Physician

Todd Gould, MD

According to 2025 Medicare claims, Todd Gould, MD (NPI: 1265431126) practices ophthalmology in the Green Bay, WI market, with the plurality of this provider's patient population coming from Brown, WI. This provider's primary affiliated billing organization is ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (NPI: 1285613638; TIN: 39-0817529) and primary practice location at 54303-2667. Gould is affiliated with the HSHS ACO, L.L.C. (ACO ID: A2783), participating under the MSSP model.

Gould's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 500 traditional Medicare patients, billed 1,276 HCPCS/CPT codes, and received $180,859 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 2,077 prescription claims across 730 beneficiaries totaling $146,532 in drug costs, led by Restasis (Cyclosporine). 2022 DME data shows 11 claims. No Open Payments records. 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 moved up and down with repeated peaks and valleys, starting at $135,918 and ending at $180,859. Concurrently, Part D prescription costs have risen steadily, from $51,034 to $146,532. 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.

Year	Patients	Clm Lines	Payment
2015	503	1,123	$135,918
2016	577	1,234	$146,340
2017	712	1,613	$200,493
2018	771	1,846	$227,271
2019	772	1,872	$244,881
2020	625	1,510	$180,749
2021	679	1,863	$247,275
2022	669	1,783	$243,105
2023	563	1,527	$224,557
2024	500	1,276	$180,859

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	147	562	$51,034
2016	283	874	$86,475
2017	512	1,328	$129,801
2018	568	1,764	$167,272
2019	592	1,828	$167,732
2020	534	1,685	$160,139
2021	685	1,977	$209,588
2022	770	2,108	$215,205
2023	837	2,288	$214,584
2024	730	2,077	$146,532

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	29	29	$1,895
2019	27	27	$1,811
2020	N/R	N/R	N/R
2021	34	34	$2,283
2022	11	11	$641
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
66984	Removal of cataract with insertion of prosthetic lens	131	226	$415
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	174	174	$110
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	231	237	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	123	147	$56
92136	Measurement of corneal curvature and depth of eye	146	241	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	42	2,280	$46,971
Prednisolone Acetate	Prednisolone Acetate	562	19,126	$26,410
Lumigan	Bimatoprost	25	1,925	$17,427
Brimonidine Tartrate-Timolol	Brimonidine Tartrate/Timolol	51	2,269	$6,062
Ofloxacin	Ofloxacin	474	11,601	$4,702

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Todd Gould, MD?

Tedicare shows public-source Medicare data for Todd Gould, MD (NPI 1265431126), 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 Gould, MD have ACO affiliation data?

Todd Gould, MD is shown with ACO affiliation data for HSHS ACO, L.L.C. (MSSP, ACO ID A2783).

What billing organization is linked to Todd Gould, MD?

Todd Gould, MD is linked to ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS (billing NPI 1285613638) in the available physician profile data.

Does Todd Gould, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.