Physician

Adam F Sitzmann, MD

According to 2025 Medicare claims, Adam Sitzmann, MD (NPI: 1902366560) practices neurology in the Deltona-Daytona Beach-Ormond Beach, FL market, with the plurality of this provider's patient population coming from Volusia, FL. This provider's primary affiliated billing organization is VIRTUAL NEUROLOGY, LLC (NPI: 1760940167; TIN: 46-2964946) and primary practice location at 84093-2525. Sitzmann is affiliated with the McLeod Healthcare Network, LLC (ACO ID: A3677) and CVS ACO (ACO ID: A5407), participating under the MSSP model.

Sitzmann's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 61 traditional Medicare patients, billed 82 HCPCS/CPT codes, and received $6,050 in Medicare payments. The top billing code was G0408 (Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth). Part D data shows 70 prescription claims totaling $26,591 in drug costs, led by Nurtec Odt (Rimegepant Sulfate). Open Payments data shows 5 records totaling $105. 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, this provider has fewer than 5 years of reported Part D prescription costs data, so a reliable trend cannot be assigned. 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$3.0K$6.0K2024 Medicare payment: $6,050 (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
2022N/RN/RN/R
2023N/RN/RN/R
20246182$6,050

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$13K$27K2021 Drug cost: $6,845 (USD; Tot_Drug_Cst)2022 Drug cost: $2,673 (USD; Tot_Drug_Cst)2023 Drug cost: $13,975 (USD; Tot_Drug_Cst)2024 Drug cost: $26,591 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20212093$6,845
20221856$2,673
2023N/R23$13,975
2024N/R70$26,591

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
G0408Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth3848$79

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Nurtec OdtRimegepant Sulfate17320$18,699
Hydroxyzine HclHydroxyzine Hcl11435$107

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.5$105Lilly USA, LLC
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 F. Sitzmann, MD?

Tedicare shows public-source Medicare data for Adam F. Sitzmann, MD (NPI 1902366560), 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 F. Sitzmann, MD have ACO affiliation data?

Adam F. Sitzmann, MD is shown with ACO affiliation data for McLeod Healthcare Network, LLC (MSSP, ACO ID A3677) and CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Adam F. Sitzmann, MD?

Adam F. Sitzmann, MD is linked to VIRTUAL NEUROLOGY, LLC (billing NPI 1760940167) in the available physician profile data.

Does Adam F. Sitzmann, MD have Open Payments data?

Adam F. Sitzmann, 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.