Physician

Adam Lester Esham, MD

According to 2025 Medicare claims, Adam Esham, MD (NPI: 1801090469) practices urology, with the plurality of this provider's patient population coming from Ross, OH. This provider's primary affiliated billing organization is ADENA MEDICAL GROUP LLC (NPI: 1235468083; TIN: 314379443) and primary practice location at 45601-9031. Esham is affiliated with the CVS ACO (ACO ID: A5407), participating under the MSSP model.

Esham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 434 traditional Medicare patients, billed 1,017 HCPCS/CPT codes, and received $72,384 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 1,090 prescription claims across 414 beneficiaries totaling $36,749 in drug costs, led by Myrbetriq (Mirabegron). DME data shows 32 claims. Open Payments data shows 4 records totaling $104. 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 $103,410 to $72,384. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $2,384 to $0.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	567	1,510	$103,410
2016	627	1,794	$118,128
2017	676	1,776	$113,143
2018	660	1,772	$113,326
2019	627	1,735	$118,389
2020	523	1,277	$85,856
2021	580	1,773	$108,901
2022	561	1,776	$99,188
2023	498	1,315	$76,967
2024	434	1,017	$72,384

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	332	1,437	$73,447
2016	333	1,549	$75,220
2017	379	1,791	$103,362
2018	377	1,809	$102,667
2019	400	1,773	$129,597
2020	369	1,596	$118,427
2021	406	1,530	$107,730
2022	396	1,392	$98,457
2023	374	1,198	$68,580
2024	414	1,090	$36,749

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	104	$8,288
2016	N/R	109	$24,347
2017	N/R	76	$20,915
2018	N/R	57	$23,044
2019	N/R	43	$25,319
2020	N/R	50	$25,244
2021	N/R	80	$29,028
2022	N/R	25	$21,298
2023	N/R	27	$23,774
2024	N/R	32	$29,541

* / # = 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	194	236	$65
52000	Diagnostic exam of bladder and urethra using an endoscope	71	91	$54
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	50	50	$52
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	141	178	$45
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	77	82	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Myrbetriq	Mirabegron	22	1,140	$17,130
Tamsulosin Hcl	Tamsulosin Hcl	331	24,591	$5,074
Estradiol	Estradiol	64	3,855	$3,152
Testosterone Cypionate	Testosterone Cypionate	78	2,496	$2,143
Potassium Citrate Er	Potassium Citrate	15	1,230	$1,426

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	N/R	17	$27,522
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	15	$2,019

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	4	$104	Ethicon US, LLC
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 Lester Esham, MD?

Tedicare shows public-source Medicare data for Adam Lester Esham, MD (NPI 1801090469), 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 Lester Esham, MD have ACO affiliation data?

Adam Lester Esham, MD is shown with ACO affiliation data for CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Adam Lester Esham, MD?

Adam Lester Esham, MD is linked to ADENA MEDICAL GROUP LLC (billing NPI 1235468083) in the available physician profile data.

Does Adam Lester Esham, MD have Open Payments data?

Adam Lester Esham, MD has 4 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.