Physician

Adefris Adal, M.D.

According to 2025 Medicare claims, Adefris Adal, M.D. (NPI: 1669728622) practices emergency medicine in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Hudson, NJ. This provider's primary affiliated billing organization is RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC (NPI: 1912510041; TIN: 852130594) and primary practice location at 07302-4321. Adal is affiliated with the Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Adal's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 191 traditional Medicare patients, billed 273 HCPCS/CPT codes, and received $26,093 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 98 prescription claims across 68 beneficiaries totaling $1,299 in drug costs, led by Prednisone (Prednisone). 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 started with an early spike, then settled into a lower baseline, moving from $39,239 to $26,093. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $973 to $1,299. 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$41K$82K2015 Medicare payment: $39,239 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $82,474 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $54,294 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $46,609 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $26,722 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $24,277 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $32,163 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $26,414 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $30,178 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $26,093 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015245414$39,239
2016475869$82,474
2017352589$54,294
2018319384$46,609
2019191207$26,722
2020159179$24,277
2021177228$32,163
2022159180$26,414
2023189269$30,178
2024191273$26,093

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$1.1K$2.1K2015 Drug cost: $973 (USD; Tot_Drug_Cst)2016 Drug cost: $2,104 (USD; Tot_Drug_Cst)2017 Drug cost: $1,215 (USD; Tot_Drug_Cst)2018 Drug cost: $1,523 (USD; Tot_Drug_Cst)2019 Drug cost: $602 (USD; Tot_Drug_Cst)2020 Drug cost: $562 (USD; Tot_Drug_Cst)2021 Drug cost: $803 (USD; Tot_Drug_Cst)2022 Drug cost: $534 (USD; Tot_Drug_Cst)2023 Drug cost: $728 (USD; Tot_Drug_Cst)2024 Drug cost: $1,299 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153654$973
201691128$2,104
20176494$1,215
20186091$1,523
20193240$602
20203145$562
20212232$803
20224259$534
20234875$728
20246898$1,299

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99291Critical care, first 30-74 minutes4546$162
99285Emergency department visit with high level of medical decision making96101$126
99284Emergency department visit with moderate level of medical decision making3844$86
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only5455$5

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
PrednisonePrednisone1570$26

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 Adefris Adal, M.D.?

Tedicare shows public-source Medicare data for Adefris Adal, M.D. (NPI 1669728622), 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 Adefris Adal, M.D. have ACO affiliation data?

Adefris Adal, M.D. is shown with ACO affiliation data for Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Adefris Adal, M.D.?

Adefris Adal, M.D. is linked to RWJBH EMERGENCY MEDICINE ASSOCIATES, LLC (billing NPI 1912510041) in the available physician profile data.

Does Adefris Adal, M.D. 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.