Physician

Adam M Rubin, M.D.

According to 2025 Medicare claims, Adam Rubin, M.D. (NPI: 1881634020) practices nephrology in the Watertown-Fort Drum, NY market, with the plurality of this provider's patient population coming from Jefferson, NY. This provider's primary affiliated billing organization is NEPHROLOGY ASSOCIATES OF WATERTOWN PC (NPI: 1861432304; TIN: 161352479) and primary practice location at 13601-3211. Rubin is affiliated with the Trinity Health Integrated Care (ACO ID: A3454) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Rubin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 513 traditional Medicare patients, billed 5,852 HCPCS/CPT codes, and received $272,001 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 2,799 prescription claims across 459 beneficiaries totaling $551,911 in drug costs, led by Velphoro (Sucroferric Oxyhydroxide). DME data shows 12 claims. Open Payments data shows 2 records totaling $56. 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 sharply higher in recent years, from $128,158 to $551,911. 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	843	4,150	$256,245
2016	754	3,226	$181,572
2017	875	2,867	$272,859
2018	760	2,436	$263,408
2019	716	2,200	$229,117
2020	393	1,765	$228,220
2021	382	1,861	$210,269
2022	568	5,536	$279,618
2023	521	5,593	$245,725
2024	513	5,852	$272,001

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	275	1,223	$128,158
2016	257	1,203	$113,922
2017	284	1,392	$172,199
2018	270	1,348	$113,404
2019	206	964	$76,365
2020	155	524	$47,183
2021	147	721	$43,060
2022	406	1,847	$323,280
2023	433	2,712	$781,407
2024	459	2,799	$551,911

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	91	$2,565
2018	N/R	30	$210
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	40	$2,166
2023	N/R	41	$533
2024	N/R	12	$93

* / # = 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	289	580	$91
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	329	642	$12
36415	Insertion of needle into vein for collection of blood sample	291	584	$9
80069	Kidney function blood test panel	294	592	$8
83735	Magnesium level	292	581	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Velphoro	Sucroferric Oxyhydroxide	42	1,708	$159,463
Kerendia	Finerenone	49	2,910	$60,022
Procrit	Epoetin Alfa	11	308	$38,325
Veltassa	Patiromer Calcium Sorbitex	29	1,302	$34,303
Jardiance	Empagliflozin	26	1,590	$30,704

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
J7517	Mycophenolate mofetil, oral, 250 mg	N	N/R	12	$93

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$56	Kyowa Kirin, 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 M. Rubin, M.D.?

Tedicare shows public-source Medicare data for Adam M. Rubin, M.D. (NPI 1881634020), 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 M. Rubin, M.D. have ACO affiliation data?

Adam M. Rubin, M.D. is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

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

Adam M. Rubin, M.D. is linked to NEPHROLOGY ASSOCIATES OF WATERTOWN PC (billing NPI 1861432304) in the available physician profile data.

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

Adam M. Rubin, M.D. has 2 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.