Physician

Adam J Clemens, MD

According to 2025 Medicare claims, Adam Clemens, MD (NPI: 1477798049) practices urology, with the plurality of this provider's patient population coming from Muskingum, OH. This provider's primary affiliated billing organization is GENESIS MEDICAL GROUP LLC (NPI: 1063663433; TIN: 263428410) and primary practice location at 43701-1763. Clemens is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Clemens' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 172 traditional Medicare patients, billed 1,032 HCPCS/CPT codes, and received $97,355 in Medicare payments. The top billing code was 52000 (Diagnostic exam of bladder and urethra using an endoscope). Part D data shows 515 prescription claims across 197 beneficiaries totaling $15,277 in drug costs, led by Tolterodine Tartrate Er (Tolterodine Tartrate). 2023 DME data shows 12 claims. Open Payments data shows 16 records totaling $439. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have fallen sharply in recent years, from $88,504 to $15,277. 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	264	1,287	$100,785
2016	436	2,705	$165,087
2017	532	3,593	$166,173
2018	558	3,514	$183,198
2019	537	1,984	$157,887
2020	592	2,377	$191,937
2021	545	2,322	$215,821
2022	469	1,799	$151,090
2023	341	1,268	$93,615
2024	172	1,032	$97,355

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	330	1,505	$88,504
2016	374	2,013	$103,911
2017	476	2,604	$137,955
2018	515	2,884	$172,229
2019	554	2,145	$98,582
2020	521	2,295	$71,899
2021	453	1,721	$87,990
2022	449	1,545	$65,657
2023	316	1,086	$55,528
2024	197	515	$15,277

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	12	$2,041
2018	N/R	15	$256
2019	N/R	34	$469
2020	N/R	35	$400
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	12	$4,081
2024	N/R	N/R	N/R

* / # = 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
52000	Diagnostic exam of bladder and urethra using an endoscope	59	62	$166
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	115	181	$92
76872	Ultrasound scan of pelvic region through rectum	51	53	$74
51798	Ultrasound measurement of bladder capacity after voiding	37	50	$8
81003	Automated urinalysis test	116	177	$2

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tolterodine Tartrate Er	Tolterodine Tartrate	12	445	$1,461
Tamsulosin Hcl	Tamsulosin Hcl	134	6,355	$1,358
Trimethoprim	Trimethoprim	16	495	$746
Finasteride	Finasteride	79	3,164	$584
Oxybutynin Chloride	Oxybutynin Chloride	48	469	$280

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.	16	$439	Laborie Medical Technologies Corp.
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 J. Clemens, MD?

Tedicare shows public-source Medicare data for Adam J. Clemens, MD (NPI 1477798049), 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. Clemens, MD have ACO affiliation data?

Adam J. Clemens, MD is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

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

Adam J. Clemens, MD is linked to GENESIS MEDICAL GROUP LLC (billing NPI 1063663433) in the available physician profile data.

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

Adam J. Clemens, MD has 16 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.