Physician

Adam Criss, DO

According to 2025 Medicare claims, Adam Criss, DO (NPI: 1386742039) practices nephrology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Nassau, NY. This provider's primary affiliated billing organization is OPTUM MEDICAL CARE, P.C. (NPI: 1982643003; TIN: 133544120) and primary practice location at 11042-1111.

Criss' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 825 traditional Medicare patients, billed 7,724 HCPCS/CPT codes, and received $309,365 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 3,799 prescription claims across 463 beneficiaries totaling $665,330 in drug costs, led by Samsca (Tolvaptan). DME data shows 142 claims. Open Payments data shows 1 records totaling $33. 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 risen steadily, from $221,747 to $309,365. Similarly, Part D prescription costs have risen steadily, from $321,733 to $665,330. In contrast, DME billing represents a smaller volume and moved from a lower plateau to a higher plateau, from $1,307 to $3,427.

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$179K$358K2015 Medicare payment: $221,747 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $218,975 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $219,180 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $165,320 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $191,329 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $208,066 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $270,023 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $305,948 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $357,710 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $309,365 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20155225,123$221,747
20165735,160$218,975
20175195,421$219,180
20184954,062$165,320
20195395,947$191,329
20205565,409$208,066
20216756,291$270,023
20228076,928$305,948
20238809,696$357,710
20248257,724$309,365

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$333K$665K2015 Drug cost: $321,733 (USD; Tot_Drug_Cst)2016 Drug cost: $320,835 (USD; Tot_Drug_Cst)2017 Drug cost: $367,449 (USD; Tot_Drug_Cst)2018 Drug cost: $374,038 (USD; Tot_Drug_Cst)2019 Drug cost: $361,743 (USD; Tot_Drug_Cst)2020 Drug cost: $298,107 (USD; Tot_Drug_Cst)2021 Drug cost: $322,602 (USD; Tot_Drug_Cst)2022 Drug cost: $392,588 (USD; Tot_Drug_Cst)2023 Drug cost: $470,483 (USD; Tot_Drug_Cst)2024 Drug cost: $665,330 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152142,543$321,733
20162232,611$320,835
20172682,910$367,449
20182853,245$374,038
20193023,185$361,743
20202833,048$298,107
20213343,186$322,602
20223853,823$392,588
20234204,059$470,483
20244633,799$665,330

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$22K$44K2015 Medicare payment: $3,221 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $726 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $14,381 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $22,080 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $14,794 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,602 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $5,238 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $3,810 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $6,391 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $44,113 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R89$3,221
20161246$726
20171368$14,381
201814149$22,080
20191393$14,794
2020N/R56$1,602
2021N/R73$5,238
2022N/R58$3,810
202312174$6,391
202411142$44,113

* / # = 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 more434936$107
36415Insertion of needle into vein for collection of blood sample5441,025$9
82043Urine microalbumin (protein) level306433$6
82570Creatinine level to test for kidney function or muscle injury325672$5
81003Automated urinalysis test300359$2

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
SamscaTolvaptan11330$170,707
JardianceEmpagliflozin896,270$119,034
ProcritEpoetin Alfa12672$34,017
VelphoroSucroferric Oxyhydroxide14600$30,561
FarxigaDapagliflozin Propanediol351,650$30,482

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
B4197Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premixNN/R18$39,139
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R12$2,864
J7515Cyclosporine, oral, 25 mgNN/R11$881
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R28$426
A4253Blood glucose test or reagent strips for home blood glucose monitor, per 50 stripsN1127$370

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$33ABBVIE INC.
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 Criss, DO?

Tedicare shows public-source Medicare data for Adam Criss, DO (NPI 1386742039), 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 Criss, DO 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 Criss, DO?

Adam Criss, DO is linked to OPTUM MEDICAL CARE, P.C. (billing NPI 1982643003) in the available physician profile data.

Does Adam Criss, DO have Open Payments data?

Adam Criss, DO has 1 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.