Physician

Adam Margolius, MD

According to 2025 Medicare claims, Adam Margolius, MD (NPI: 1376961359) practices neurology in the Cleveland, OH market, with the plurality of this provider's patient population coming from Cuyahoga, OH. This provider's primary affiliated billing organization is THE CLEVELAND CLINIC FOUNDATION (NPI: 1679525919; TIN: 340714585) and primary practice location at 44087-2105. Margolius is affiliated with the Cleveland Clinic Medicare ACO, LLC (ACO ID: A2729), participating under the MSSP model.

Margolius' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 383 traditional Medicare patients, billed 740 HCPCS/CPT codes, and received $48,152 in Medicare payments. The top billing code was 99205 (New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more). Part D data shows 2,434 prescription claims across 510 beneficiaries totaling $2,312,480 in drug costs, led by Austedo (Deutetrabenazine). 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 sharply higher in recent years, from $1,340 to $48,152. Similarly, Part D prescription costs have risen steadily, from $16,987 to $2,312,480. 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$24K$49K2018 Medicare payment: $1,340 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $15,998 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $42,140 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $48,793 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $48,860 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $48,152 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181320$1,340
2019N/RN/RN/R
2020132195$15,998
2021287511$42,140
2022346645$48,793
2023376683$48,860
2024383740$48,152

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$1.2M$2.3M2015 Drug cost: $16,987 (USD; Tot_Drug_Cst)2016 Drug cost: $3,346 (USD; Tot_Drug_Cst)2018 Drug cost: $82,614 (USD; Tot_Drug_Cst)2019 Drug cost: $512,435 (USD; Tot_Drug_Cst)2020 Drug cost: $197,726 (USD; Tot_Drug_Cst)2021 Drug cost: $1,593,475 (USD; Tot_Drug_Cst)2022 Drug cost: $2,181,120 (USD; Tot_Drug_Cst)2023 Drug cost: $1,887,091 (USD; Tot_Drug_Cst)2024 Drug cost: $2,312,480 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201542274$16,987
20161653$3,346
2017N/RN/RN/R
201877153$82,614
2019125559$512,435
2020145364$197,726
20213161,549$1,593,475
20224292,250$2,181,120
20234562,326$1,887,091
20245102,434$2,312,480

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more5353$128
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more7474$103
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more232313$66
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2123$63
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's111111$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
AustedoDeutetrabenazine1293,840$929,708
NuplazidPimavanserin Tartrate832,550$423,891
IngrezzaValbenazine Tosylate431,380$359,074
TetrabenazineTetrabenazine491,470$87,878
InbrijaLevodopa14396$81,715

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

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

FAQ

What Medicare data is available for Adam Margolius, MD?

Tedicare shows public-source Medicare data for Adam Margolius, MD (NPI 1376961359), 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 Margolius, MD have ACO affiliation data?

Adam Margolius, MD is shown with ACO affiliation data for Cleveland Clinic Medicare ACO, LLC (MSSP, ACO ID A2729).

What billing organization is linked to Adam Margolius, MD?

Adam Margolius, MD is linked to THE CLEVELAND CLINIC FOUNDATION (billing NPI 1679525919) in the available physician profile data.

Does Adam Margolius, MD 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.