Physician

Mohamed Abdel Khalek, M.D

According to 2025 Medicare claims, Mohamed Khalek, M.D (NPI: 1972687390) practices internal medicine 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 PIONEER PHYSICIAN SERVICES, INC. (NPI: 1730608514) and primary practice location at 43623-4418. Khalek is affiliated with the Sound Physicians Long Term Care Management, LLC (ACO ID: A5220), participating under the MSSP model.

Khalek's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 463 traditional Medicare patients, billed 3,373 HCPCS/CPT codes, and received $227,811 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 720 prescription claims across 183 beneficiaries totaling $46,795 in drug costs, led by Eliquis (Apixaban). DME data shows 316 claims. Open Payments data shows 10 records totaling $213. 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 risen steadily, from $15,242 to $46,795. For DME billing, reported payments moved sharply higher in recent years, from $4,084 to $15,520.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	620	2,046	$166,832
2016	704	2,365	$208,436
2017	627	2,131	$181,630
2018	849	2,709	$250,837
2019	856	2,452	$234,214
2020	813	2,727	$247,763
2021	715	1,965	$196,551
2022	800	2,306	$220,057
2023	582	3,009	$223,905
2024	463	3,373	$227,811

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	100	181	$15,242
2016	155	321	$10,169
2017	162	317	$13,883
2018	220	375	$17,770
2019	176	331	$13,772
2020	227	379	$19,481
2021	176	304	$12,430
2022	197	312	$21,089
2023	156	1,068	$56,307
2024	183	720	$46,795

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	69	$3,291
2016	N/R	71	$3,053
2017	N/R	90	$2,790
2018	N/R	N/R	N/R
2019	N/R	36	$1,403
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	54	$1,826
2024	38	316	$8,870

* / # = 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	262	300	$121
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	218	555	$84
99239	Hospital discharge day management, more than 30 minutes	195	210	$80
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	409	2,247	$55
99238	Hospital discharge day management, 30 minutes or less	43	44	$55

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	32	667	$13,632
Bumetanide	Bumetanide	12	344	$607
Memantine Hcl	Memantine Hcl	25	311	$601
Levetiracetam	Levetiracetam	15	405	$432
Metolazone	Metolazone	11	196	$301

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
K0001	Standard wheelchair	Y	21	114	$2,479
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	27	$1,882
E0255	Hospital bed, variable height, hi-lo, with any type side rails, with mattress	Y	N/R	18	$931
E0260	Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress	Y	N/R	20	$882
E0143	Walker, folding, wheeled, adjustable or fixed height	N	17	17	$770

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	10	$213	ABBVIE 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 Mohamed Abdel Khalek, M.D?

Tedicare shows public-source Medicare data for Mohamed Abdel Khalek, M.D (NPI 1972687390), 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 Mohamed Abdel Khalek, M.D have ACO affiliation data?

Mohamed Abdel Khalek, M.D is shown with ACO affiliation data for Sound Physicians Long Term Care Management, LLC (MSSP, ACO ID A5220).

What billing organization is linked to Mohamed Abdel Khalek, M.D?

Mohamed Abdel Khalek, M.D is linked to PIONEER PHYSICIAN SERVICES, INC. (billing NPI 1730608514) in the available physician profile data.

Does Mohamed Abdel Khalek, M.D have Open Payments data?

Mohamed Abdel Khalek, M.D has 10 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.