Physician

Adel Obaji, M.D.

According to 2025 Medicare claims, Adel Obaji, M.D. (NPI: 1124073127) practices pulmonary disease in the Rochester, NY market, with the plurality of this provider's patient population coming from Monroe, NY. This provider's primary affiliated billing organization is ROCHESTER GENERAL HOSPITAL (NPI: 1356412712; TIN: 160743134) and primary practice location at 14621-3001. Obaji is affiliated with the Rochester Regional Health ACO, Inc. (ACO ID: A3476), participating under the MSSP model.

Obaji's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 149 traditional Medicare patients, billed 429 HCPCS/CPT codes, and received $40,298 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 940 prescription claims across 152 beneficiaries totaling $852,220 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 79 claims. Open Payments data shows 2 records totaling $56. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $173,856 to $852,220. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $3,457 and ending at $5,492.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$27K$54K2015 Medicare payment: $44,831 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $39,234 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $53,574 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $47,492 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $37,896 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $44,306 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $42,661 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $44,478 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $31,462 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $40,298 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015224546$44,831
2016210529$39,234
2017225544$53,574
2018227564$47,492
2019188474$37,896
2020169441$44,306
2021148432$42,661
2022174483$44,478
2023156392$31,462
2024149429$40,298

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$466K$933K2015 Drug cost: $173,856 (USD; Tot_Drug_Cst)2016 Drug cost: $238,145 (USD; Tot_Drug_Cst)2017 Drug cost: $355,022 (USD; Tot_Drug_Cst)2018 Drug cost: $462,862 (USD; Tot_Drug_Cst)2019 Drug cost: $604,614 (USD; Tot_Drug_Cst)2020 Drug cost: $682,748 (USD; Tot_Drug_Cst)2021 Drug cost: $932,531 (USD; Tot_Drug_Cst)2022 Drug cost: $766,933 (USD; Tot_Drug_Cst)2023 Drug cost: $881,824 (USD; Tot_Drug_Cst)2024 Drug cost: $852,220 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201589549$173,856
2016115757$238,145
2017107623$355,022
2018127761$462,862
2019150835$604,614
2020132756$682,748
2021168886$932,531
2022161849$766,933
2023144928$881,824
2024152940$852,220

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$6.0K$12K2015 Medicare payment: $3,350 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $3,407 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,540 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $11,705 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $11,957 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $788 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,042 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $3,756 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $5,750 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $5,002 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R95$3,350
2016N/R69$3,407
2017N/R71$2,540
2018N/R39$11,705
2019N/R55$11,957
2020N/R24$788
2021N/R52$2,042
2022N/R72$3,756
2023N/R94$5,750
2024N/R79$5,002

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes54152$169
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3672$63
94727Test to determine lung volumes using gas dilution or washout2224$9
94060Test to measure expiratory airflow and volume changes before and after medication administration1717$8
94729Test to examine how well the lungs exchange gases2830$7

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OfevNintedanib Esylate281,020$428,709
Fasenra PenBenralizumab14784$73,289
Trelegy ElliptaFluticasone/Umeclidin/Vilanter803,240$68,736
Breztri AerosphereBudesonide/Glycopyr/Formoterol441,620$34,484
Spiriva RespimatTiotropium Bromide341,140$19,810

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R52$4,706
E0431Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubingYN/R15$210
J7614Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mgNN/R12$86

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$56Janssen Biotech, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Adel Obaji, M.D.?

Tedicare shows public-source Medicare data for Adel Obaji, M.D. (NPI 1124073127), 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 Adel Obaji, M.D. have ACO affiliation data?

Adel Obaji, M.D. is shown with ACO affiliation data for Rochester Regional Health ACO, Inc. (MSSP, ACO ID A3476).

What billing organization is linked to Adel Obaji, M.D.?

Adel Obaji, M.D. is linked to ROCHESTER GENERAL HOSPITAL (billing NPI 1356412712) in the available physician profile data.

Does Adel Obaji, M.D. have Open Payments data?

Adel Obaji, M.D. has 2 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.