug cost: $18,245 (USD; Tot_Drug_Cst)2023 Drug cost: $21,373 (USD; Tot_Drug_Cst)2024 Drug cost: $59,683 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/R20$4,741
20192196$3,965
202034128$11,212
202133170$56,045
202231192$18,245
2023119349$21,373
2024229900$59,683

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5760$123
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more4556$100
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes69194$88
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more135216$64
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes92227$59

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin361,370$26,835
InvokanaCanagliflozin12360$6,725
Potassium Citrate ErPotassium Citrate492,707$4,240
Sevelamer CarbonateSevelamer Carbonate20702$1,765
Potassium ChloridePotassium Chloride332,105$1,602

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

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

FAQ

What Medicare data is available for Ali Sameh Ali Ayesh, M.D?

Tedicare shows public-source Medicare data for Ali Sameh Ali Ayesh, M.D (NPI 1851877799), 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 Ali Sameh Ali Ayesh, M.D have ACO affiliation data?

Ali Sameh Ali Ayesh, M.D is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Ali Sameh Ali Ayesh, M.D?

Ali Sameh Ali Ayesh, M.D is linked to ST. ALEXIUS MEDICAL CENTER (billing NPI 1205868429) in the available physician profile data.

Does Ali Sameh Ali Ayesh, 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.