Physician

Adam David Stein, MD

According to 2025 Medicare claims, Adam Stein, MD (NPI: 1316003833) practices endocrinology in the Chicago-Naperville-Schaumburg, IL market, with the plurality of this provider's patient population coming from Du Page, IL. This provider's primary affiliated billing organization is CENTRAL DUPAGE PHYSICIAN GROUP (NPI: 1033149844; TIN: 363149833) and primary practice location at 60189-2037. Stein is affiliated with the Northwestern Medicine Health Network ACO LLC (ACO ID: A5444), participating under the MSSP model.

Stein's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 400 traditional Medicare patients, billed 5,210 HCPCS/CPT codes, and received $144,301 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 4,347 prescription claims across 527 beneficiaries totaling $2,484,901 in drug costs, led by Ozempic (Semaglutide). DME data shows 788 claims. Open Payments data shows 4 records totaling $1,975. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $846,030 to $2,484,901. For DME billing, reported payments moved sharply higher in recent years, from $4,064 to $204,878.

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$85K$171K2015 Medicare payment: $136,310 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $161,905 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $164,933 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $170,851 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $122,578 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $80,427 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $92,388 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $107,254 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $120,955 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $144,301 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201551111,620$136,310
201651720,656$161,905
201749719,199$164,933
201847019,899$170,851
201937316,154$122,578
20203685,867$80,427
20213702,804$92,388
20224013,799$107,254
20234194,149$120,955
20244005,210$144,301

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$1.4M$2.8M2015 Drug cost: $846,030 (USD; Tot_Drug_Cst)2016 Drug cost: $982,979 (USD; Tot_Drug_Cst)2017 Drug cost: $1,123,826 (USD; Tot_Drug_Cst)2018 Drug cost: $1,242,354 (USD; Tot_Drug_Cst)2019 Drug cost: $1,177,229 (USD; Tot_Drug_Cst)2020 Drug cost: $1,296,596 (USD; Tot_Drug_Cst)2021 Drug cost: $1,872,152 (USD; Tot_Drug_Cst)2022 Drug cost: $2,414,984 (USD; Tot_Drug_Cst)2023 Drug cost: $2,803,268 (USD; Tot_Drug_Cst)2024 Drug cost: $2,484,901 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153763,008$846,030
20164313,355$982,979
20174343,587$1,123,826
20184853,519$1,242,354
20194903,197$1,177,229
20206442,703$1,296,596
20214892,873$1,872,152
20225103,616$2,414,984
20235163,885$2,803,268
20245274,347$2,484,901

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$108K$217K2015 Medicare payment: $9,881 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $12,309 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $18,018 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $44,897 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $56,920 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $59,576 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $171,467 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $133,360 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $149,016 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $216,715 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015147359$9,881
2016151398$12,309
2017178433$18,018
2018169535$44,897
2019144524$56,920
2020170515$59,576
2021185799$171,467
2022190844$133,360
2023234915$149,016
2024237788$216,715

* / # = 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 more310483$92
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more4444$71
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report78151$27
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's294375$13
83036Hemoglobin a1c level151206$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide38319,773$642,553
JardianceEmpagliflozin20415,990$300,955
MounjaroTirzepatide1325,404$199,226
TrulicityDulaglutide1235,746$189,380
Humulin R U-500 KwikpenInsulin Regular, Human17981$84,354

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceN91438$180,113
J1817Insulin for administration through dme (i.e., insulin pump) per 50 unitsNN/R34$12,501
E0784External ambulatory infusion pump, insulinYN/R21$6,927
A4224Supplies for maintenance of insulin infusion catheter, per weekN1430$6,702
E2103Non-adjunctive, non-implanted continuous glucose monitor or receiverN2323$5,042

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.4$1,975Abbott Laboratories
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 David Stein, MD?

Tedicare shows public-source Medicare data for Adam David Stein, MD (NPI 1316003833), 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 David Stein, MD have ACO affiliation data?

Adam David Stein, MD is shown with ACO affiliation data for Northwestern Medicine Health Network ACO LLC (MSSP, ACO ID A5444).

What billing organization is linked to Adam David Stein, MD?

Adam David Stein, MD is linked to CENTRAL DUPAGE PHYSICIAN GROUP (billing NPI 1033149844) in the available physician profile data.

Does Adam David Stein, MD have Open Payments data?

Adam David Stein, MD has 4 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.