Physician

Adeep Thumar, M.D.

According to 2025 Medicare claims, Adeep Thumar, M.D. (NPI: 1245425495) practices urology in the Newark, NJ market, with the plurality of this provider's patient population coming from Essex, NJ. This provider's primary affiliated billing organization is SUMMIT MEDICAL GROUP PA (NPI: 1942254347; TIN: 223487984) and primary practice location at 07039-4896. Thumar is affiliated with the Summit Health ACO (ACO ID: A5049), participating under the MSSP model.

Thumar's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,004 traditional Medicare patients, billed 4,214 HCPCS/CPT codes, and received $268,444 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 3,581 prescription claims across 903 beneficiaries totaling $512,723 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 150 claims. Open Payments data shows 1 records totaling $18. 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 $68,226 to $268,444. Similarly, Part D prescription costs have moved sharply higher in recent years, from $36,472 to $512,723. In contrast, DME billing represents a smaller volume and rose steadily, from $101 to $1,169.

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$141K$283K2015 Medicare payment: $68,226 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $154,398 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $161,127 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $235,218 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $242,981 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $205,664 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $227,445 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $225,499 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $282,655 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $268,444 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015170961$68,226
20163162,533$154,398
20175133,227$161,127
20185954,334$235,218
20195475,179$242,981
20205883,396$205,664
20216204,553$227,445
20227294,677$225,499
20238714,855$282,655
20241,0044,214$268,444

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$256K$513K2015 Drug cost: $36,472 (USD; Tot_Drug_Cst)2016 Drug cost: $128,768 (USD; Tot_Drug_Cst)2017 Drug cost: $102,250 (USD; Tot_Drug_Cst)2018 Drug cost: $176,201 (USD; Tot_Drug_Cst)2019 Drug cost: $175,007 (USD; Tot_Drug_Cst)2020 Drug cost: $197,072 (USD; Tot_Drug_Cst)2021 Drug cost: $229,586 (USD; Tot_Drug_Cst)2022 Drug cost: $279,488 (USD; Tot_Drug_Cst)2023 Drug cost: $393,572 (USD; Tot_Drug_Cst)2024 Drug cost: $512,723 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015124308$36,472
2016198655$128,768
2017322975$102,250
20183811,391$176,201
20194131,637$175,007
20204461,821$197,072
20214872,003$229,586
20225862,258$279,488
20237482,823$393,572
20249033,581$512,723

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$22K$44K2015 Medicare payment: $6,535 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $8,982 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $19,588 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $27,239 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $43,653 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $29,765 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $31,540 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $33,613 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $43,893 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $38,216 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R25$6,535
2016N/R33$8,982
2017N/R67$19,588
2018N/R83$27,239
2019N/R91$43,653
2020N/R72$29,765
2021N/R126$31,540
2022N/R151$33,613
2023N/R167$43,893
2024N/R150$38,216

* / # = 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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more136136$125
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more601822$102
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more312433$72
51798Ultrasound measurement of bladder capacity after voiding190200$10
81003Automated urinalysis test333392$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MyrbetriqMirabegron37020,274$295,492
GemtesaVibegron775,109$79,625
Tamsulosin HclTamsulosin Hcl85772,950$16,643
Potassium Citrate ErPotassium Citrate1329,351$15,341
SilodosinSilodosin14911,991$15,086

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4352Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), eachNN/R29$19,588
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R39$13,317
A5054Ostomy pouch, closed; for use on barrier with flange (2 piece), eachNN/R11$1,268
A4419Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), eachNN/R11$1,216
A4385Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, eachNN/R11$1,199

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$18Sumitomo Pharma America, 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 Adeep Thumar, M.D.?

Tedicare shows public-source Medicare data for Adeep Thumar, M.D. (NPI 1245425495), 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 Adeep Thumar, M.D. have ACO affiliation data?

Adeep Thumar, M.D. is shown with ACO affiliation data for Summit Health ACO (MSSP, ACO ID A5049).

What billing organization is linked to Adeep Thumar, M.D.?

Adeep Thumar, M.D. is linked to SUMMIT MEDICAL GROUP PA (billing NPI 1942254347) in the available physician profile data.

Does Adeep Thumar, M.D. have Open Payments data?

Adeep Thumar, M.D. has 1 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.