ASHRAF ELSHAMI, M.D.
Pulmonary Disease Physician · SIOUX FALLS, SD
Individual Active NPI 1306842968
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 1,243 | 2,556 | $519,721 | $159,343 | $120,949 |
| 2023 | 1,008 | 2,158 | $401,284 | $133,484 | $102,504 |
| 2022 | 630 | 1,469 | $324,781 | $107,606 | $82,129 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 94729 | Test to examine how well the lungs exchange gases | 375 | $8 | $6 |
| 94060 | Test to measure expiratory airflow and volume changes before and after medication administration | 301 | $10 | $7 |
| 94726 | Test to determine lung volumes using sensors | 275 | $11 | $8 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 252 | $91 | $66 |
| 94010 | Test to measure expiratory airflow and volume | 214 | $8 | $6 |
| 99291 | Critical care, first 30-74 minutes | 147 | $198 | $158 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 141 | $119 | $88 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 116 | $74 | $59 |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | 112 | $44 | $32 |
| 95811 | Sleep study in sleep lab with continuous airway pressure (6 years or older) | 110 | $116 | $90 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 98 | $124 | $89 |
| 95810 | Sleep study in sleep lab (6 years or older) | 89 | $112 | $87 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | ✓ | 4135 | SD |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 4135 | SD | |
| Pulmonary Disease Physician | 207RP1001X | MD-51730 | MN |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Pulmonary Disease Physician providers in South Dakota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.