Physician

Todd D Gwin, MD

According to 2025 Medicare claims, Todd Gwin, MD (NPI: 1225030208) practices ophthalmology in the Spartanburg, SC market, with the plurality of this provider's patient population coming from Spartanburg, SC. This provider's primary affiliated billing organization is PALMETTO EYE & LASER CENTER, LLC (NPI: 1457384729; TIN: 01-0553359) and primary practice location at 29316-5121.

Gwin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,678 traditional Medicare patients, billed 3,282 HCPCS/CPT codes, and received $300,164 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,288 prescription claims across 555 beneficiaries totaling $339,338 in drug costs, led by Restasis (Cyclosporine). 2021 DME data shows 11 claims. Open Payments data shows 18 records totaling $419. 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 declined steadily, from $374,306 to $300,164. Concurrently, Part D prescription costs have changed little. In contrast, DME billing represents a smaller volume and changed little.

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$188K$377K2015 Medicare payment: $374,306 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $365,245 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $376,591 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $375,566 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $356,035 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $267,421 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $249,610 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $274,325 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $269,570 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $300,164 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,1273,599$374,306
20162,0783,702$365,245
20172,0143,699$376,591
20182,0103,672$375,566
20191,9803,484$356,035
20201,6782,933$267,421
20211,6372,909$249,610
20221,6252,951$274,325
20231,7032,954$269,570
20241,6783,282$300,164

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$220K$439K2015 Drug cost: $305,483 (USD; Tot_Drug_Cst)2016 Drug cost: $327,797 (USD; Tot_Drug_Cst)2017 Drug cost: $381,180 (USD; Tot_Drug_Cst)2018 Drug cost: $423,150 (USD; Tot_Drug_Cst)2019 Drug cost: $439,446 (USD; Tot_Drug_Cst)2020 Drug cost: $358,367 (USD; Tot_Drug_Cst)2021 Drug cost: $370,930 (USD; Tot_Drug_Cst)2022 Drug cost: $339,464 (USD; Tot_Drug_Cst)2023 Drug cost: $321,386 (USD; Tot_Drug_Cst)2024 Drug cost: $339,338 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157163,068$305,483
20167643,003$327,797
20177603,168$381,180
20187463,140$423,150
20197383,015$439,446
20205832,571$358,367
20214902,118$370,930
20225142,153$339,464
20235262,139$321,386
20245552,288$339,338

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$3.5K$7.0K2015 Medicare payment: $6,978 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $3,178 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $4,513 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $5,732 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,911 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $683 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015122125$6,978
20166265$3,178
20178182$4,513
2018111113$5,732
20197475$3,911
2020N/RN/RN/R
20211111$683
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more219240$83
92014Established patient complete exam of visual system1,2771,323$80
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more242384$64
92134Imaging of retina185189$28
92133Imaging of optic nerve174178$23

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine1197,245$147,833
XiidraLifitegrast422,280$50,003
CyclosporineCyclosporine634,050$31,118
LumiganBimatoprost361,476$13,858
Prednisolone AcetatePrednisolone Acetate35813,693$12,403

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$419Alcon Vision LLC
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 Todd D. Gwin, MD?

Tedicare shows public-source Medicare data for Todd D. Gwin, MD (NPI 1225030208), 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 Todd D. Gwin, 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 Todd D. Gwin, MD?

Todd D. Gwin, MD is linked to PALMETTO EYE & LASER CENTER, LLC (billing NPI 1457384729) in the available physician profile data.

Does Todd D. Gwin, MD have Open Payments data?

Todd D. Gwin, MD 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.