Physician

Mark Adams, M.D

According to 2025 Medicare claims, Mark Adams, M.D (NPI: 1427090448) practices neurosurgery in the Saginaw, MI market, with the plurality of this provider's patient population coming from Saginaw, MI. This provider's primary affiliated billing organization is MICHIGAN SPINE AND BRAIN INSTITUTE PC (NPI: 1124353727; TIN: 20-0440211) and primary practice location at 48602-5383. Adams is affiliated with the POM ACO (ACO ID: A1297), McLaren High Performance Network, LLC (ACO ID: A3317), West Michigan Accountable Care Organization, LLC (ACO ID: A4626), and Mosaic ACO (ACO ID: A5033), participating under the MSSP model.

Adams' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 399 traditional Medicare patients, billed 828 HCPCS/CPT codes, and received $194,328 in Medicare payments. The top billing code was 63048 (Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment). Part D data shows 182 prescription claims across 110 beneficiaries totaling $1,625 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 42 claims. Open Payments data shows 15 records totaling $9,880. 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 fallen sharply in recent years, from $617,708 to $194,328. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $60,947 to $1,625. For DME billing, reported payments 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	766	2,149	$617,708
2016	861	2,396	$676,796
2017	756	2,184	$629,553
2018	705	2,026	$609,104
2019	631	1,719	$538,686
2020	552	1,459	$404,602
2021	649	1,530	$343,663
2022	546	1,278	$303,700
2023	524	1,148	$262,366
2024	399	828	$194,328

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	332	1,053	$60,947
2016	263	832	$39,937
2017	247	529	$22,302
2018	136	226	$4,404
2019	67	101	$1,327
2020	63	128	$1,289
2021	108	169	$1,627
2022	90	127	$1,619
2023	93	147	$1,039
2024	110	182	$1,625

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	108	108	$69,988
2016	116	120	$71,327
2017	232	232	$407,294
2018	208	210	$374,407
2019	174	174	$309,233
2020	129	129	$244,507
2021	87	87	$179,537
2022	76	76	$151,340
2023	98	98	$152,461
2024	42	42	$84,607

* / # = 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
63048	Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment	25	45	$165
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	157	180	$128
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	130	130	$122
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	93	$94
20939	Aspiration of bone marrow for spine bone graft	36	36	$53

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	60	559	$571
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	45	427	$530
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	41	615	$150

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
E0748	Osteogenesis stimulator, electrical, non-invasive, spinal applications	N	19	19	$79,078
L0180	Cervical, multiple post collar, occipital/mandibular supports, adjustable	N	12	12	$4,863
E0143	Walker, folding, wheeled, adjustable or fixed height	N	11	11	$666

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$9,880	Globus Medical, 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 Mark Adams, M.D?

Tedicare shows public-source Medicare data for Mark Adams, M.D (NPI 1427090448), 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 Mark Adams, M.D have ACO affiliation data?

Mark Adams, M.D is shown with ACO affiliation data for POM ACO (MSSP, ACO ID A1297), McLaren High Performance Network, LLC (MSSP, ACO ID A3317), West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626), and Mosaic ACO (MSSP, ACO ID A5033).

What billing organization is linked to Mark Adams, M.D?

Mark Adams, M.D is linked to MICHIGAN SPINE AND BRAIN INSTITUTE PC (billing NPI 1124353727) in the available physician profile data.

Does Mark Adams, M.D have Open Payments data?

Mark Adams, M.D has 15 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.