Medicare Enrolled
Dr. Hussein Ajrouche, MD
Internal Medicine · Dearborn, MI
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
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. Ajrouche 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. Ajrouche
Dr. Hussein Ajrouche is an internal medicine specialist in Dearborn, MI, with 19 years of NPI registration. Based on federal Medicare data, Dr. Ajrouche performed 3,172 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Ajrouche received a total of $7,566 from 62 pharmaceutical and/or device companies across 490 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. Ajrouche 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 of NPI registration
▲ Top 6% volume in MI
$7,566 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗3,172
Medicare services
Top 6% in MI for internal medicine
Not available
Unique patients (not deduplicated)
$46
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 |
|---|---|---|---|
| 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. |
872 | $42 | $150 |
| 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. |
512 | $96 | $300 |
| 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. |
264 | $48 | $180 |
| Blood glucose level test A test that measures the amount of sugar in your blood. |
146 | $4 | $20 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
134 | $59 | $100 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
126 | $2 | $20 |
| 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. |
102 | $11 | $55 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
101 | $51 | $300 |
| 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. |
94 | $139 | $260 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
70 | $30 | $196 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
69 | $0 | $20 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
68 | $13 | $20 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
67 | $10 | $50 |
| Annual depression screening | 53 | $17 | $35 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
52 | $35 | $75 |
| Hospital discharge management, 30+ min This service covers the care provided by a physician or qualified healthcare professional on the day a patient is discharged from the hospital. It requires more than 30 minutes of total time spent on the day of discharge. |
52 | $92 | $250 |
| 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. |
45 | $42 | $155 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
43 | $0 | $17 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
39 | $24 | $50 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
38 | $8 | $10 |
| Urine microalbumin test A laboratory test that measures the amount of a specific protein called microalbumin in a urine sample. This analysis helps assess kidney function. |
38 | $6 | $25 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
36 | $29 | $30 |
| 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. |
33 | $40 | $75 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
33 | $1 | $20 |
| Quadrivalent influenza vaccine, cell culture-derived A flu shot that protects against four strains of the influenza virus. It is produced using cell culture technology rather than traditional egg-based methods. |
27 | $32 | $50 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
19 | $56 | $300 |
| Home visit, established patient, moderate complexity A home visit for an established patient involving moderate medical decision making. The visit requires at least 40 minutes of time if time is used to determine the level of service. |
14 | $41 | $185 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
13 | $10 | $45 |
| 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. |
12 | $43 | $200 |
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 ↗$7,566
Total received (2018-2024)
Avg $1,081/year across 7 years
Top 10% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
62
Companies
490
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
$840
2023
$1,187
2022
$1,791
2021
$1,039
2020
$458
2019
$1,009
2018
$1,242
Payments by company (2024)
IRONWOOD PHARMACEUTICALS, INC
$117
AstraZeneca Pharmaceuticals LP
$107
ABBVIE INC.
$81
Lilly USA, LLC
$80
Sumitomo Pharma America, Inc.
$75
Boehringer Ingelheim Pharmaceuticals, Inc.
$69
Merck Sharp & Dohme LLC
$51
Astellas Pharma US Inc
$39
Ardelyx, Inc.
$34
PFIZER INC.
$33
Lexicon Pharmaceuticals, Inc.
$27
Amgen Inc.
$26
Kyowa Kirin, Inc.
$24
Phathom Pharmaceuticals, Inc.
$23
GlaxoSmithKline, LLC.
$20
SHIELD THERAPEUTICS INC
$19
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$15
Top 3 companies account for 36.4% of 2024 payments
All-time payments by company (2018-2024) ›
GlaxoSmithKline, LLC.
$984
AstraZeneca Pharmaceuticals LP
$649
PFIZER INC.
$595
Ironwood Pharmaceuticals, Inc
$518
Boehringer Ingelheim Pharmaceuticals, Inc.
$401
AbbVie Inc.
$329
Amgen Inc.
$318
Lilly USA, LLC
$313
Novo Nordisk Inc
$260
ABBVIE INC.
$231
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$224
Sunovion Pharmaceuticals Inc.
$218
IRONWOOD PHARMACEUTICALS, INC
$205
Novartis Pharmaceuticals Corporation
$204
Merck Sharp & Dohme LLC
$184
Sumitomo Pharma America, Inc.
$181
Merck Sharp & Dohme Corporation
$166
Dexcom, Inc.
$104
Takeda Pharmaceuticals U.S.A., Inc.
