Physician

Adam Leroy, M.D.

According to 2025 Medicare claims, Adam Leroy, M.D. (NPI: 1922021542) practices family practice in the North Port-Bradenton-Sarasota, FL market, with the plurality of this provider's patient population coming from Manatee, FL. This provider's primary affiliated billing organization is ALDRICH CARDIOVASCULAR INSTITUTE (NPI: 1184614851; TIN: 20-1729166) and primary practice location at 34202-5177. Leroy is affiliated with the PBACO Holding, LLC (ACO ID: A1001), participating under the MSSP model.

Leroy's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 516 traditional Medicare patients, billed 3,076 HCPCS/CPT codes, and received $148,707 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 16,584 prescription claims across 1,223 beneficiaries totaling $1,938,437 in drug costs, led by Ozempic (Semaglutide). DME data shows 100 claims. Open Payments data shows 99 records totaling $1,835. 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 moved from a lower plateau to a higher plateau, from $56,818 to $148,707. Similarly, Part D prescription costs have moved sharply higher in recent years, from $11,948 to $1,938,437. 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$84K$168K2015 Medicare payment: $56,818 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $56,737 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $47,591 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $89,927 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $115,020 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $108,485 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $156,872 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $154,027 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $167,932 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $148,707 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015338500$56,818
2016352520$56,737
2017312473$47,591
20186891,067$89,927
20199031,367$115,020
20208621,278$108,485
20214882,013$156,872
20225072,009$154,027
20235123,367$167,932
20245163,076$148,707

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$969K$1.9M2015 Drug cost: $11,948 (USD; Tot_Drug_Cst)2016 Drug cost: $8,874 (USD; Tot_Drug_Cst)2017 Drug cost: $8,083 (USD; Tot_Drug_Cst)2018 Drug cost: $7,027 (USD; Tot_Drug_Cst)2019 Drug cost: $6,819 (USD; Tot_Drug_Cst)2020 Drug cost: $10,713 (USD; Tot_Drug_Cst)2021 Drug cost: $911,732 (USD; Tot_Drug_Cst)2022 Drug cost: $1,348,639 (USD; Tot_Drug_Cst)2023 Drug cost: $1,637,661 (USD; Tot_Drug_Cst)2024 Drug cost: $1,938,437 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015349624$11,948
2016353707$8,874
2017262450$8,083
2018250367$7,027
2019370562$6,819
2020447687$10,713
202189210,308$911,732
202297013,151$1,348,639
20231,11714,783$1,637,661
20241,22316,584$1,938,437

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$7.3K$15K2021 Medicare payment: $517 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $455 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $5,246 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $14,532 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
20211635$517
20221446$455
202315105$5,246
202411100$14,532

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit307307$126
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more340582$80
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more192284$61
G2211Visit 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's325563$12
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report6574$10

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide21811,750$368,470
EliquisApixaban26716,763$313,796
JardianceEmpagliflozin1358,454$162,291
XareltoRivaroxaban625,134$93,742
GlyxambiEmpagliflozin/Linagliptin634,430$85,176

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4239Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of serviceNN/R18$10,256
B4152Enteral 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 unitNN/R12$1,041
B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitNN/R12$1,008
B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeNN/R11$897
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R13$817

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.99$1,835AstraZeneca Pharmaceuticals LP
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 Leroy, M.D.?

Tedicare shows public-source Medicare data for Adam Leroy, M.D. (NPI 1922021542), 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 Leroy, M.D. have ACO affiliation data?

Adam Leroy, M.D. is shown with ACO affiliation data for PBACO Holding, LLC (MSSP, ACO ID A1001).

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

Adam Leroy, M.D. is linked to ALDRICH CARDIOVASCULAR INSTITUTE (billing NPI 1184614851) in the available physician profile data.

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

Adam Leroy, M.D. has 99 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.