Physician

Adam Lyons, MD

According to 2025 Medicare claims, Adam Lyons, MD (NPI: 1679950562) practices sports medicine in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Philadelphia, PA. This provider's primary affiliated billing organization is ADVOCARE, LLC (NPI: 1770538696; TIN: 223537011) and primary practice location at 19102-3622. Lyons is affiliated with the Rochester Regional Health ACO, Inc. (ACO ID: A3476) and Aledade 196 Advocare Collaborative Health MSSP (ACO ID: A5364), participating under the MSSP model.

Lyons' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 108 traditional Medicare patients, billed 547 HCPCS/CPT codes, and received $28,579 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 31 prescription claims across 26 beneficiaries totaling $53 in drug costs, led by Prednisone (Prednisone). Open Payments data shows 17 records totaling $339. 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 sharply higher in recent years, from $8,351 to $28,579. In contrast, Part D prescription costs have fallen sharply in recent years, from $1,511 to $53. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	105	223	$8,351
2020	93	189	$7,391
2021	92	163	$10,335
2022	112	354	$16,656
2023	90	401	$18,675
2024	108	547	$28,579

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	30	$1,511
2016	42	245	$10,083
2017	69	450	$13,820
2018	53	363	$13,161
2019	98	262	$12,606
2020	62	110	$3,004
2021	42	71	$4,859
2022	33	40	$390
2023	18	18	$83
2024	26	31	$53

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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$131
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	130	$99
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	33	36	$71
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	25	111	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisone	Prednisone	18	90	$35

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.	17	$339	ABBVIE 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 Lyons, MD?

Tedicare shows public-source Medicare data for Adam Lyons, MD (NPI 1679950562), 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 Lyons, MD have ACO affiliation data?

Adam Lyons, MD is shown with ACO affiliation data for Rochester Regional Health ACO, Inc. (MSSP, ACO ID A3476) and Aledade 196 Advocare Collaborative Health MSSP (MSSP, ACO ID A5364).

What billing organization is linked to Adam Lyons, MD?

Adam Lyons, MD is linked to ADVOCARE, LLC (billing NPI 1770538696) in the available physician profile data.

Does Adam Lyons, MD have Open Payments data?

Adam Lyons, MD has 17 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.