Medicare Enrolled
Dr. Ramy Alosachie, M.D.
Internal Medicine · Wyandotte, 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. Alosachie 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. Alosachie
Dr. Ramy Alosachie is an internal medicine specialist in Wyandotte, MI, with 14 years of NPI registration. Based on federal Medicare data, Dr. Alosachie performed 4,851 Medicare services in 2023. These records do not provide a deduplicated patient total.
Between the years covered by Open Payments, Dr. Alosachie received a total of $13,686 from 68 pharmaceutical and/or device companies across 1070 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. Alosachie 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.
✓ 14 years of NPI registration
▲ Top 3% volume in MI
$13,686 industry payments
Medicare Practice Summary — 2023
Medicare Utilization ↗4,851
Medicare services
Top 3% in MI for internal medicine
Not available
Unique patients (not deduplicated)
$63
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 |
|---|---|---|---|
| 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. |
1,526 | $59 | $119 |
| 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. |
490 | $81 | $172 |
| 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. |
379 | $84 | $151 |
| 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. |
360 | $66 | $107 |
| 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. |
238 | $142 | $301 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
236 | $7 | $8 |
| 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. |
178 | $95 | $174 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
146 | $8 | $15 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
129 | $127 | $180 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
122 | $9 | $28 |
| Obesity behavioral counseling, 15 minutes A 15-minute face-to-face session focused on behavioral counseling to help manage obesity. |
109 | $26 | $54 |
| Nursing facility discharge management, more than 30 minutes This service involves care coordination and management activities performed by a healthcare professional to prepare a patient for discharge from a nursing facility. It requires more than 30 minutes of time spent on these activities. |
73 | $105 | $157 |
| 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. |
69 | $54 | $144 |
| Annual depression screening | 68 | $18 | $31 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
66 | $1 | $12 |
| 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. |
59 | $11 | $42 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
51 | $31 | $38 |
| 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. |
50 | $4 | $10 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
41 | $72 | $90 |
| Hospital follow-up visit, moderate complexity Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service. |
40 | $63 | $125 |
| COVID-19 immunoassay detection test A laboratory test that uses an immunoassay method to detect the presence of severe acute respiratory syndrome coronavirus 2 (COVID-19) through direct visual observation. |
39 | $41 | $60 |
| 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. |
38 | $222 | $420 |
| 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. |
38 | $41 | $150 |
| Smoking cessation counseling, 4-10 minutes A brief counseling session focused on helping patients quit smoking and tobacco use. The provider spends 4 to 10 minutes discussing strategies and support for cessation. |
35 | $15 | $27 |
| 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. |
33 | $2 | $11 |
| Methylprednisolone injection, up to 40 mg An injection of methylprednisolone sodium succinate, a corticosteroid medication, administered in a dose of up to 40 mg. |
32 | $1 | $2 |
| 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. |
29 | $41 | $72 |
| 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. |
27 | $139 | $320 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
24 | $16 | $24 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
20 | $31 | $38 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
18 | $45 | $177 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
18 | $282 | $353 |
| 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. |
17 | $93 | $199 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
15 | $164 | $300 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
13 | $32 | $96 |
| 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 | $12 | $45 |
| 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. |
12 | $25 | $65 |
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 ↗$13,686
Total received (2018-2024)
Avg $1,955/year across 7 years
Top 6% in MI for internal medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
68
Companies
1,070
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
$1,378
2023
$2,015
2022
$2,086
2021
$2,053
2020
$1,500
2019
$2,252
2018
$2,402
Payments by company (2024)
Novo Nordisk Inc
$240
PFIZER INC.
$191
ABBVIE INC.
$170
GlaxoSmithKline, LLC.
$148
Amgen Inc.
$79
Lilly USA, LLC
$64
Novartis Pharmaceuticals Corporation
$48
Sumitomo Pharma America, Inc.
$44
AstraZeneca Pharmaceuticals LP
$44
Boston Scientific Corporation
$41
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$38
E.R. Squibb & Sons, L.L.C.
$37
Bayer Healthcare Pharmaceuticals Inc.
$36
Merck Sharp & Dohme LLC
$35
Astellas Pharma US Inc
$34
Otsuka America Pharmaceutical, Inc.
$30
Sage Therapeutics, Inc.
$27
Axsome Therapeutics, Inc.
$16
Boehringer Ingelheim Pharmaceuticals, Inc.
$15
Abbott Laboratories
$15
AIMMUNE THERAPEUTICS, INC.
$14
Corcept Therapeutics
$14
Top 3 companies account for 43.6% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,600
PFIZER INC.
$1,121
Janssen Pharmaceuticals, Inc
$791
Lilly USA, LLC
$784
GlaxoSmithKline, LLC.
$775
Amgen Inc.
$726
Novartis Pharmaceuticals Corporation
$662
AstraZeneca Pharmaceuticals LP
$625
Astellas Pharma US Inc
$562
Boehringer Ingelheim Pharmaceuticals, Inc.
$491
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$447
SANOFI-AVENTIS U.S. LLC
$435
E.R. Squibb & Sons, L.L.C.
