Physician

Adam R Rothermel, M.D.

According to 2025 Medicare claims, Adam Rothermel, M.D. (NPI: 1154647899) practices general surgery, with the plurality of this provider's patient population coming from Muskingum, OH. This provider's primary affiliated billing organization is GENESIS MEDICAL GROUP LLC (NPI: 1063663433; TIN: 263428410) and primary practice location at 43701-1406. Rothermel is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Rothermel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 192 traditional Medicare patients, billed 403 HCPCS/CPT codes, and received $63,762 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 300 prescription claims across 142 beneficiaries totaling $4,756 in drug costs, led by Sutab (Sod Sulf/Pot Chloride/Mag Sulf). DME data shows 11 claims. Open Payments data shows 4 records totaling $331. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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	21	32	$7,316
2016	217	474	$71,156
2017	218	475	$69,040
2018	268	541	$85,032
2019	253	547	$79,367
2020	241	428	$76,162
2021	247	460	$75,714
2022	269	492	$88,391
2023	262	526	$87,272
2024	192	403	$63,762

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	13	17	$690
2016	101	186	$8,019
2017	94	202	$6,652
2018	140	297	$7,552
2019	133	245	$7,233
2020	115	251	$7,655
2021	128	314	$11,609
2022	154	319	$10,698
2023	164	358	$14,131
2024	142	300	$4,756

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
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	N/R	N/R	N/R
2024	N/R	11	$1,606

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$127
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	33	$94
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	20	27	$64
99212	Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	16	21	$43
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	26	26	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Sutab	Sod Sulf/Pot Chloride/Mag Sulf	11	42	$1,802
Pantoprazole Sodium	Pantoprazole Sodium	64	2,400	$671
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	52	210	$196
Ondansetron Odt	Ondansetron	26	122	$127
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	32	142	$98

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
A4414	Ostomy skin barrier, with flange (solid, flexible or accordion), without built-in convexity, 4 x 4 inches or smaller, each	N	N/R	11	$1,606

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$331	Davol 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 R. Rothermel, M.D.?

Tedicare shows public-source Medicare data for Adam R. Rothermel, M.D. (NPI 1154647899), 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 R. Rothermel, M.D. have ACO affiliation data?

Adam R. Rothermel, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Adam R. Rothermel, M.D.?

Adam R. Rothermel, M.D. is linked to GENESIS MEDICAL GROUP LLC (billing NPI 1063663433) in the available physician profile data.

Does Adam R. Rothermel, M.D. have Open Payments data?

Adam R. Rothermel, M.D. has 4 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.