Physician

Adi Gidron, MD

According to 2025 Medicare claims, Adi Gidron, MD (NPI: 1184767444) practices hematology/oncology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Cook, IL. This provider's primary affiliated billing organization is PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC (NPI: 1023837689; TIN: 331385787) and primary practice location at 60202-3454. Gidron is affiliated with the AMITA Health Accountable Care Organization, LLC (ACO ID: A1501), participating under the MSSP model.

Gidron's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 386 traditional Medicare patients, billed 1,319 HCPCS/CPT codes, and received $90,120 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 1,150 prescription claims across 169 beneficiaries totaling $3,155,607 in drug costs, led by Brukinsa (Zanubrutinib). 2016 DME data shows 34 claims. Open Payments data shows 2 records totaling $126. 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 started with an early spike, then settled into a lower baseline, moving from $1,112,924 to $90,120. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $889,937 to $3,155,607. 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.

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$556K$1.1M2015 Medicare payment: $1,112,924 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $114,383 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $118,974 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $107,008 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $98,262 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $86,853 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $115,330 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $114,871 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $117,485 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $90,120 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201542658,320$1,112,924
20164342,174$114,383
20174502,248$118,974
20184352,198$107,008
20194161,914$98,262
20203781,513$86,853
20214141,677$115,330
20224121,589$114,871
20234231,700$117,485
20243861,319$90,120

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$1.6M$3.2M2015 Drug cost: $889,937 (USD; Tot_Drug_Cst)2016 Drug cost: $870,042 (USD; Tot_Drug_Cst)2017 Drug cost: $997,866 (USD; Tot_Drug_Cst)2018 Drug cost: $1,879,122 (USD; Tot_Drug_Cst)2019 Drug cost: $2,285,706 (USD; Tot_Drug_Cst)2020 Drug cost: $2,931,376 (USD; Tot_Drug_Cst)2021 Drug cost: $1,512,253 (USD; Tot_Drug_Cst)2022 Drug cost: $2,245,366 (USD; Tot_Drug_Cst)2023 Drug cost: $2,789,492 (USD; Tot_Drug_Cst)2024 Drug cost: $3,155,607 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201595724$889,937
2016114761$870,042
2017125891$997,866
20181411,219$1,879,122
20191471,114$2,285,706
20201511,099$2,931,376
2021157980$1,512,253
20221581,055$2,245,366
20231701,173$2,789,492
20241691,150$3,155,607

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$2.7K$5.4K2015 Medicare payment: $5,409 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $1,737 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R70$5,409
2016N/R34$1,737
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes5662$138
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more231661$74
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3177$64
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more226327$48
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes58116$41

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
BrukinsaZanubrutinib471,410$696,660
XtandiEnzalutamide23690$314,299
JakafiRuxolitinib Phosphate17510$279,340
PomalystPomalidomide12336$259,300
GavretoPralsetinib13369$208,498

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.2$126Gilead Sciences, 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 Adi Gidron, MD?

Tedicare shows public-source Medicare data for Adi Gidron, MD (NPI 1184767444), 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 Adi Gidron, MD have ACO affiliation data?

Adi Gidron, MD is shown with ACO affiliation data for AMITA Health Accountable Care Organization, LLC (MSSP, ACO ID A1501).

What billing organization is linked to Adi Gidron, MD?

Adi Gidron, MD is linked to PRIME HEALTHCARE ILLINOIS MEDICAL GROUP LLC (billing NPI 1023837689) in the available physician profile data.

Does Adi Gidron, MD have Open Payments data?

Adi Gidron, MD 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.