Physician

Adam K Ashton, M.D.

According to 2025 Medicare claims, Adam Ashton, M.D. (NPI: 1609855501) practices psychiatry in the Buffalo-Cheektowaga, NY market, with the plurality of this provider's patient population coming from Erie, NY. This provider's primary affiliated billing organization is SUBURBAN PSYCHIATRIC ASSOCIATES, LLP (NPI: 1851331367; TIN: 161492077) and primary practice location at 14228-3604.

Ashton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 117 traditional Medicare patients, billed 473 HCPCS/CPT codes, and received $17,869 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 6,700 prescription claims across 583 beneficiaries totaling $1,938,534 in drug costs, led by Austedo Xr (Deutetrabenazine). Open Payments data shows 442 records totaling $284,410. 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 changed little. 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	156	535	$25,597
2016	164	514	$24,608
2017	149	536	$21,013
2018	145	526	$18,745
2019	155	540	$21,890
2020	156	612	$23,196
2021	160	545	$31,081
2022	145	420	$23,790
2023	137	363	$21,023
2024	117	473	$17,869

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	438	6,479	$1,562,256
2016	488	6,669	$1,517,656
2017	535	6,955	$1,491,361
2018	618	7,539	$1,589,133
2019	663	7,390	$1,594,273
2020	595	8,358	$1,987,313
2021	643	8,256	$1,896,700
2022	609	7,512	$1,852,581
2023	615	6,975	$1,778,476
2024	583	6,700	$1,938,534

DME Billing Trend

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

No connected DME records

* / # = 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
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	117	256	$57
90833	Psychotherapy with evaluation and management visit, 30 minutes	12	17	$49
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	110	180	$12
96127	Assessment of emotional or behavioral problems	15	16	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Austedo Xr	Deutetrabenazine	55	1,605	$485,380
Ingrezza	Valbenazine Tosylate	38	1,140	$300,977
Wellbutrin Xl	Bupropion Hcl	42	1,804	$274,088
Rexulti	Brexpiprazole	86	3,244	$151,615
Trintellix	Vortioxetine Hydrobromide	168	6,591	$110,481

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.	442	$284,410	Axsome Therapeutics, 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 Adam K. Ashton, M.D.?

Tedicare shows public-source Medicare data for Adam K. Ashton, M.D. (NPI 1609855501), 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 K. Ashton, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Adam K. Ashton, M.D.?

Adam K. Ashton, M.D. is linked to SUBURBAN PSYCHIATRIC ASSOCIATES, LLP (billing NPI 1851331367) in the available physician profile data.

Does Adam K. Ashton, M.D. have Open Payments data?

Adam K. Ashton, M.D. has 442 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.