Physician

Abigail Adams, M.D.

According to 2025 Medicare claims, Abigail Adams, M.D. (NPI: 1306002993) practices pediatric medicine in the Champaign-Urbana, IL market, with the plurality of this provider's patient population coming from Champaign, IL. This provider's primary affiliated billing organization is CARLE HEALTH CARE INCORPORATED (NPI: 1154653947; TIN: 371140016) and primary practice location at 61801-2500. Adams is affiliated with the IRCCO (ACO ID: A2619), participating under the MSSP model.

Adams' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 157 traditional Medicare patients, billed 302 HCPCS/CPT codes, and received $21,962 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 307 prescription claims across 93 beneficiaries totaling $28,478 in drug costs, led by Gabapentin (Gabapentin). DME data shows 25 claims. No Open Payments records. 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 moved from a lower plateau to a higher plateau, from $11,413 to $21,962. In contrast, Part D prescription costs have fallen sharply in recent years, from $382,817 to $28,478. For DME billing, this smaller-volume category moved up and down with repeated peaks and valleys, starting at $6,529 and ending at $3,736.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	157	281	$11,413
2016	185	298	$11,845
2017	188	415	$20,077
2018	171	338	$17,667
2019	181	414	$22,654
2020	243	546	$37,011
2021	222	485	$36,575
2022	194	416	$27,681
2023	164	349	$26,023
2024	157	302	$21,962

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	478	7,244	$382,817
2016	479	8,461	$409,939
2017	481	8,068	$398,095
2018	449	7,349	$431,093
2019	430	7,057	$421,241
2020	449	3,859	$227,010
2021	117	241	$17,262
2022	121	291	$22,661
2023	134	531	$38,001
2024	93	307	$28,478

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	44	$3,484
2016	12	197	$8,187
2017	16	164	$9,336
2018	12	192	$9,569
2019	N/R	91	$4,023
2020	12	92	$6,616
2021	N/R	N/R	N/R
2022	N/R	16	$93
2023	N/R	N/R	N/R
2024	N/R	25	$3,309

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	26	26	$124
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	49	79	$91
99239	Hospital discharge day management, more than 30 minutes	39	39	$88
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	53	98	$59
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	38	40	$39

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Gabapentin	Gabapentin	24	681	$668
Atorvastatin Calcium	Atorvastatin Calcium	30	1,928	$258
Pregabalin	Pregabalin	11	446	$185
Amlodipine Besylate	Amlodipine Besylate	13	730	$67
Divalproex Sodium	Divalproex Sodium	11	154	$52

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
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	12	$1,855
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	13	$1,454

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Abigail Adams, M.D.?

Tedicare shows public-source Medicare data for Abigail Adams, M.D. (NPI 1306002993), 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 Abigail Adams, M.D. have ACO affiliation data?

Abigail Adams, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619).

What billing organization is linked to Abigail Adams, M.D.?

Abigail Adams, M.D. is linked to CARLE HEALTH CARE INCORPORATED (billing NPI 1154653947) in the available physician profile data.

Does Abigail Adams, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.