Physician

Adam J Polifka, MD

According to 2025 Medicare claims, Adam Polifka, MD (NPI: 1427251230) practices neurosurgery in the Jacksonville, FL market, with the plurality of this provider's patient population coming from Duval, FL. This provider's primary affiliated billing organization is LYERLY BAPTIST INC (NPI: 1851347801; TIN: 030571183) and primary practice location at 32207-8202. Polifka is affiliated with the UF HEALTH ACO GAINESVILLE, LLC (ACO ID: A5468), participating under the MSSP model.

Polifka's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 307 traditional Medicare patients, billed 849 HCPCS/CPT codes, and received $300,039 in Medicare payments. The top billing code was 22558 (Fusion of lower spine bone through abdomen with partial removal of disc). Part D data shows 12 prescription claims totaling $1,498 in drug costs. DME data shows 59 claims. Open Payments data shows 37 records totaling $14,442. 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 up and down with repeated peaks and valleys, starting at $98,221 and ending at $300,039. Concurrently, Part D prescription costs have fallen sharply in recent years, from $752 to $1,498. For DME billing, reported payments rose steadily, from $33,867 to $149,847.

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$150K$300K2015 Medicare payment: $98,221 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $185,735 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $205,763 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $254,407 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $228,611 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $273,102 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $267,433 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $238,105 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $175,648 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $300,039 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015112328$98,221
2016205628$185,735
2017216757$205,763
2018289860$254,407
2019243843$228,611
2020246909$273,102
2021263923$267,433
2022249777$238,105
2023198620$175,648
2024307849$300,039

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$1.8K$3.5K2015 Drug cost: $752 (USD; Tot_Drug_Cst)2016 Drug cost: $2,687 (USD; Tot_Drug_Cst)2017 Drug cost: $3,059 (USD; Tot_Drug_Cst)2018 Drug cost: $3,505 (USD; Tot_Drug_Cst)2019 Drug cost: $739 (USD; Tot_Drug_Cst)2020 Drug cost: $237 (USD; Tot_Drug_Cst)2021 Drug cost: $117 (USD; Tot_Drug_Cst)2024 Drug cost: $1,498 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R12$752
20161732$2,687
20171636$3,059
20182761$3,505
20194181$739
20201625$237
2021N/R12$117
2022N/RN/RN/R
2023N/RN/RN/R
2024N/R12$1,498

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$84K$169K2018 Medicare payment: $37,764 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $56,170 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $43,030 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $39,856 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $63,822 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $48,678 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $168,786 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20181111$37,764
20191616$56,170
20201212$43,030
20211111$39,856
20221717$63,822
20231212$48,678
20245859$168,786

* / # = 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
22558Fusion of lower spine bone through abdomen with partial removal of disc2932$683
22614Fusion of additional segment of spine3184$325
22853Insertion of cage or mesh device to spine bone and disc space during spine fusion4875$206
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more185185$117
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more7583$90

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0748Osteogenesis stimulator, electrical, non-invasive, spinal applicationsN3536$149,754
L0464Tlso, triplanar control, modular segmented spinal system, four rigid plastic shells, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to the sternal notch, soft liner, restricts gross trunk motion in sagittal, coronal, and transverse planes, lateral strength is provided by overlapping plastic and stabilizing closures, includes straps and closures, prefabricated, includes fitting and adjustmentN1111$15,165
L0180Cervical, multiple post collar, occipital/mandibular supports, adjustableN1212$3,867

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.37$14,442Medical Device Business Services, 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 J. Polifka, MD?

Tedicare shows public-source Medicare data for Adam J. Polifka, MD (NPI 1427251230), 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. Polifka, MD have ACO affiliation data?

Adam J. Polifka, MD is shown with ACO affiliation data for UF HEALTH ACO GAINESVILLE, LLC (MSSP, ACO ID A5468).

What billing organization is linked to Adam J. Polifka, MD?

Adam J. Polifka, MD is linked to LYERLY BAPTIST INC (billing NPI 1851347801) in the available physician profile data.

Does Adam J. Polifka, MD have Open Payments data?

Adam J. Polifka, MD has 37 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.