Physician

Adam P Kouns, MD

According to 2025 Medicare claims, Adam Kouns, MD (NPI: 1942509203) practices pulmonary disease in the Cincinnati, OH-KY-IN market, with the plurality of this provider's patient population coming from Hamilton, OH. This provider's primary affiliated billing organization is MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC (NPI: 1154942795; TIN: 850927018) and primary practice location at 45211-1103. Kouns is affiliated with the Mercy Health Select, LLC (ACO ID: A1215), participating under the MSSP model.

Kouns' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 280 traditional Medicare patients, billed 740 HCPCS/CPT codes, and received $58,873 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 1,476 prescription claims across 239 beneficiaries totaling $663,521 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 325 claims. Open Payments data shows 18 records totaling $304. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $5,730 to $663,521. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	33	52	$3,216
2017	58	92	$6,480
2018	140	327	$28,061
2019	416	1,166	$92,494
2020	396	1,107	$101,441
2021	360	1,018	$93,241
2022	314	825	$69,001
2023	305	842	$68,594
2024	280	740	$58,873

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	18	$5,730
2017	N/R	N/R	N/R
2018	15	24	$4,220
2019	117	533	$127,724
2020	143	785	$318,852
2021	186	1,078	$396,584
2022	204	1,290	$538,037
2023	226	1,429	$758,860
2024	239	1,476	$663,521

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	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	107	$2,700
2020	N/R	269	$17,699
2021	54	404	$14,285
2022	14	298	$21,525
2023	50	364	$15,767
2024	46	325	$13,544

* / # = 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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	70	72	$122
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	95	$89
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	82	134	$88
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	67	79	$62
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	61	99	$59

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Trelegy Ellipta	Fluticasone/Umeclidin/Vilanter	263	9,030	$192,196
Ofev	Nintedanib Esylate	12	360	$180,962
Breztri Aerosphere	Budesonide/Glycopyr/Formoterol	112	3,670	$72,976
Breo Ellipta	Fluticasone/Vilanterol	78	3,000	$37,706
Stiolto Respimat	Tiotropium Br/Olodaterol Hcl	49	2,190	$34,202

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	12	66	$4,656
A7031	Face mask interface, replacement for full face mask, each	N	N/R	13	$1,314
E0470	Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)	Y	N/R	15	$1,131
A7030	Full face mask used with positive airway pressure device, each	N	N/R	12	$1,077
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	11	30	$1,026

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	18	$304	INOGEN, 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 P. Kouns, MD?

Tedicare shows public-source Medicare data for Adam P. Kouns, MD (NPI 1942509203), 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 P. Kouns, MD have ACO affiliation data?

Adam P. Kouns, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215).

What billing organization is linked to Adam P. Kouns, MD?

Adam P. Kouns, MD is linked to MERCY HEALTH PHYSICIANS CINCINNATI SPECIALTY CARE LLC (billing NPI 1154942795) in the available physician profile data.

Does Adam P. Kouns, MD have Open Payments data?

Adam P. Kouns, MD has 18 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.