Physician

Nicholas Adam Ramey, MD

According to 2025 Medicare claims, Nicholas Ramey, MD (NPI: 1104008226) practices ophthalmology in the Roanoke, VA market, with the plurality of this provider's patient population coming from Roanoke City, VA. This provider's primary affiliated billing organization is VISTAR EYE CENTER, INC (NPI: 1457323545; TIN: 540853078) and primary practice location at 24018-1642.

Ramey's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,124 traditional Medicare patients, billed 25,425 HCPCS/CPT codes, and received $416,587 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 1,665 prescription claims across 664 beneficiaries totaling $1,686,175 in drug costs, led by Tepezza (Teprotumumab-Trbw). DME data shows 12 claims. Open Payments data shows 20 records totaling $2,769. 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 have moved sharply higher in recent years, from $18,339 to $1,686,175. 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$229K$457K2015 Medicare payment: $353,223 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $384,378 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $429,918 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $427,275 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $439,105 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $420,521 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $457,025 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $445,670 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $409,188 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $416,587 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159055,890$353,223
20161,1548,399$384,378
20171,23311,891$429,918
20181,22714,227$427,275
20191,25316,355$439,105
20201,07820,262$420,521
20211,11923,870$457,025
20221,17626,027$445,670
20231,10522,282$409,188
20241,12425,425$416,587

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$843K$1.7M2015 Drug cost: $18,339 (USD; Tot_Drug_Cst)2016 Drug cost: $26,285 (USD; Tot_Drug_Cst)2017 Drug cost: $30,429 (USD; Tot_Drug_Cst)2018 Drug cost: $29,989 (USD; Tot_Drug_Cst)2019 Drug cost: $32,179 (USD; Tot_Drug_Cst)2020 Drug cost: $495,349 (USD; Tot_Drug_Cst)2021 Drug cost: $28,355 (USD; Tot_Drug_Cst)2022 Drug cost: $232,859 (USD; Tot_Drug_Cst)2023 Drug cost: $900,289 (USD; Tot_Drug_Cst)2024 Drug cost: $1,686,175 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154621,213$18,339
20165861,576$26,285
20176731,799$30,429
20187031,868$29,989
20196741,704$32,179
20206681,616$495,349
20216561,556$28,355
20227251,800$232,859
20236711,658$900,289
20246641,665$1,686,175

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$2.1K$4.2K2015 Medicare payment: $882 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $4,182 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $918 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $775 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $714 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $3,732 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $1,053 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $689 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R15$882
2016N/RN/RN/R
2017N/RN/RN/R
20182633$4,182
20191115$918
2020N/R13$775
2021N/R12$714
20222226$3,732
2023N/R16$1,053
2024N/R12$689

* / # = 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 more156156$114
64612Injection of chemical for paralysis of nerve muscles on side of face122339$109
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more217224$87
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more540607$59
92285Photography of content of eyes696717$16

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TepezzaTeprotumumab-Trbw32652$1,666,947
ErythromycinErythromycin Base72511,290$6,678
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha1442,559$1,331
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen239789$1,195
Bacitracin-PolymyxinBacitracin/Polymyxin B Sulfate971,576$1,167

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
V2624Polishing/resurfacing of ocular prosthesisNN/R12$689

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.20$2,769Glaukos Corporation
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 Nicholas Adam Ramey, MD?

Tedicare shows public-source Medicare data for Nicholas Adam Ramey, MD (NPI 1104008226), 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 Nicholas Adam Ramey, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Nicholas Adam Ramey, MD?

Nicholas Adam Ramey, MD is linked to VISTAR EYE CENTER, INC (billing NPI 1457323545) in the available physician profile data.

Does Nicholas Adam Ramey, MD have Open Payments data?

Nicholas Adam Ramey, MD has 20 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.