Physician

Adam J Ball, M.D.

According to 2025 Medicare claims, Adam Ball, M.D. (NPI: 1366438517) practices urology in the Port St. Lucie, FL market, with the plurality of this provider's patient population coming from St. Lucie, FL. This provider's primary affiliated billing organization is GULFSTREAM UROLOGY ASSOCIATES PA (NPI: 1437145653; TIN: 202614319) and primary practice location at 34986-1622.

Ball's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 828 traditional Medicare patients, billed 7,523 HCPCS/CPT codes, and received $260,771 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 2,326 prescription claims across 714 beneficiaries totaling $998,778 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 142 claims. Open Payments data shows 59 records totaling $1,313. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $212,623 to $998,778. In contrast, DME billing represents a smaller volume and did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	684	2,054	$187,882
2016	752	2,201	$199,589
2017	812	2,322	$193,171
2018	788	5,454	$180,510
2019	733	5,968	$181,788
2020	619	6,967	$173,010
2021	680	7,644	$230,360
2022	693	9,627	$212,439
2023	841	7,098	$226,168
2024	828	7,523	$260,771

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	459	1,605	$212,623
2016	493	1,557	$292,191
2017	540	1,634	$293,954
2018	610	1,852	$470,164
2019	663	2,169	$740,144
2020	615	2,215	$1,121,696
2021	638	2,076	$882,659
2022	699	2,365	$984,254
2023	691	2,224	$1,059,684
2024	714	2,326	$998,778

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	81	$7,555
2016	N/R	99	$12,754
2017	14	167	$27,564
2018	14	96	$22,509
2019	11	146	$24,942
2020	N/R	77	$13,426
2021	N/R	101	$18,342
2022	N/R	109	$20,707
2023	N/R	111	$20,079
2024	15	142	$34,850

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	245	245	$128
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	233	282	$102
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	577	776	$71
G2211	Visit 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's	517	684	$13
51798	Ultrasound measurement of bladder capacity after voiding	275	324	$9

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	278	18,111	$271,647
Firmagon	Degarelix Acetate	122	3,432	$63,247
Gemtesa	Vibegron	59	3,540	$55,861
Orgovyx	Relugolix	20	596	$53,882
Eligard	Leuprolide Acetate	25	2,484	$38,364

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	15	71	$31,433
A4349	Male external catheter, with or without adhesive, disposable, each	N	N/R	21	$2,055
A4357	Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each	N	N/R	23	$603
A4332	Lubricant, individual sterile packet, each	N	N/R	16	$462
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	11	$298

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	59	$1,313	Myriad Genetic Laboratories, 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

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FAQ

What Medicare data is available for Adam J. Ball, M.D.?

Tedicare shows public-source Medicare data for Adam J. Ball, M.D. (NPI 1366438517), 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 J. Ball, M.D. 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 J. Ball, M.D.?

Adam J. Ball, M.D. is linked to GULFSTREAM UROLOGY ASSOCIATES PA (billing NPI 1437145653) in the available physician profile data.

Does Adam J. Ball, M.D. have Open Payments data?

Adam J. Ball, M.D. has 59 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.