Physician

Adam Benjamin Althaus, M.D.

According to 2025 Medicare claims, Adam Althaus, M.D. (NPI: 1952660011) practices urology in the Sioux City, IA-NE-SD market, with the plurality of this provider's patient population coming from Woodbury, IA. This provider's primary affiliated billing organization is SIOUXLAND UROLOGY ASSOCIATES PC (NPI: 1366462814; TIN: 420982360) and primary practice location at 57049-5327. Althaus is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Main Street Rural Health Hawthorn ACO LLC (ACO ID: A5438), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Althaus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 497 traditional Medicare patients, billed 12,396 HCPCS/CPT codes, and received $184,521 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,109 prescription claims across 428 beneficiaries totaling $1,341,733 in drug costs, led by Xtandi (Enzalutamide). DME data shows 123 claims. Open Payments data shows 7 records totaling $203. 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 risen steadily, from $4,961 to $184,521. Similarly, Part D prescription costs have moved sharply higher in recent years, from $555 to $1,341,733. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $122 and ending at $1,059.

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	N/R	N/R	N/R
2017	39	77	$4,961
2018	57	408	$9,686
2019	673	10,589	$178,822
2020	720	13,197	$219,676
2021	731	9,196	$205,648
2022	668	13,333	$207,779
2023	607	11,928	$209,548
2024	497	12,396	$184,521

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	48	60	$555
2016	40	63	$2,020
2017	36	78	$1,652
2018	21	42	$3,255
2019	248	734	$115,932
2020	310	1,416	$365,671
2021	374	1,698	$632,308
2022	378	1,667	$566,563
2023	411	1,995	$1,545,369
2024	428	2,109	$1,341,733

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	11	60	$9,677
2020	N/R	163	$48,586
2021	11	178	$46,762
2022	11	158	$54,087
2023	14	128	$53,833
2024	12	123	$44,428

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	279	379	$80
84153	Psa (prostate specific antigen) measurement, total	164	239	$18
G2211	Visit 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's	203	264	$12
36415	Insertion of needle into vein for collection of blood sample	164	245	$8
51798	Ultrasound measurement of bladder capacity after voiding	243	349	$8

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xtandi	Enzalutamide	78	2,340	$1,017,555
Myrbetriq	Mirabegron	290	8,200	$124,860
Orgovyx	Relugolix	22	660	$54,693
Gemtesa	Vibegron	21	660	$10,514
Tamsulosin Hcl	Tamsulosin Hcl	563	24,025	$5,026

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
A4352	Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each	N	12	63	$42,154
A4351	Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	14	$1,033
E0745	Neuromuscular stimulator, electronic shock unit	Y	N/R	17	$989
A4338	Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each	N	N/R	15	$157
A4358	Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each	N	N/R	14	$95

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$203	Axonics, 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 Benjamin Althaus, M.D.?

Tedicare shows public-source Medicare data for Adam Benjamin Althaus, M.D. (NPI 1952660011), 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 Benjamin Althaus, M.D. have ACO affiliation data?

Adam Benjamin Althaus, M.D. is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Main Street Rural Health Hawthorn ACO LLC (MSSP, ACO ID A5438), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

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

Adam Benjamin Althaus, M.D. is linked to SIOUXLAND UROLOGY ASSOCIATES PC (billing NPI 1366462814) in the available physician profile data.

Does Adam Benjamin Althaus, M.D. have Open Payments data?

Adam Benjamin Althaus, M.D. has 7 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.