Physician

Ada A. Kagumba, M.D.

According to 2025 Medicare claims, Ada Kagumba, M.D. (NPI: 1356314728) practices obstetrics/gynecology, with the plurality of this provider's patient population coming from Adams, IL. This provider's primary affiliated billing organization is QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC (NPI: 1548234198; TIN: 37-1206525) and primary practice location at 62301-4038. Kagumba is affiliated with the IRCCO (ACO ID: A2619) and DULY HEALTH AND CARE ACCOUNTABLE CARE ORGANIZATION (ACO ID: D0265), participating under both the MSSP and REACH models.

Kagumba's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 116 traditional Medicare patients, billed 199 HCPCS/CPT codes, and received $11,524 in Medicare payments. The top billing code was 99203 (New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more). Part D data shows 310 prescription claims across 96 beneficiaries totaling $33,342 in drug costs, led by Imvexxy (Estradiol). Open Payments data shows 12 records totaling $239. 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 up and down with repeated peaks and valleys, starting at $11,758 and ending at $11,524. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $16,869 to $33,342. 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	67	211	$11,758
2016	56	142	$7,263
2017	91	372	$14,265
2018	72	183	$14,300
2019	92	192	$12,535
2020	61	140	$8,985
2021	74	177	$10,883
2022	83	163	$10,118
2023	85	135	$7,272
2024	116	199	$11,524

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	59	157	$16,869
2016	34	83	$7,887
2017	48	117	$14,382
2018	54	126	$17,966
2019	55	148	$18,587
2020	52	144	$17,585
2021	60	215	$26,019
2022	78	249	$27,486
2023	78	264	$31,642
2024	96	310	$33,342

DME Billing Trend

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

No connected DME records

* / # = 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
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$60
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	51	77	$58
G0101	Cervical or vaginal cancer screening; pelvic and clinical breast examination	41	41	$37

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Imvexxy	Estradiol	22	1,134	$8,627
Estradiol	Estradiol	58	4,204	$4,078
Clobetasol Propionate	Clobetasol Propionate	26	980	$2,509
Alendronate Sodium	Alendronate Sodium	34	2,744	$267
Fluconazole	Fluconazole	27	927	$193

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.	12	$239	Sumitomo Pharma America, Inc.
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 Ada A. Kagumba, M.D.?

Tedicare shows public-source Medicare data for Ada A. Kagumba, M.D. (NPI 1356314728), 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 Ada A. Kagumba, M.D. have ACO affiliation data?

Ada A. Kagumba, M.D. is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and DULY HEALTH AND CARE ACCOUNTABLE CARE ORGANIZATION (REACH, ACO ID D0265).

What billing organization is linked to Ada A. Kagumba, M.D.?

Ada A. Kagumba, M.D. is linked to QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC (billing NPI 1548234198) in the available physician profile data.

Does Ada A. Kagumba, M.D. have Open Payments data?

Ada A. Kagumba, M.D. has 12 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.