Physician

Adam Ross Ketner, MD

According to 2025 Medicare claims, Adam Ketner, MD (NPI: 1598150054) practices hospice and palliative care in the Raleigh-Cary, NC market, with the plurality of this provider's patient population coming from Wake, NC. This provider's primary affiliated billing organization is HOSPICE OF WAKE COUNTY, INC. (NPI: 1114034121; TIN: 56-1228779) and primary practice location at 27610-1295. Ketner is affiliated with the CVS ACO (ACO ID: A5407), participating under the MSSP model.

Ketner's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 101 traditional Medicare patients, billed 393 HCPCS/CPT codes, and received $27,674 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). 2021 Part D data shows 24 prescription claims totaling $906 in drug costs. 2017 DME data shows 11 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 moved up and down with repeated peaks and valleys, starting at $11,358 and ending at $27,674. Concurrently, Part D prescription costs have fallen sharply in recent years, from $1,944 to $906. 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.

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$14K$28K2020 Medicare payment: $11,358 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $23,757 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $14,963 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $24,201 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $27,674 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
202067111$11,358
2021136229$23,757
202282138$14,963
2023107309$24,201
2024101393$27,674

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$4.3K$8.6K2015 Drug cost: $1,944 (USD; Tot_Drug_Cst)2016 Drug cost: $4,530 (USD; Tot_Drug_Cst)2017 Drug cost: $8,646 (USD; Tot_Drug_Cst)2018 Drug cost: $4,047 (USD; Tot_Drug_Cst)2019 Drug cost: $6,442 (USD; Tot_Drug_Cst)2020 Drug cost: $4,745 (USD; Tot_Drug_Cst)2021 Drug cost: $906 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/R17$1,944
201625144$4,530
201733234$8,646
201819164$4,047
20191594$6,442
2020N/R64$4,745
2021N/R24$906
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

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$150$3002017 Medicare payment: $300 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R11$300
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2323$129
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5456$97
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2452$82
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes60204$59
99497Advance care planning, first 30 minutes2326$56

Top 5 Part D drugs in 2024

By total drug costs.

No connected Part D drug-level records for 2024.

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

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

FAQ

What Medicare data is available for Adam Ross Ketner, MD?

Tedicare shows public-source Medicare data for Adam Ross Ketner, MD (NPI 1598150054), 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 Ross Ketner, MD have ACO affiliation data?

Adam Ross Ketner, MD is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Adam Ross Ketner, MD?

Adam Ross Ketner, MD is linked to HOSPICE OF WAKE COUNTY, INC. (billing NPI 1114034121) in the available physician profile data.

Does Adam Ross Ketner, 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.