Physician

Adam Pihokken, MD

According to 2025 Medicare claims, Adam Pihokken, MD (NPI: 1891158697) practices general surgery in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from New York, NY. This provider's primary affiliated billing organization is NORTH SHORE-LIJ MEDICAL PC (NPI: 1053688572; TIN: 113506359) and primary practice location at 10075-1850. Pihokken is affiliated with the Northwell Health ACO (ACO ID: A3030), participating under the MSSP model.

Pihokken's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 99 traditional Medicare patients, billed 257 HCPCS/CPT codes, and received $57,533 in Medicare payments. The top billing code was 46600 (Diagnostic exam of anus using an endoscope). Part D data shows 70 prescription claims across 28 beneficiaries totaling $20,147 in drug costs, led by Metronidazole (Metronidazole). Open Payments data shows 1 records totaling $140. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $185 to $20,147. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$29K$58K2022 Medicare payment: $20,770 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $39,295 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $57,533 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20223999$20,770
202374169$39,295
202499257$57,533

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$10K$20K2016 Drug cost: $185 (USD; Tot_Drug_Cst)2017 Drug cost: $2,061 (USD; Tot_Drug_Cst)2021 Drug cost: $149 (USD; Tot_Drug_Cst)2022 Drug cost: $629 (USD; Tot_Drug_Cst)2023 Drug cost: $156 (USD; Tot_Drug_Cst)2024 Drug cost: $20,147 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161621$185
20172329$2,061
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R12$149
20221416$629
20231317$156
20242870$20,147

DME Billing Trend

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

No connected DME records

No connected DME records

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
46600Diagnostic exam of anus using an endoscope2836$103
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more3333$99
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes2021$75
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2230$70
99212Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more1922$47

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
MetronidazoleMetronidazole1213$33

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$140Kerecis Limited
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Adam Pihokken, MD?

Tedicare shows public-source Medicare data for Adam Pihokken, MD (NPI 1891158697), 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 Pihokken, MD have ACO affiliation data?

Adam Pihokken, MD is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030).

What billing organization is linked to Adam Pihokken, MD?

Adam Pihokken, MD is linked to NORTH SHORE-LIJ MEDICAL PC (billing NPI 1053688572) in the available physician profile data.

Does Adam Pihokken, MD have Open Payments data?

Adam Pihokken, MD has 1 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.