Physician

Adam David Nicholas, MD

According to 2025 Medicare claims, Adam Nicholas, MD (NPI: 1033309950) practices psychiatry in the Bay City, MI market, with the plurality of this provider's patient population coming from Bay, MI. This provider's primary affiliated billing organization is SERENITY BAY HEALTH PLLC (NPI: 1497320451; TIN: 863830786) and primary practice location at 48611-9400. Nicholas is affiliated with the POM ACO (ACO ID: A1297), participating under the MSSP model.

Nicholas' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 287 traditional Medicare patients, billed 2,477 HCPCS/CPT codes, and received $152,435 in Medicare payments. The top billing code was 90792 (Psychiatric diagnostic evaluation with medical services). Part D data shows 1,049 prescription claims across 253 beneficiaries totaling $336,366 in drug costs, led by Spravato (Esketamine Hcl). Open Payments data shows 30 records totaling $698. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has moved up and down with repeated peaks and valleys, starting at $113,279 and ending at $152,435. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $76,977 to $336,366. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	515	1,874	$113,279
2016	479	1,685	$99,150
2017	455	1,484	$85,870
2018	363	1,095	$66,368
2019	407	1,921	$105,007
2020	351	1,799	$97,913
2021	257	1,161	$71,633
2022	194	1,220	$102,664
2023	213	1,648	$147,955
2024	287	2,477	$152,435

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	175	849	$76,977
2016	146	753	$71,983
2017	141	685	$45,943
2018	145	570	$28,126
2019	174	790	$35,288
2020	107	445	$19,548
2021	136	610	$47,530
2022	226	1,492	$163,445
2023	296	1,401	$269,604
2024	253	1,049	$336,366

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
90792	Psychiatric diagnostic evaluation with medical services	103	118	$138
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	172	515	$87
99238	Hospital discharge day management, 30 minutes or less	52	65	$64
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	475	$63
96127	Assessment of emotional or behavioral problems	115	551	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Spravato	Esketamine Hcl	120	602	$155,815
Rivastigmine	Rivastigmine	13	450	$3,573
Clozapine	Clozapine	29	752	$2,978
Paliperidone Er	Paliperidone	17	484	$2,290
Escitalopram Oxalate	Escitalopram Oxalate	55	3,390	$1,649

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	30	$698	Teva Pharmaceuticals USA, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

Explore More Providers

FAQ

What Medicare data is available for Adam David Nicholas, MD?

Tedicare shows public-source Medicare data for Adam David Nicholas, MD (NPI 1033309950), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Adam David Nicholas, MD have ACO affiliation data?

Adam David Nicholas, MD is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297).

What billing organization is linked to Adam David Nicholas, MD?

Adam David Nicholas, MD is linked to SERENITY BAY HEALTH PLLC (billing NPI 1497320451) in the available physician profile data.

Does Adam David Nicholas, MD have Open Payments data?

Adam David Nicholas, MD has 30 connected Open Payments records in the available 2024 summary data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.