Physician

Adam Rourke, DO

According to 2025 Medicare claims, Adam Rourke, DO (NPI: 1225284763) practices otolaryngology in the Warren-Troy-Farmington Hills, MI market, with the plurality of this provider's patient population coming from Macomb, MI. This provider's primary affiliated billing organization is LAKESHORE EAR NOSE AND THROAT CENTER PC (NPI: 1033202023; TIN: 38-1359063) and primary practice location at 48314-1511. Rourke is affiliated with the St. John Providence ACO, LLC (ACO ID: A5417), participating under the MSSP model.

Rourke's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 538 traditional Medicare patients, billed 1,608 HCPCS/CPT codes, and received $121,603 in Medicare payments. The top billing code was 31231 (Diagnostic exam of nasal passages using an endoscope). Part D data shows 1,533 prescription claims across 551 beneficiaries totaling $63,509 in drug costs, led by Ipratropium Bromide (Ipratropium Bromide). 2019 DME data shows 22 claims. Open Payments data shows 9 records totaling $212. 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 risen steadily, from $77,186 to $121,603. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $20,308 and ending at $63,509. 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	715	1,722	$77,186
2016	731	1,482	$80,959
2017	673	1,449	$85,050
2018	680	1,600	$91,180
2019	697	1,934	$99,673
2020	590	1,580	$78,504
2021	636	1,704	$88,584
2022	628	1,736	$140,850
2023	549	1,545	$124,341
2024	538	1,608	$121,603

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	315	801	$20,308
2016	402	1,021	$38,942
2017	416	1,160	$52,130
2018	391	1,071	$35,736
2019	383	948	$28,504
2020	386	1,051	$36,215
2021	425	1,148	$39,566
2022	468	1,260	$40,535
2023	461	1,175	$30,950
2024	551	1,533	$63,509

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	22	$2,267
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	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
31231	Diagnostic exam of nasal passages using an endoscope	137	198	$129
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	146	146	$124
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	246	335	$65
92557	Comprehensive hearing and speech recognition test	178	192	$26
92567	Test to assess middle ear function	192	222	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ipratropium Bromide	Ipratropium Bromide	396	13,077	$11,743
Azelastine Hcl	Azelastine Hcl	194	8,795	$5,911
Ciprofloxacin-Dexamethasone	Ciprofloxacin Hcl/Dexameth	23	261	$2,909
Fluticasone Propionate	Fluticasone Propionate	199	10,960	$2,559
Mometasone Furoate	Mometasone Furoate	42	1,121	$1,468

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.	9	$212	GENZYME CORPORATION
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 Rourke, DO?

Tedicare shows public-source Medicare data for Adam Rourke, DO (NPI 1225284763), 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 Rourke, DO have ACO affiliation data?

Adam Rourke, DO is shown with ACO affiliation data for St. John Providence ACO, LLC (MSSP, ACO ID A5417).

What billing organization is linked to Adam Rourke, DO?

Adam Rourke, DO is linked to LAKESHORE EAR NOSE AND THROAT CENTER PC (billing NPI 1033202023) in the available physician profile data.

Does Adam Rourke, DO have Open Payments data?

Adam Rourke, DO has 9 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.