Physician

Philip J Ferrone, MD

According to 2025 Medicare claims, Philip Ferrone, MD (NPI: 1164535472) practices ophthalmology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Suffolk, NY. This provider's primary affiliated billing organization is LONG ISLAND VITREO RETINAL CONSULTANTS PC (NPI: 1437262755; TIN: 112566918) and primary practice location at 11901-3106. Ferrone is affiliated with the Northwell Health ACO (ACO ID: A3030) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Ferrone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,225 traditional Medicare patients, billed 39,766 HCPCS/CPT codes, and received $3,111,885 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 615 prescription claims across 167 beneficiaries totaling $66,022 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 401 records totaling $1,042,973. 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 risen steadily, from $34,489 to $66,022. 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$1.9M$3.7M2015 Medicare payment: $3,675,550 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $3,283,295 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $3,120,561 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $3,113,778 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $3,715,901 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $3,087,441 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $2,943,762 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,676,099 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,115,959 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $3,111,885 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,20318,288$3,675,550
20161,17416,806$3,283,295
20171,13215,922$3,120,561
20181,20518,125$3,113,778
20191,19220,100$3,715,901
20201,13315,881$3,087,441
20211,08914,744$2,943,762
20221,10716,342$2,676,099
20231,19436,739$3,115,959
20241,22539,766$3,111,885

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$40K$81K2015 Drug cost: $34,489 (USD; Tot_Drug_Cst)2016 Drug cost: $38,473 (USD; Tot_Drug_Cst)2017 Drug cost: $42,130 (USD; Tot_Drug_Cst)2018 Drug cost: $42,819 (USD; Tot_Drug_Cst)2019 Drug cost: $80,780 (USD; Tot_Drug_Cst)2020 Drug cost: $55,475 (USD; Tot_Drug_Cst)2021 Drug cost: $62,958 (USD; Tot_Drug_Cst)2022 Drug cost: $50,927 (USD; Tot_Drug_Cst)2023 Drug cost: $62,876 (USD; Tot_Drug_Cst)2024 Drug cost: $66,022 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015214542$34,489
2016189493$38,473
2017175473$42,130
2018164550$42,819
2019206708$80,780
2020149517$55,475
2021158623$62,958
2022145466$50,927
2023175555$62,876
2024167615$66,022

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 eye4061,511$107
92012Established patient problem focused exam of visual system418762$77
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more6871,032$76
92134Imaging of retina1,0922,805$36
92201Extended exam of the back part of the eye with retinal drawing570793$21

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine14570$11,846
Prednisolone AcetatePrednisolone Acetate1334,778$6,678
TravoprostTravoprost331,234$5,389
IlevroNepafenac12663$5,123
Bromfenac SodiumBromfenac Sodium23791$4,698

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.72$24,156Regeneron Healthcare Solutions, Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.329$1,018,817Bayer Healthcare Pharmaceuticals Inc.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Philip J. Ferrone, MD?

Tedicare shows public-source Medicare data for Philip J. Ferrone, MD (NPI 1164535472), 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 Philip J. Ferrone, MD have ACO affiliation data?

Philip J. Ferrone, MD is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Philip J. Ferrone, MD?

Philip J. Ferrone, MD is linked to LONG ISLAND VITREO RETINAL CONSULTANTS PC (billing NPI 1437262755) in the available physician profile data.

Does Philip J. Ferrone, MD have Open Payments data?

Philip J. Ferrone, MD has 401 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.