$93
Amarin Pharma Inc.
$91
Bayer HealthCare Pharmaceuticals Inc.
$81
Xeris Pharmaceuticals, Inc.
$72
Axsome Therapeutics, Inc.
$69
Astellas Pharma US Inc
$67
Nestle HealthCare Nutrition Inc.
$67
Hikma Pharmaceuticals USA
$66
Horizon Therapeutics plc
$60
Janssen Pharmaceuticals, Inc
$52
Ardelyx, Inc.
$50
Circassia Pharmaceuticals Inc
$47
Boston Scientific Corporation
$40
AbbVie, Inc.
$37
Corium, LLC
$36
Biohaven Pharmaceuticals, Inc.
$35
Bayer Healthcare Pharmaceuticals Inc.
$32
E.R. Squibb & Sons, L.L.C.
$28
Lexicon Pharmaceuticals, Inc.
$27
Synergy Pharmaceuticals Inc
$27
Kyowa Kirin, Inc.
$24
Supernus Pharmaceuticals, Inc.
$24
Teva Pharmaceuticals USA, Inc.
$24
Alkermes, Inc.
$23
Phathom Pharmaceuticals, Inc.
$23
Ultragenyx Pharmaceutical Inc.
$20
Melinta Therapeutics, LLC
$20
SHIELD THERAPEUTICS INC
$19
Phadia US Inc.
$19
Otsuka America Pharmaceutical, Inc.
$19
Bausch Health US, LLC
$16
Alnylam Pharmaceuticals Inc.
$15
Avanir Pharmaceuticals, Inc.
$15
RedHill Biopharma Inc.
$15
Smith & Nephew, Inc.
$15
Exact Sciences Corporation
$14
Biohaven Pharmaceutical Holding Company Ltd.
$14
Evoke Pharma, Inc.
$13
NESTLE HEALTHCARE NUTRITION INC.
$13
Purdue Pharma L.P.
$13
SANOFI PASTEUR INC.
$13
Radius Health, Inc.
$12
Allergan Inc.
$12
Genentech USA, Inc.
$11
Top 3 companies account for 29.5% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADLARITY · AIRSUPRA · ANORO · APLENZIN · APTIOM · ARISTADA · Adlarity · Aimovig · Amitiza · Auvelity · BEVESPI AEROSPHERE · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · CHANTIX · COMIRNATY · CREON · Cologuard Collection Kit · Creon · Crysvita · DIFICID · DUZALLO · Dexcom G6 Transmitter · ELIQUIS · EMBLEM MRI S-ICD · EMGALITY · ENTRESTO · EVENITY · FARXIGA · FASENRA · GEMTESA · GIMOTI · GIVLAARI · GLYXAMBI · GVOKE HYPOPEN · IBSRELA · ILARIS · INVOKANA · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · Kimyrsa · LINZESS · LONHALA MAGNAIR · LYRICA · Linzess · MOUNJARO · MOVANTIK · MYRBETRIQ · Mitigare · NUCALA · NUEDEXTA · NURTEC ODT · Otezla · Ozempic · PENNSAID · PREMARIN · Prolia · QVAR · RAYOS · RELISTOR · REXULTI · Repatha · Rybelsus · SHINGRIX · SPIRIVA RESPIMAT · STIOLTO RESPIMAT · SYMBICORT · SYMPROIC · Santyl · Saxenda · TEPEZZA · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TROKENDI XR · TRULANCE · TRULICITY · TUDORZA PRESSAIR · Talicia · Trintellix · Trulance · Tymlos · UBRELVY · UTIBRON · Utibron · VERQUVO · VIBERZI · VOQUEZNA · VRAYLAR · VYNDAQEL · Vascepa · Veozah · Victoza · XARELTO · XIFAXAN · Xofluza · ZENPEP
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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
3,178
County median income
$59,521
Nearest hospital to ZIP centroid (approximate)
BEAUMONT HOSPITAL - DEARBORN
3.8 mi
3.8 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. Ajrouche is a clinical cardiology specialist, with above-average Medicare volume (top 6% in MI), 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. Ajrouche experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Ajrouche performed 872 office visit, established patient (20-29 min) 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. Ajrouche receive payments from pharmaceutical companies?
Yes. Dr. Ajrouche received a total of $7,566 from 62 companies across 490 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. Ajrouche's costs compare to other internal medicine physicians in Dearborn?
Dr. Ajrouche's average Medicare payment per service is $46. 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. Ajrouche) 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 →
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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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