Physician

Adam Almaguer, MD

According to 2025 Medicare claims, Adam Almaguer, MD (NPI: 1265895676) practices orthopedic surgery in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is UNC PHYSICIANS GROUP PRACTICES II, LLC (NPI: 1053919183; TIN: 852823886) and primary practice location at 27540-9999.

Almaguer's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 321 traditional Medicare patients, billed 1,806 HCPCS/CPT codes, and received $89,038 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 1,057 prescription claims across 349 beneficiaries totaling $14,925 in drug costs, led by Diclofenac Sodium (Diclofenac Sodium). DME data shows 23 claims. Open Payments data shows 42 records totaling $5,275. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $350 and ending at $14,925. 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$70K$140K2021 Medicare payment: $7,569 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $31,328 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $139,741 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $89,038 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211122$7,569
202284278$31,328
20233192,022$139,741
20243211,806$89,038

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$15K$29K2016 Drug cost: $350 (USD; Tot_Drug_Cst)2017 Drug cost: $2,532 (USD; Tot_Drug_Cst)2018 Drug cost: $281 (USD; Tot_Drug_Cst)2019 Drug cost: $2,225 (USD; Tot_Drug_Cst)2020 Drug cost: $949 (USD; Tot_Drug_Cst)2021 Drug cost: $99 (USD; Tot_Drug_Cst)2022 Drug cost: $1,143 (USD; Tot_Drug_Cst)2023 Drug cost: $29,177 (USD; Tot_Drug_Cst)2024 Drug cost: $14,925 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R11$350
20172353$2,532
20182539$281
201957148$2,225
202047113$949
2021N/R12$99
202234112$1,143
20233231,286$29,177
20243491,057$14,925

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$478$9562023 Medicare payment: $956 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $762 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
20231515$956
20241123$762

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more135187$78
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more108123$61
20610Aspiration and/or injection of fluid from large joint5690$50
73502X-ray of hip, 2-3 views6893$32
73564X-ray of knee, 4 or more views111153$31

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Diclofenac SodiumDiclofenac Sodium751,658$2,414
MeloxicamMeloxicam38815,331$1,484
Ondansetron OdtOndansetron78789$1,277
MethylprednisoloneMethylprednisolone81487$728
Oxycodone HclOxycodone Hcl93643$702

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0143Walker, folding, wheeled, adjustable or fixed heightN1111$537
K0001Standard wheelchairYN/R12$225

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.42$5,275MEDACTA USA, 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 Adam Almaguer, MD?

Tedicare shows public-source Medicare data for Adam Almaguer, MD (NPI 1265895676), 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 Almaguer, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Adam Almaguer, MD?

Adam Almaguer, MD is linked to UNC PHYSICIANS GROUP PRACTICES II, LLC (billing NPI 1053919183) in the available physician profile data.

Does Adam Almaguer, MD have Open Payments data?

Adam Almaguer, MD has 42 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.