Physician

Aditi Mathur, M.D.

According to 2025 Medicare claims, Aditi Mathur, M.D. (NPI: 1629255708) practices pulmonary disease in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Bergen, NJ. This provider's primary affiliated billing organization is HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC (NPI: 1215989249; TIN: 223376459) and primary practice location at 07601-1997. Mathur is affiliated with the Summit Health ACO (ACO ID: A5049), participating under the MSSP model.

Mathur's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 351 traditional Medicare patients, billed 848 HCPCS/CPT codes, and received $65,268 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 1,025 prescription claims across 255 beneficiaries totaling $958,657 in drug costs, led by Ofev (Nintedanib Esylate). DME data shows 524 claims. Open Payments data shows 15 records totaling $703. 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 $49,363 and ending at $65,268. Concurrently, Part D prescription costs have risen steadily, from $49,809 to $958,657. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $3,963 and ending at $23,961.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	137	381	$49,363
2016	228	709	$82,010
2017	154	460	$36,347
2018	210	695	$48,365
2019	180	610	$31,115
2020	175	490	$29,729
2021	196	448	$36,746
2022	252	1,015	$85,942
2023	338	1,270	$101,542
2024	351	848	$65,268

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	41	99	$49,809
2016	102	574	$175,829
2017	98	515	$178,683
2018	107	700	$452,521
2019	136	889	$918,949
2020	126	806	$1,022,193
2021	159	661	$904,583
2022	191	847	$603,374
2023	249	1,112	$594,115
2024	255	1,025	$958,657

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	164	$5,807
2017	14	115	$4,318
2018	14	217	$23,776
2019	14	312	$28,055
2020	11	212	$18,852
2021	N/R	167	$7,450
2022	60	358	$13,741
2023	108	480	$17,923
2024	86	524	$19,321

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$137
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	193	279	$105
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	66	72	$75
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	138	$66
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	73	117	$14

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ofev	Nintedanib Esylate	45	1,410	$636,584
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	178	7,230	$152,782
Breo Ellipta	Fluticasone/Vilanterol	85	2,910	$37,325
Anoro Ellipta	Umeclidinium Brm/Vilanterol Tr	42	1,590	$25,143
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	21	960	$18,992

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	12	94	$6,244
E1392	Portable oxygen concentrator, rental	Y	N/R	92	$3,116
A7030	Full face mask used with positive airway pressure device, each	N	13	30	$2,304
E0601	Continuous positive airway pressure (cpap) device	Y	13	83	$2,153
A7031	Face mask interface, replacement for full face mask, each	N	12	40	$1,647

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	15	$703	GENZYME CORPORATION
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 Aditi Mathur, M.D.?

Tedicare shows public-source Medicare data for Aditi Mathur, M.D. (NPI 1629255708), 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 Aditi Mathur, M.D. have ACO affiliation data?

Aditi Mathur, M.D. is shown with ACO affiliation data for Summit Health ACO (MSSP, ACO ID A5049).

What billing organization is linked to Aditi Mathur, M.D.?

Aditi Mathur, M.D. is linked to HACKENSACK MERIDIAN HEALTH MEDICAL GROUP - SPECIALTY CARE PC (billing NPI 1215989249) in the available physician profile data.

Does Aditi Mathur, M.D. have Open Payments data?

Aditi Mathur, M.D. has 15 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.