Physician

Paul L Kaufman, M.D.

According to 2025 Medicare claims, Paul Kaufman, M.D. (NPI: 1053318550) practices ophthalmology in the Marietta, GA market, with the plurality of this provider's patient population coming from Cobb, GA. This provider's primary affiliated billing organization is THOMAS EYE GROUP PC (NPI: 1548271992; TIN: 582209517) and primary practice location at 30328-4411. Kaufman is affiliated with the Emory Healthcare Network Advantage (ACO ID: A4771), participating under the MSSP model.

Kaufman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,029 traditional Medicare patients, billed 27,102 HCPCS/CPT codes, and received $2,205,484 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 1,116 prescription claims across 353 beneficiaries totaling $103,226 in drug costs, led by Ilevro (Nepafenac). Open Payments data shows 22 records totaling $748. 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 changed little. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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$1.1M$2.2M2015 Medicare payment: $1,675,242 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,650,245 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,634,104 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,649,148 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,808,450 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,648,648 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,790,577 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,574,901 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,790,995 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,205,484 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0028,380$1,675,242
20169278,014$1,650,245
20179318,329$1,634,104
20189818,659$1,649,148
20199988,733$1,808,450
20209267,630$1,648,648
20219518,843$1,790,577
20229469,826$1,574,901
202394920,323$1,790,995
20241,02927,102$2,205,484

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$80K$160K2015 Drug cost: $93,841 (USD; Tot_Drug_Cst)2016 Drug cost: $94,047 (USD; Tot_Drug_Cst)2017 Drug cost: $109,898 (USD; Tot_Drug_Cst)2018 Drug cost: $123,279 (USD; Tot_Drug_Cst)2019 Drug cost: $127,540 (USD; Tot_Drug_Cst)2020 Drug cost: $142,384 (USD; Tot_Drug_Cst)2021 Drug cost: $160,003 (USD; Tot_Drug_Cst)2022 Drug cost: $126,842 (USD; Tot_Drug_Cst)2023 Drug cost: $93,756 (USD; Tot_Drug_Cst)2024 Drug cost: $103,226 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015225932$93,841
2016238814$94,047
2017240927$109,898
2018267954$123,279
2019241916$127,540
20202741,013$142,384
20213491,106$160,003
2022286993$126,842
2023278849$93,756
20243531,116$103,226

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
92014Established patient complete exam of visual system188200$96
67028Injection of drug into eye3491,156$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more8771,662$86
92134Imaging of retina9032,031$30
92250Photography of the retina206261$28

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
IlevroNepafenac431,502$16,013
Prednisolone AcetatePrednisolone Acetate26512,183$12,795
CombiganBrimonidine Tartrate/Timolol361,855$10,383
Bromfenac SodiumBromfenac Sodium601,972$8,537
Brimonidine Tartrate-TimololBrimonidine Tartrate/Timolol502,354$8,144

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.22$748Astellas Pharma US 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 Paul L. Kaufman, M.D.?

Tedicare shows public-source Medicare data for Paul L. Kaufman, M.D. (NPI 1053318550), 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 Paul L. Kaufman, M.D. have ACO affiliation data?

Paul L. Kaufman, M.D. is shown with ACO affiliation data for Emory Healthcare Network Advantage (MSSP, ACO ID A4771).

What billing organization is linked to Paul L. Kaufman, M.D.?

Paul L. Kaufman, M.D. is linked to THOMAS EYE GROUP PC (billing NPI 1548271992) in the available physician profile data.

Does Paul L. Kaufman, M.D. have Open Payments data?

Paul L. Kaufman, M.D. has 22 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.