Physician

Adam Luginbuhl, M.D.

According to 2025 Medicare claims, Adam Luginbuhl, M.D. (NPI: 1811106008) practices otolaryngology 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 JEFFERSON UNIVERSITY PHYSICIANS (NPI: 1326093675; TIN: 232809585) and primary practice location at 19107-4824. Luginbuhl is affiliated with the Delaware Valley ACO (ACO ID: A2024), participating under the MSSP model.

Luginbuhl's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 334 traditional Medicare patients, billed 1,011 HCPCS/CPT codes, and received $168,697 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 156 prescription claims across 80 beneficiaries totaling $6,396 in drug costs, led by Methylprednisolone (Methylprednisolone). DME data shows 132 claims. Open Payments data shows 14 records totaling $385,017. 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 $270,289 to $168,697. Similarly, Part D prescription costs have declined steadily, from $11,415 to $6,396. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $5,875 and ending at $1,850.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	331	1,293	$270,289
2016	345	1,173	$264,508
2017	294	1,085	$199,853
2018	293	1,075	$185,329
2019	318	1,124	$182,876
2020	266	923	$167,293
2021	297	1,018	$212,198
2022	344	1,106	$199,274
2023	315	936	$193,891
2024	334	1,011	$168,697

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	147	321	$11,415
2016	114	343	$13,780
2017	107	300	$6,433
2018	113	301	$8,404
2019	112	250	$12,742
2020	97	233	$9,093
2021	109	224	$8,246
2022	103	215	$7,401
2023	82	199	$8,077
2024	80	156	$6,396

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	58	$4,597
2016	12	110	$10,078
2017	12	101	$15,613
2018	28	84	$14,859
2019	N/R	83	$12,439
2020	N/R	78	$15,043
2021	11	175	$23,280
2022	27	333	$43,715
2023	40	163	$34,478
2024	24	132	$31,024

* / # = 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	33	33	$103
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	119	147	$77
99203	New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$59
31575	Diagnostic exam of voice box using a flexible endoscope	109	151	$52
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	172	213	$50

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylprednisolone	Methylprednisolone	16	55	$77

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
A7507	Filter holder and integrated filter without adhesive, for use in a tracheostoma heat and moisture exchange system, each	N	12	35	$13,680
A7508	Housing and integrated adhesive, for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve, each	N	12	30	$13,308
B4152	Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	12	$1,499
A5120	Skin barrier, wipes or swabs, each	N	N/R	22	$1,190
A7520	Tracheostomy/laryngectomy tube, non-cuffed, polyvinylchloride (pvc), silicone or equal, each	N	N/R	15	$739

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$446	Galvanize Therapeutics, Inc
Research Payments	Reported research-related payment or transfer-of-value amount.	8	$384,571	Merck Sharp & Dohme LLC
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 Luginbuhl, M.D.?

Tedicare shows public-source Medicare data for Adam Luginbuhl, M.D. (NPI 1811106008), 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 Luginbuhl, M.D. have ACO affiliation data?

Adam Luginbuhl, M.D. is shown with ACO affiliation data for Delaware Valley ACO (MSSP, ACO ID A2024).

What billing organization is linked to Adam Luginbuhl, M.D.?

Adam Luginbuhl, M.D. is linked to JEFFERSON UNIVERSITY PHYSICIANS (billing NPI 1326093675) in the available physician profile data.

Does Adam Luginbuhl, M.D. have Open Payments data?

Adam Luginbuhl, M.D. has 14 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.