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    v1.0.28
    OpenPayerNPI Medicare & MedicaidAdam Clemens
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    Adam Clemens — Billing Profile & Reimbursement Data

    NPI 1477798049 · Newark, OH · Urology Physician

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    Adam Clemens is a urology physician provider located in Newark, Ohio. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationAdam Clemens
    Address1980 Tamarack Rd
    CityNewark
    StateOH
    ZIP43055
    TaxonomyUrology Physician
    NPI EnumeratedDecember 10, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$81.4K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…240$60$15K
    52000In this procedure, the provider performs an examination of the interior of the bladder, the urethra, and the ureteric openings by means of a cystourethroscope, a thin flexible or rigid tube with a…180$60$10.2K
    99204The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…110$90$9.5K
    52601During transurethral resection of the prostate (TURP), the surgeon inserts a resectoscope via the urethra and removes a portion of the prostate. This procedure includes several other urological…20$550$9.3K
    52356The provider performs a cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into…20$340$7.4K
    99215The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a high level of medical decision making, and/or the…40$100$4K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…90$40$4K
    52442In this add–on procedure, the provider uses a cystourethroscope to place an additional permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.100$40$3.8K
    52441Using a cystourethroscope, the provider places a single permanent adjustable transprostatic implant to retract prostatic lobes that obstruct the urethra.20$150$2.9K
    52310The provider performs a simple cystourethroscopy, the inspection of the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra…20$120$2.5K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    5260173010$750$13.4K
    992144,28020,010100$70$11.7K
    52281183020$290$10.9K
    520002634070$120$10.5K
    523563714020$450$10.3K
    5244242060$120$8.3K
    5200532020$300$7.5K
    5570010917020$220$6.7K
    992138,21620,00070$50$6.6K
    523104310020$250$6.2K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Adam Clemens, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Ohiohealth CorporationOHFamily Medicine Physician$0$89.1M
    Columbus Radiology CorpOHDiagnostic Radiology Physician$0$49.9M
    Knox Community HospitalOHGeneral Acute Care Hospital$0$29.3M
    Licking Memorial Health ProfessionalsOHFamily Medicine Physician$0$23.9M
    Marion Area Physicians LLCOHInternal Medicine Physician$0$15.7M
    North Central Ohio Family Care Center, IncOHSpecialist$0$15.3M
    David WengMDMedical Oncology Physician$1.5M$0
    Saurabh DasOHMedical Oncology Physician$885K$0
    Jason SeavoltOHRadiation Oncology Physician$695.3K$0
    Nhan LuuOHNephrology Physician$396.1K$0

    Nearby Providers

    Other providers in the same ZIP code as Adam Clemens, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Licking Memorial HospitalOHGeneral Acute Care Hospital$0$55.9M
    Hospice Of Central OhioOHCommunity Based Hospice Care Agency$0$28M
    Behavioral Healthcare Partners Of Central Ohio IncOHMental Health Clinic/Center (Including Community Mental Health Center)$0$14M
    City Of NewarkOHLand Ambulance$505.9K$2M
    Courtesy Ambulance, Inc.OHLand Ambulance$343.3K$1.8M
    Licking CountyOHPublic Health or Welfare Agency$31.4K$524.4K
    Chuck ChoOHRadiation Oncology Physician$314.9K$0
    Thomas PetrykOHFamily Medicine Physician$274.7K$0
    Mark LawOHOphthalmology Physician$258.6K$490
    Shahin ShahinfarOHOphthalmology Physician$254.9K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Ohio Distribution
    Adam Clemens — 2 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Ohio