Medicare Enrolled

Dr. Mohamed Elrafei, MD

Psychiatry · Wayne, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
401 HAMBURG TPKE, Wayne, NJ 07470
9737909222
Registered in NPPES since 2006
NPI: 1114955895 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. Elrafei 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. Elrafei

Dr. Mohamed Elrafei is a psychiatry specialist in Wayne, NJ, with 20 years of NPI registration. Based on federal Medicare data, Dr. Elrafei performed 3,296 Medicare services in 2023. These records do not provide a deduplicated patient total.

Between the years covered by Open Payments, Dr. Elrafei received a total of $5,860 from 28 pharmaceutical and/or device companies across 274 payment records. A record can group multiple payments. These transfers are publicly reported through CMS Open Payments. Disclosure alone does not establish their effect on care. A reliable breakdown by payment category is not available in this snapshot. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Elrafei 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.

✓ 20 years of NPI registration ▲ Top 2% volume in NJ $5,860 industry payments

Medicare Practice Summary — 2023

Medicare Utilization ↗
3,296
Medicare services
Top 2% in NJ for psychiatry
Not available
Unique patients (not deduplicated)
$78
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →

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
Psychotherapy and evaluation, 30 minutes
A combined session involving psychotherapy and an evaluation and management visit lasting 30 minutes.
690 $58 $115
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.
618 $77 $140
Prolonged office E/M service, first 15 minutes
This code is used for additional time spent by a physician beyond the maximum required time of a primary office or outpatient evaluation and management service. It is billed in 15-minute increments based on total time spent on the date of the primary service.
288 $28 $100
Magnetic field treatment to stimulate brain nerve cells
A procedure using a magnetic field to stimulate nerve cells in the brain, including the delivery and management of the treatment.
281 $182 $350
Chronic care management, additional 20 min/month
This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month.
266 $42 $100
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.
185 $60 $140
Neuropsychological test evaluation, first hour
A professional assessment of cognitive and behavioral functioning using standardized tests. This service covers the initial hour of the evaluation process.
182 $114 $200
Psychological test administration, first 30 minutes
A technician administers psychological or neuropsychological testing for the first 30 minutes.
182 $32 $75
Chronic care management, first 20 min/month
This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions.
158 $55 $100
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.
154 $111 $180
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.
91 $157 $250
Initial nursing facility care, moderate complexity
Initial care provided to a patient in a nursing facility with moderate medical decision making, taking at least 35 minutes.
76 $110 $245
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.
72 $89 $200
Psychiatric diagnostic evaluation with medical services
A psychiatric assessment that includes medical services to evaluate mental health conditions.
53 $149 $500
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. These counts do not measure clinical quality or years of experience.

Industry Payment Transparency

Open Payments through 2024 ↗
$5,860
Total received (2018-2024)
Avg $837/year across 7 years
Top 7% in NJ for psychiatry
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
28
Companies
274
Payment records
Payments are publicly reported; disclosure does not establish legality · Not evidence of wrongdoing · How to interpret →

Payment categories are unavailable while the source breakdown is being rebuilt. Company and year totals do not identify how much belongs to each category.

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$910
2023
$813
2022
$792
2021
$873
2020
$285
2019
$1,519
2018
$668

Payments by company (2024)

