Physician

James L Amato, MD

According to 2025 Medicare claims, James Amato, MD (NPI: 1689627267) practices cardiac surgery in the Newark, NJ market, with the plurality of this provider's patient population coming from Essex, NJ. This provider's primary affiliated billing organization is WEST HUDSON PULMONARY ASSOCIATES CORPC (NPI: 1609002823; TIN: 270186112) and primary practice location at 07017-2836. Amato is affiliated with the Aledade 25 NJ MSSP Enhanced (ACO ID: A3891), participating under the MSSP model.

Amato's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 75 traditional Medicare patients, billed 1,132 HCPCS/CPT codes, and received $66,380 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,639 prescription claims across 366 beneficiaries totaling $329,010 in drug costs, led by Januvia (Sitagliptin Phosphate). DME data shows 49 claims. Open Payments data shows 21 records totaling $520. 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 declined steadily, from $116,064 to $66,380. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $3,737 to $1,198.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	474	1,828	$116,064
2016	1,074	2,247	$92,498
2017	956	2,002	$70,100
2018	741	1,670	$66,695
2019	640	1,392	$57,679
2020	517	1,271	$48,853
2021	311	738	$44,808
2022	501	1,050	$55,672
2023	235	822	$50,430
2024	75	1,132	$66,380

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	487	7,123	$375,249
2016	497	7,485	$373,848
2017	513	6,978	$431,192
2018	503	5,893	$385,566
2019	486	5,689	$391,563
2020	432	5,324	$373,119
2021	405	4,280	$261,709
2022	382	4,171	$309,198
2023	385	3,849	$378,342
2024	366	3,639	$329,010

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	116	269	$4,074
2016	82	223	$2,202
2017	53	107	$914
2018	38	80	$619
2019	29	60	$458
2020	12	54	$355
2021	N/R	58	$2,107
2022	N/R	32	$192
2023	N/R	54	$2,182
2024	N/R	49	$2,302

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	206	$102
96116	Exam of neurobehavioral status, first hour	58	58	$73
99497	Advance care planning, first 30 minutes	45	47	$68
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	43	82	$14
96160	Administration and interpretation of patient-focused health risk assessment	43	43	$3

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Januvia	Sitagliptin Phosphate	47	3,090	$55,996
Eliquis	Apixaban	59	2,596	$49,525
Jardiance	Empagliflozin	27	1,590	$30,320
Entresto	Sacubitril/Valsartan	17	1,048	$23,243
Xarelto	Rivaroxaban	14	1,260	$23,084

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
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	11	$1,960
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	16	$214
A4332	Lubricant, individual sterile packet, each	N	N/R	11	$118
A4259	Lancets, per box of 100	N	N/R	11	$10

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	21	$520	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 James L. Amato, MD?

Tedicare shows public-source Medicare data for James L. Amato, MD (NPI 1689627267), 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 James L. Amato, MD have ACO affiliation data?

James L. Amato, MD is shown with ACO affiliation data for Aledade 25 NJ MSSP Enhanced (MSSP, ACO ID A3891).

What billing organization is linked to James L. Amato, MD?

James L. Amato, MD is linked to WEST HUDSON PULMONARY ASSOCIATES CORPC (billing NPI 1609002823) in the available physician profile data.

Does James L. Amato, MD have Open Payments data?

James L. Amato, MD has 21 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.