Physician

Adam Arnold Shpigel, M.D.

According to 2025 Medicare claims, Adam Shpigel, M.D. (NPI: 1417223447) practices interventional cardiology in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from St. Clair, IL. This provider's primary affiliated billing organization is PHYSICIAN GROUPS LC (NPI: 1285664268; TIN: 431681957) and primary practice location at 63131-2329. Shpigel is affiliated with the BJC HealthCare ACO, LLC (ACO ID: A1204), IRCCO (ACO ID: A2619), SSM IL ACO, LLC (ACO ID: A4832), and IHCI ACO Midwest LLC (ACO ID: A5516), participating under the MSSP model.

Shpigel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,102 traditional Medicare patients, billed 2,356 HCPCS/CPT codes, and received $169,491 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 6,103 prescription claims across 1,167 beneficiaries totaling $976,388 in drug costs, led by Eliquis (Apixaban). Open Payments data shows 148 records totaling $3,786. 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 $14,477 to $169,491. Similarly, Part D prescription costs have moved sharply higher in recent years, from $8,027 to $976,388. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	60	178	$14,477
2021	1,147	2,481	$104,942
2022	825	1,928	$123,618
2023	632	1,856	$172,138
2024	1,102	2,356	$169,491

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	23	113	$8,027
2016	N/R	50	$345
2017	N/R	N/R	N/R
2018	12	40	$2,876
2019	31	59	$3,591
2020	30	53	$4,998
2021	98	496	$79,442
2022	201	1,144	$211,917
2023	309	1,826	$375,538
2024	1,167	6,103	$976,388

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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	90	90	$107
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	522	$84
93306	Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	315	335	$49
93000	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report	116	120	$8
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	250	276	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	425	22,407	$429,061
Entresto	Sacubitril/Valsartan	137	5,390	$121,075
Repatha Sureclick	Evolocumab	115	4,875	$95,300
Xarelto	Rivaroxaban	64	4,250	$78,234
Brilinta	Ticagrelor	50	2,820	$41,534

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.	148	$3,786	Edwards Lifesciences Corporation
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 Arnold Shpigel, M.D.?

Tedicare shows public-source Medicare data for Adam Arnold Shpigel, M.D. (NPI 1417223447), 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 Arnold Shpigel, M.D. have ACO affiliation data?

Adam Arnold Shpigel, M.D. is shown with ACO affiliation data for BJC HealthCare ACO, LLC (MSSP, ACO ID A1204), IRCCO (MSSP, ACO ID A2619), SSM IL ACO, LLC (MSSP, ACO ID A4832), and IHCI ACO Midwest LLC (MSSP, ACO ID A5516).

What billing organization is linked to Adam Arnold Shpigel, M.D.?

Adam Arnold Shpigel, M.D. is linked to PHYSICIAN GROUPS LC (billing NPI 1285664268) in the available physician profile data.

Does Adam Arnold Shpigel, M.D. have Open Payments data?

Adam Arnold Shpigel, M.D. has 148 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.