Physician

Adam Gray Guyer, M.D.

According to 2025 Medicare claims, Adam Guyer, M.D. (NPI: 1053609149) practices diagnostic radiology in the Roanoke, VA market, with the plurality of this provider's patient population coming from Salem City, VA. This provider's primary affiliated billing organization is A&E IR SOLUTIONS (NPI: 1750053062; TIN: 85-1342821) and primary practice location at 24153-7458.

Guyer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 989 traditional Medicare patients, billed 11,440 HCPCS/CPT codes, and received $958,043 in Medicare payments. The top billing code was 62323 (Injection of substance into lower spine canal using imaging guidance). Part D data shows 146 prescription claims across 49 beneficiaries totaling $1,199 in drug costs, led by Ketorolac Tromethamine (Ketorolac Tromethamine). Open Payments data shows 28 records totaling $1,065. 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 sharply higher in recent years, from $87,116 to $958,043. Concurrently, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	1,685	2,598	$87,116
2018	3,315	5,631	$214,411
2019	4,028	6,655	$247,005
2020	3,636	6,311	$242,786
2021	4,031	14,664	$248,213
2022	3,912	14,364	$223,857
2023	1,566	8,469	$526,696
2024	989	11,440	$958,043

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	32	$870
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	23	56	$296
2024	49	146	$1,199

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
62323	Injection of substance into lower spine canal using imaging guidance	105	165	$128
77001	Fluoroscopic guidance for insertion or removal of central vein access device	149	171	$44
99152	Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes	208	222	$21
76937	Ultrasonic guidance for blood vessel access	179	204	$21
J2250	Injection, midazolam hydrochloride, per 1 mg	131	267	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ketorolac Tromethamine	Ketorolac Tromethamine	11	123	$140
Oxycodone Hcl	Oxycodone Hcl	29	110	$101
Oxybutynin Chloride	Oxybutynin Chloride	31	146	$91
Clopidogrel	Clopidogrel Bisulfate	12	1,080	$76
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	25	258	$47

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.	28	$1,065	Medtronic, 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

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FAQ

What Medicare data is available for Adam Gray Guyer, M.D.?

Tedicare shows public-source Medicare data for Adam Gray Guyer, M.D. (NPI 1053609149), 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 Gray Guyer, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Adam Gray Guyer, M.D.?

Adam Gray Guyer, M.D. is linked to A&E IR SOLUTIONS (billing NPI 1750053062) in the available physician profile data.

Does Adam Gray Guyer, M.D. have Open Payments data?

Adam Gray Guyer, M.D. has 28 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.