ABBVIE INC.
$591
Otsuka America Pharmaceutical, Inc.
$96
Teva Pharmaceuticals USA, Inc.
$71
Braeburn Inc.
$33
Alkermes, Inc.
$32
Sage Therapeutics, Inc.
$21
Lundbeck LLC
$19
Axsome Therapeutics, Inc.
$18
E.R. Squibb & Sons, L.L.C.
$15
Janssen Pharmaceuticals, Inc
$14
Top 3 companies account for 83.3% of 2024 payments
All-time payments by company (2018-2024) ›
ABBVIE INC.
$1,778
AbbVie Inc.
$787
Otsuka America Pharmaceutical, Inc.
$746
Allergan Inc.
$371
Teva Pharmaceuticals USA, Inc.
$324
Sunovion Pharmaceuticals Inc.
$280
Lundbeck LLC
$234
Allergan, Inc.
$202
Janssen Pharmaceuticals, Inc
$196
Takeda Pharmaceuticals U.S.A., Inc.
$170
Alkermes, Inc.
$135
Neurocrine Biosciences, Inc.
$128
Vanda Pharmaceuticals Inc.
$100
Bausch Health US, LLC
$59
Avanir Pharmaceuticals, Inc.
$44
Indivior Inc.
$42
ITI, Inc.
$40
Validus Pharmaceuticals LLC
$37
Braeburn Inc.
$33
Almatica Pharma LLC
$27
Sage Therapeutics, Inc.
$21
Axsome Therapeutics, Inc.
$18
E.R. Squibb & Sons, L.L.C.
$15
IDORSIA PHARMACEUTICALS US INC
$15
ACADIA Pharmaceuticals Inc
$14
Biogen, Inc.
$14
Shire North American Group Inc
$14
ARBOR PHARMACEUTICALS, INC.
$14
Top 3 companies account for 56.5% of all-time payments
Associated products mentioned in payments ›
ABILIFY MAINTENA · ABILIFY MYCITE · ARISTADA · AUSTEDO · AVONEX · Aristada 441 mg · Austedo XR · Auvelity · BRINTELLIX · BRIXADI · CAPLYTA · COBENFY · Equetro · Evekeo · Fanapt · INGREZZA · INVEGA SUSTENNA · LATUDA · LOREEV XR · LYBALVI · NUEDEXTA · NUPLAZID · PERSERIS · QUVIVIQ · REXULTI · SPRAVATO · TRINTELLIX · Trintellix · UZEDY · VRAYLAR · VYVANSE · WELLBUTRIN · ZURZUVAE
Should you be concerned? Industry payments are disclosed through CMS Open Payments. Disclosure alone does not establish their purpose, legality, or effect on care. 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 →
Looking for a psychiatry specialist in Wayne?
Compare psychiatrists in the Wayne area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Psychiatrists in nearby ZIP areas
3,926
County median income
$87,137
Nearest hospital to ZIP centroid (approximate)
CHILTON MEDICAL CENTER
3.6 mi

Data Sources

Provider Registry NPPES NPPES snapshot; verify current record
Medicare Enrollment PECOS PECOS snapshot
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not included 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. Elrafei is a clinical cardiology specialist, with above-average Medicare volume (top 2% in NJ), with 20 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. Elrafei experienced with psychotherapy and evaluation, 30 minutes?
Based on Medicare claims data, Dr. Elrafei performed 690 psychotherapy and evaluation, 30 minutes services. These records cover Medicare fee-for-service activity, including eligible younger beneficiaries; they do not measure total practice volume or clinical quality.
Does Dr. Elrafei receive payments from pharmaceutical companies?
Yes. Dr. Elrafei received a total of $5,860 from 28 companies across 274 payment records. A record can group multiple payments. These transfers are publicly disclosed through CMS Open Payments. Disclosure alone does not establish their legality or effect on care. 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. Elrafei's costs compare to other psychiatrists in Wayne?
Dr. Elrafei's average Medicare payment per service is $78. 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. Elrafei) 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 the presence of registry, enrollment, activity or payment records, not verified experience or clinical quality. 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?
Source publication dates and the snapshots loaded on this site can differ. Rebuilding a page does not refresh its source records. Check the Medicare reporting year and the payment interval shown above; consult the linked official sources for newer releases and current registry details. See our data freshness policy →
About this page

This page combines public CMS records with calculated summaries and explanatory procedure labels. These transformations are not verbatim federal records. Sources: 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.

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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. Industry payment disclosure alone establishes neither wrongdoing nor legality. 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 →