$386
Merck Sharp & Dohme Corporation
$368
AbbVie Inc.
$364
Sunovion Pharmaceuticals Inc.
$362
ABBVIE INC.
$335
Takeda Pharmaceuticals U.S.A., Inc.
$304
Merck Sharp & Dohme LLC
$207
Teva Pharmaceuticals USA, Inc.
$188
Bayer Healthcare Pharmaceuticals Inc.
$184
Biohaven Pharmaceutical Holding Company Ltd.
$175
Allergan Inc.
$139
Amarin Pharma Inc.
$127
Sumitomo Pharma America, Inc.
$113
Mylan Specialty L.P.
$101
Otsuka America Pharmaceutical, Inc.
$86
Bayer HealthCare Pharmaceuticals Inc.
$85
Insulet Corporation
$76
Eisai Inc.
$63
IRONWOOD PHARMACEUTICALS, INC
$60
Allergan, Inc.
$57
Circassia Pharmaceuticals Inc
$42
Scilex Pharmaceuticals Inc.
$41
Boston Scientific Corporation
$41
Horizon Therapeutics plc
$40
AbbVie, Inc.
$40
Shield Therapeutics Inc
$36
Grifols USA, LLC
$35
Avanir Pharmaceuticals, Inc.
$35
NESTLE HEALTHCARE NUTRITION INC.
$34
UCB, Inc.
$32
Axsome Therapeutics, Inc.
$32
Biogen, Inc.
$31
Biohaven Pharmaceuticals, Inc.
$30
Corcept Therapeutics
$30
Genentech USA, Inc.
$29
Sage Therapeutics, Inc.
$27
Jazz Pharmaceuticals Inc.
$26
Radius Health, Inc.
$25
EISAI INC.
$24
Dexcom, Inc.
$23
Ultragenyx Pharmaceutical Inc.
$19
IBSA Pharma Inc.
$18
Collegium Pharmaceutical, Inc.
$18
Mannkind Corporation
$16
Tactile Systems Technology Inc
$16
Abbott Laboratories
$15
Neurocrine Biosciences, Inc.
$15
AIMMUNE THERAPEUTICS, INC.
$14
ABIOMED
$13
Becton, Dickinson and Company
$13
Supernus Pharmaceuticals, Inc.
$13
UPSHER-SMITH LABORATORIES LLC
$13
Nalpropion Pharmaceuticals, Inc.
$13
Lundbeck LLC
$13
Nalpropion Pharmaceuticals LLC
$11
MannKind Corporation
$11
Top 3 companies account for 25.7% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · ADUHELM · AFREZZA · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APTIOM · AREXVY · Aimovig · AirDuo Digihaler · BAQSIMI · BASAGLAR · BD Nano · BELSOMRA · BREO · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · Belbuca · Belviq · Briviact · CHANTIX · COMIRNATY · CONTRAVE · CREON · Creon · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENTRESTO · EVENITY · EVUSHELD · Enbrel · FARXIGA · FASENRA · FREESTYLE LIBRE 3 · Flexitouch Plus · GARDASIL · GEMTESA · HUMALOG · HUMIRA · INGREZZA · INVOKANA · Impella · JANUVIA · JARDIANCE · KRYSTEXXA · KYNMOBI · Kerendia · Korlym · LEQVIO · LINZESS · LONHALA MAGNAIR · LYRICA · Linzess · MOUNJARO · MYRBETRIQ · Myrbetriq · NORTHERA · NUCALA · NUEDEXTA · NURTEC ODT · OFEV · OXTELLAR XR · Omnipod · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PRALUENT · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolastin-C Liquid · Prolia · QULIPTA · RELISTOR · REXULTI · RINVOQ · RYBELSUS · Repatha · Rybelsus · SEROQUEL · SHINGRIX · SKYRIZI · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · Saxenda · Sunosi · TOSYMRA · TOUJEO · TOVIAZ · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TRUMENBA · TUDORZA PRESSAIR · Tirosint · Tresiba · Trintellix · Tymlos · UBRELVY · UTIBRON NEOHALER · Utibron · VERQUVO · VIAGRA · VIBERZI · VOWST · VRAYLAR · Vascepa · Veozah · Victoza · Vimpat · Vyvanse · WATCHMAN FLX · Wegovy · XARELTO · XIFAXAN · Xofluza · Yupelri · ZENPEP · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH · 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 →
Geographic Context
Internal medicine physicians in nearby ZIP areas
2,593
County median income
$59,521
Nearest hospital to ZIP centroid (approximate)
WYANDOTTE HOSPITAL AND MEDICAL CENTER
0.0 mi
0.0 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. Alosachie is a clinical cardiology specialist, with above-average Medicare volume (top 3% in MI).
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Alosachie experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Alosachie performed 1,526 nursing facility visit, low complexity 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. Alosachie receive payments from pharmaceutical companies?
Yes. Dr. Alosachie received a total of $13,686 from 68 companies across 1,070 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. Alosachie's costs compare to other internal medicine physicians in Wyandotte?
Dr. Alosachie's average Medicare payment per service is $63. 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. Alosachie) 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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