Medicare Enrolled

Dr. Hisham Ahmed, M.D.

Internal Medicine · Lapeer, MI
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1457 SUNCREST DR, Lapeer, MI 48446
8102453629
In practice since 2006 (19 years)
NPI: 1568486413 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Ahmed from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Ahmed

Dr. Hisham Ahmed is an internal medicine specialist in Lapeer, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Ahmed performed 3,460 Medicare services across 1,233 unique beneficiaries.

Between the years covered by Open Payments, Dr. Ahmed received a total of $2,790 from 31 pharmaceutical and/or device companies across 149 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Ahmed is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 4% volume in MI $2,790 industry payments

Medicare Practice Summary

Medicare Utilization ↗
3,460
Medicare services
Top 4% in MI for internal medicine
1,233
Unique beneficiaries
$59
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~182 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Nursing facility visit, low complexity
A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care.
635 $55 $90
Nursing facility visit, established patient, straightforward
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves straightforward medical decision making and lasts at least 10 minutes.
600 $29 $60
Hospital follow-up visit, high complexity
Subsequent hospital inpatient or observation care for an existing patient involving high-level medical decision making, with at least 50 minutes total time on the date of the encounter.
420 $93 $129
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
340 $64 $90
Nursing facility visit, moderate complexity
A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes.
334 $78 $110
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
284 $80 $135
Hospital discharge day management, 30 minutes or less
This service covers the final day of hospital care when the patient is being discharged. It includes coordination of care and instructions for the patient within a time frame of 30 minutes or less.
123 $63 $115
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
121 $134 $299
Hemoglobin A1c test (diabetes monitoring)
A blood test that measures your average blood sugar levels over the past two to three months.
95 $10 $15
Annual depression screening 85 $7 $6
Drug injection, under skin or into muscle
A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle.
74 $10 $20
Vitamin B-12 injection
An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg.
67 $1 $10
Blood glucose test using hand-held instrument
A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels.
63 $3 $6
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
53 $37 $60
Initial nursing facility care, high complexity
An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes.
47 $133 $200
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
28 $3 $5
Office visit, established patient, complex (40-54 min)
An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter.
22 $113 $180
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
20 $101 $175
Home health plan of care certification
Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians.
19 $36 $100
Annual wellness visit, follow-up
A follow-up annual wellness visit that includes a personalized prevention plan of service.
17 $125 $125
Assessment of emotional or behavioral problems
An evaluation to identify and understand emotional or behavioral issues. This process involves reviewing symptoms and behaviors to determine the nature of the concerns.
13 $2 $6
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$2,790
Total received (2018-2024)
Avg $399/year across 7 years
Top 22% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
31
Companies
149
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,789 (100.0%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$1 (0.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$319
2023
$369
2022
$427
2021
$190
2020
$113
2019
$454
2018
$919

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$91
Novo Nordisk Inc
$51
ABBVIE INC.
$45
UCB, Inc.
$43
ACADIA Pharmaceuticals Inc
$36
Otsuka America Pharmaceutical, Inc.
$20
PFIZER INC.
$18
Axsome Therapeutics, Inc.
$17
Top 3 companies account for 58.4% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$540
GlaxoSmithKline, LLC.
$383
Astellas Pharma US Inc
$310
Janssen Pharmaceuticals, Inc
$202
PFIZER INC.
$181
SANOFI-AVENTIS U.S. LLC
$122
Otsuka America Pharmaceutical, Inc.
$115
Vanda Pharmaceuticals Inc.
$105
Gilead Sciences, Inc.
$92
Neurocrine Biosciences, Inc.
$86
Sun Pharmaceutical Industries Inc.
$83
Lilly USA, LLC
$62
ABBVIE INC.
$61
Indivior Inc.
$55
Maquet Cardiovascular U.S. Sales, L.L.C.
$48
UCB, Inc.
$43
Medtronic MiniMed, Inc.
$37
ACADIA Pharmaceuticals Inc
$36
Novartis Pharmaceuticals Corporation
$30
AstraZeneca Pharmaceuticals LP
$30
Actelion Pharmaceuticals US, Inc.
$28
Merck Sharp & Dohme Corporation
$24
Kyowa Kirin, Inc.
$17
Axsome Therapeutics, Inc.
$17
AbbVie Inc.
$16
Seqirus USA Inc
$16
Daiichi Sankyo Inc.
$14
DEXCOM, INC.
$14
Amarin Pharma Inc.
$13
Allergan, Inc.
$11
Sumitomo Pharma America, Inc.
$1
Top 3 companies account for 44.2% of all-time payments
Associated products mentioned in payments ›
ANORO · AREXVY · Auvelity · CHANTIX · Crysvita · DEXCOM G6 TRANSMITTER · DIFICID · ELIQUIS · ENTRESTO · EUCRISA · FANAPT · FLIXENE · Fanapt · Fluad · GEMTESA · HETLIOZ · INGREZZA · INJECTAFER · JARDIANCE · JYNARQUE · KAPSPARGO · Kapspargo Sprinkle (metoprolol succinate) · LOKELMA · MOUNJARO · MYRBETRIQ · Myrbetriq · NUPLAZID · Nayzilam · OPSUMIT · Ozempic · PERSERIS · REXULTI · Riomet (Metformin HCl Oral Solution) · Rybelsus · SOLIQUA · TRELEGY ELLIPTA · Tresiba · VESICARE · VRAYLAR · Vascepa · Veklury · Veozah · Victoza · XARELTO · iPro2
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Looking for an internal medicine specialist in Lapeer?
Compare internal medicine physicians in the Lapeer area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Internal medicine physicians within 10 mi
347
Per 100K population
391.2
County median income
$76,228
Nearest hospital
MCLAREN LAPEER REGION
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Ahmed is a clinical cardiology specialist, with above-average Medicare volume (top 4% in MI), with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Ahmed experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Ahmed performed 635 nursing facility visit, low complexity services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Ahmed receive payments from pharmaceutical companies?
Yes. Dr. Ahmed received a total of $2,790 from 31 companies across 149 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Ahmed's costs compare to other internal medicine physicians in Lapeer?
Dr. Ahmed's average Medicare payment per service is $59. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Ahmed) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →