PROVIDER PROFILE · NPI 1306842968

Ashraf ElshamiM.D.

Pulmonary DiseaseSioux Falls, SDI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,272

Unique beneficiaries

—

Total services

2,461

Distinct HCPCS

Medicare payment

$116K

Peer benchmark

Total Medicare services vs. 26 Pulmonary Disease providers in SD — top quintile (cohort median 1,235).

PRESCRIBING · PART D · 2024

Total Rx claims

3,832

Beneficiaries

—

Total drug cost

$1.4M

Distinct drugs

Brand share

62.1%

Top prescribed drugs

Fluticasone/Umeclidin/Vilanter601 claims

Montelukast Sodium458 claims

Albuterol Sulfate363 claims

Azithromycin247 claims

Prednisone234 claims

QUALITY · MIPS · 2024

Final MIPS score

85.5

Quality

81.0

Cost

70.8

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

0.44%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$256

Payment records

By payment type

Food and Beverage$256

FACILITY AFFILIATIONS

Hospital & Facility Affiliations (5)

Hospital

Hospital

Hospital

Hospital

Hospital

REFERRAL NETWORK

Where Ashraf Elshami's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 63 inbound referrers · 110 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Charles Flohr Diagnostic Radiology · Sioux Falls, SD	115	308
Bryan Barness Diagnostic Radiology · Sioux Falls, SD	77	216
Ross Bacon Pulmonary Disease · Sioux Falls, SD	72	238
Adam Stys Interventional Cardiology · Sioux Falls, SD	70	297
Janet Dubois Diagnostic Radiology · Sioux Falls, SD	52	169
Kelly Steffen Cardiology · Sioux Falls, SD	47	139
Devin Bissoon Pulmonary Disease · Sioux Falls, SD	44	92
HURLEY, TIMOTHY	41	109
Uma Motapothula Hospitalist · Sioux Falls, SD	36	145
Shannon Peck Diagnostic Radiology · Sioux Falls, SD	36	145
Wesley Nord Family Practice · Sioux Falls, SD	36	78
John Reinschmidt Diagnostic Radiology · Sioux Falls, SD	35	90

Refers patients to

Outbound — where patients go next

Physician	Patients	Visits
SANFORD MEDICAL CENTER	533	3,924
Julia Prescott-Focht Diagnostic Radiology · Sioux Falls, SD	119	382
John Yu Pulmonary Disease · Sioux Falls, SD	76	290
Sanford Medical Center Clinical Laboratory · Sioux Falls, SD	68	462
Susan Duffek Diagnostic Radiology · Sioux Falls, SD	64	176
Charles Flohr Diagnostic Radiology · Sioux Falls, SD	62	180
Debbie Anne Qua Pulmonary Disease · Sioux Falls, SD	62	296
Ross Bacon Pulmonary Disease · Sioux Falls, SD	58	190
Barney Stoutamire Diagnostic Radiology · Sioux Falls, SD	57	161
Christopher Fischer Diagnostic Radiology · Sioux Falls, SD	54	158
Adam Stys Interventional Cardiology · Sioux Falls, SD	52	206
Bryan Barness Diagnostic Radiology · Sioux Falls, SD	51	92

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history