Physician

Adam R. Metwalli, MD

According to 2025 Medicare claims, Adam Metwalli, MD (NPI: 1952499253) practices urology in the Philadelphia, PA market, with the plurality of this provider's patient population coming from Philadelphia, PA. This provider's primary affiliated billing organization is JEFFERSON UNIVERSITY PHYSICIANS (NPI: 1326093675; TIN: 232809585) and primary practice location at 19107-3619. Metwalli is affiliated with the Delaware Valley ACO (ACO ID: A2024) and Einstein Care Partners, LLC (ACO ID: A3671), participating under the MSSP model.

Metwalli's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 279 traditional Medicare patients, billed 587 HCPCS/CPT codes, and received $53,711 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 961 prescription claims across 256 beneficiaries totaling $42,266 in drug costs, led by Gemtesa (Vibegron). Open Payments data shows 55 records totaling $6,047. 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 up and down with repeated peaks and valleys, starting at $36,616 and ending at $53,711. Concurrently, Part D prescription costs have fallen sharply in recent years, from $14,043 to $42,266. 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$34K$68K2018 Medicare payment: $36,616 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $68,413 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $54,791 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $47,764 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $18,776 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $30,224 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $53,711 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018161551$36,616
2019168873$68,413
2020142692$54,791
2021149529$47,764
202288221$18,776
2023132267$30,224
2024279587$53,711

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$218K$437K2018 Drug cost: $14,043 (USD; Tot_Drug_Cst)2019 Drug cost: $220,848 (USD; Tot_Drug_Cst)2020 Drug cost: $436,887 (USD; Tot_Drug_Cst)2021 Drug cost: $247,394 (USD; Tot_Drug_Cst)2022 Drug cost: $89,686 (USD; Tot_Drug_Cst)2023 Drug cost: $25,686 (USD; Tot_Drug_Cst)2024 Drug cost: $42,266 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201863130$14,043
2019153547$220,848
2020155673$436,887
2021148584$247,394
2022109453$89,686
2023111241$25,686
2024256961$42,266

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more4646$99
55700Biopsy of prostate gland1919$99
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more134163$78
99203New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more2828$59
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more95117$55

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GemtesaVibegron181,200$18,766
FinasterideFinasteride39730,163$5,510
Tamsulosin HclTamsulosin Hcl23016,950$3,345
Oxybutynin Chloride ErOxybutynin Chloride946,995$2,544
Alfuzosin Hcl ErAlfuzosin Hcl181,620$467

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.55$6,047INTUITIVE SURGICAL, INC.
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 R. Metwalli, MD?

Tedicare shows public-source Medicare data for Adam R. Metwalli, MD (NPI 1952499253), 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 R. Metwalli, MD have ACO affiliation data?

Adam R. Metwalli, MD is shown with ACO affiliation data for Delaware Valley ACO (MSSP, ACO ID A2024) and Einstein Care Partners, LLC (MSSP, ACO ID A3671).

What billing organization is linked to Adam R. Metwalli, MD?

Adam R. Metwalli, MD is linked to JEFFERSON UNIVERSITY PHYSICIANS (billing NPI 1326093675) in the available physician profile data.

Does Adam R. Metwalli, MD have Open Payments data?

Adam R. Metwalli, MD has 55 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.