Physician

Adam D. Houghton, MD

According to 2025 Medicare claims, Adam Houghton, MD (NPI: 1568783439) practices family practice in the Bloomington, IL market, with the plurality of this provider's patient population coming from Mc Lean, IL. This provider's primary affiliated billing organization is BLOOMINGTON PRIMARY CARE, LTD. (NPI: 1689991929; TIN: 271891697) and primary practice location at 61704-7733. Houghton is affiliated with the IRCCO (ACO ID: A2619) and Esse Health ACO, LLC (ACO ID: D0140), participating under both the MSSP and REACH models.

Houghton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 269 traditional Medicare patients, billed 2,002 HCPCS/CPT codes, and received $119,815 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,226 prescription claims across 404 beneficiaries totaling $434,705 in drug costs, led by Jardiance (Empagliflozin). DME data shows 183 claims. No Open Payments records. 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 $47,765 to $119,815. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $128,625 to $434,705. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,256 and ending at $12,232.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	194	965	$47,765
2016	202	1,416	$62,049
2017	244	1,706	$78,868
2018	291	2,161	$94,386
2019	286	1,925	$95,759
2020	347	1,876	$89,828
2021	324	1,929	$102,614
2022	298	1,718	$103,188
2023	258	1,500	$104,515
2024	269	2,002	$119,815

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	194	1,862	$128,625
2016	225	2,765	$180,314
2017	263	3,553	$262,499
2018	343	4,896	$398,538
2019	360	5,322	$415,503
2020	393	5,341	$368,145
2021	370	4,689	$415,481
2022	398	4,720	$436,881
2023	384	4,861	$474,271
2024	404	5,226	$434,705

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	14	$318
2016	N/R	65	$1,634
2017	12	37	$1,235
2018	23	159	$4,375
2019	19	142	$4,209
2020	23	235	$7,776
2021	N/R	133	$7,735
2022	35	230	$14,569
2023	N/R	203	$14,190
2024	N/R	183	$14,173

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	173	173	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	326	$86
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	217	267	$60
G0136	Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	168	168	$12
G2211	Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	109	161	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Jardiance	Empagliflozin	58	3,887	$70,176
Eliquis	Apixaban	50	2,999	$58,468
Ozempic	Semaglutide	40	1,290	$40,591
Mounjaro	Tirzepatide	21	588	$22,387
Januvia	Sitagliptin Phosphate	11	840	$15,502

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	14	$6,998
A4385	Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each	N	N/R	18	$3,051
A5121	Skin barrier; solid, 6 x 6 or equivalent, each	N	N/R	11	$957
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	23	$741
A7030	Full face mask used with positive airway pressure device, each	N	N/R	11	$657

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Adam D. Houghton, MD?

Tedicare shows public-source Medicare data for Adam D. Houghton, MD (NPI 1568783439), 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 D. Houghton, MD have ACO affiliation data?

Adam D. Houghton, MD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and Esse Health ACO, LLC (REACH, ACO ID D0140).

What billing organization is linked to Adam D. Houghton, MD?

Adam D. Houghton, MD is linked to BLOOMINGTON PRIMARY CARE, LTD. (billing NPI 1689991929) in the available physician profile data.

Does Adam D. Houghton, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.