Physician

Michael James Adler, MD

According to 2025 Medicare claims, Michael Adler, MD (NPI: 1851314124) practices orthopedic surgery in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is ORTHOPEDIC INSTITUTE PC (NPI: 1245263326; TIN: 460316404) and primary practice location at 57105-1012. Adler is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), Caravan Health ACO 43 LLC (ACO ID: A4974), Caravan Health ACO 50 LLC (ACO ID: A5160), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Adler's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 864 traditional Medicare patients, billed 3,752 HCPCS/CPT codes, and received $447,908 in Medicare payments. The top billing code was 27447 (Replacement of knee joint, both sides of knee). Part D data shows 1,282 prescription claims across 605 beneficiaries totaling $1,498 in drug costs, led by Amoxicillin (Amoxicillin). DME data shows 13 claims. Open Payments data shows 5 records totaling $1,873. 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 changed little. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $3,510 to $1,498. For DME billing, reported payments moved from a higher plateau to a lower plateau, from $9,100 to $6,132.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	617	5,004	$320,367
2016	649	4,190	$334,995
2017	699	4,261	$408,498
2018	708	4,276	$428,031
2019	673	4,046	$364,617
2020	640	3,706	$314,531
2021	730	4,739	$386,902
2022	895	3,717	$473,046
2023	840	3,275	$433,924
2024	864	3,752	$447,908

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	143	278	$3,510
2016	153	299	$3,252
2017	207	389	$3,489
2018	261	487	$3,735
2019	291	566	$5,610
2020	291	570	$2,269
2021	302	584	$2,422
2022	410	771	$1,678
2023	483	1,006	$2,080
2024	605	1,282	$1,498

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	34	34	$2,864
2016	42	42	$2,263
2017	50	62	$2,607
2018	79	79	$3,609
2019	57	77	$3,039
2020	40	40	$2,372
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	13	13	$6,087

* / # = 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
27447	Replacement of knee joint, both sides of knee	211	224	$937
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	431	485	$57
73502	X-ray of hip, 2-3 views	233	349	$31
73564	X-ray of knee, 4 or more views	279	353	$29
73562	X-ray of knee, 3 views	290	351	$25

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Amoxicillin	Amoxicillin	891	1,414	$678
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	21	131	$224
Meloxicam	Meloxicam	135	4,305	$214
Clindamycin Hcl	Clindamycin Hcl	185	204	$178
Cephalexin	Cephalexin	21	49	$44

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
E0935	Continuous passive motion exercise device for use on knee only	Y	13	13	$6,087

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	5	$1,873	Zimmer Biomet Holdings, 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 Michael James Adler, MD?

Tedicare shows public-source Medicare data for Michael James Adler, MD (NPI 1851314124), 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 Michael James Adler, MD have ACO affiliation data?

Michael James Adler, MD is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Avera Prairie View ACO (MSSP, ACO ID A4692), Caravan Health ACO 43 LLC (MSSP, ACO ID A4974), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Michael James Adler, MD?

Michael James Adler, MD is linked to ORTHOPEDIC INSTITUTE PC (billing NPI 1245263326) in the available physician profile data.

Does Michael James Adler, MD have Open Payments data?

Michael James Adler, MD has 5 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.