Physician

Estuardo Alfonso Ponce, M.D.

According to 2025 Medicare claims, Estuardo Ponce, M.D. (NPI: 1023213071) practices ophthalmology in the St. Petersburg-Clearwater-Largo, FL market, with the plurality of this provider's patient population coming from Pinellas, FL. This provider's primary affiliated billing organization is ST LUKES CATARACT & LASER INSTITUTE (NPI: 1154316628; TIN: 591224512) and primary practice location at 34689-6221. Ponce is affiliated with the Pearl Primary Care Network, LLC (ACO ID: D0242), participating under the REACH model.

Ponce's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,268 traditional Medicare patients, billed 70,265 HCPCS/CPT codes, and received $3,674,929 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 1,556 prescription claims across 389 beneficiaries totaling $83,727 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 18 records totaling $531. 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 $1,025,005 to $3,674,929. Similarly, Part D prescription costs have risen steadily, from $42,423 to $83,727. 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$1.8M$3.7M2015 Medicare payment: $1,025,005 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,758,259 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,503,465 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,393,344 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,883,586 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,757,884 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,925,850 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,828,535 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,309,212 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,674,929 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159007,539$1,025,005
20161,61013,992$1,758,259
20171,89117,578$2,503,465
20181,88315,604$2,393,344
20191,81415,107$2,883,586
20201,37713,783$2,757,884
20211,46515,708$2,925,850
20221,36717,740$2,828,535
20231,36147,651$3,309,212
20241,26870,265$3,674,929

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$42K$84K2015 Drug cost: $42,423 (USD; Tot_Drug_Cst)2016 Drug cost: $44,827 (USD; Tot_Drug_Cst)2017 Drug cost: $49,749 (USD; Tot_Drug_Cst)2018 Drug cost: $53,668 (USD; Tot_Drug_Cst)2019 Drug cost: $52,603 (USD; Tot_Drug_Cst)2020 Drug cost: $56,432 (USD; Tot_Drug_Cst)2021 Drug cost: $72,213 (USD; Tot_Drug_Cst)2022 Drug cost: $70,100 (USD; Tot_Drug_Cst)2023 Drug cost: $82,837 (USD; Tot_Drug_Cst)2024 Drug cost: $83,727 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015158474$42,423
2016205684$44,827
2017244846$49,749
2018278885$53,668
2019299873$52,603
2020288976$56,432
20213501,098$72,213
20223451,058$70,100
20233661,317$82,837
20243891,556$83,727

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
67028Injection of drug into eye4872,143$92
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more291368$90
92014Established patient complete exam of visual system249258$79
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more650875$61
92134Imaging of retina1,1123,148$28

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate41914,119$15,712
Bromfenac SodiumBromfenac Sodium813,325$15,415
DifluprednateDifluprednate25852$5,163
ProlensaBromfenac Sodium14637$4,966
Diclofenac SodiumDiclofenac Sodium28411,280$3,568

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.18$531Regeneron Healthcare Solutions, 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 Estuardo Alfonso Ponce, M.D.?

Tedicare shows public-source Medicare data for Estuardo Alfonso Ponce, M.D. (NPI 1023213071), 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 Estuardo Alfonso Ponce, M.D. have ACO affiliation data?

Estuardo Alfonso Ponce, M.D. is shown with ACO affiliation data for Pearl Primary Care Network, LLC (REACH, ACO ID D0242).

What billing organization is linked to Estuardo Alfonso Ponce, M.D.?

Estuardo Alfonso Ponce, M.D. is linked to ST LUKES CATARACT & LASER INSTITUTE (billing NPI 1154316628) in the available physician profile data.

Does Estuardo Alfonso Ponce, M.D. have Open Payments data?

Estuardo Alfonso Ponce, M.D. 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.