Physician

Troy L Carter, MD

According to 2025 Medicare claims, Troy Carter, MD (NPI: 1265596522) practices ophthalmology in the Abilene, TX market, with the plurality of this provider's patient population coming from Taylor, TX. Carter uses personal NPI as billing NPI and primary practice location at 79601-3853.

Carter's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,119 traditional Medicare patients, billed 2,680 HCPCS/CPT codes, and received $227,307 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 1,460 prescription claims across 408 beneficiaries totaling $71,708 in drug costs, led by Restasis (Cyclosporine). 2022 DME data shows 28 claims. Open Payments data shows 14 records totaling $2,356. 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 $315,209 to $227,307. Similarly, Part D prescription costs have declined steadily, from $132,867 to $71,708. 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	1,450	3,714	$315,209
2016	1,546	3,575	$318,260
2017	1,581	5,170	$377,846
2018	1,466	4,685	$322,586
2019	1,388	3,747	$341,174
2020	957	2,624	$206,362
2021	1,134	3,349	$277,971
2022	1,230	3,066	$247,894
2023	1,236	3,333	$254,606
2024	1,119	2,680	$227,307

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	354	1,137	$132,867
2016	345	1,117	$141,734
2017	418	1,369	$167,753
2018	333	1,095	$135,698
2019	315	1,137	$126,457
2020	265	1,011	$112,250
2021	390	1,267	$108,106
2022	459	1,289	$92,820
2023	432	1,226	$81,092
2024	408	1,460	$71,708

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	65	66	$3,997
2016	79	79	$5,092
2017	79	79	$5,339
2018	71	71	$4,870
2019	75	75	$4,712
2020	25	25	$1,291
2021	11	11	$465
2022	27	28	$2,015
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
92004	New patient complete exam of visual system	141	141	$91
92014	Established patient complete exam of visual system	834	839	$85
92012	Established patient problem focused exam of visual system	315	472	$64
92250	Photography of the retina	447	450	$25
92133	Imaging of optic nerve	136	137	$23

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	22	645	$12,667
Rocklatan	Netarsudil Mesylat/Latanoprost	27	804	$9,646
Restasis Multidose	Cyclosporine	15	384	$9,148
Moxifloxacin	Moxifloxacin Hcl	222	4,274	$4,097
Doxycycline Hyclate	Doxycycline Hyclate	96	4,004	$3,413

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$2,356	Abbott Laboratories
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Troy L. Carter, MD?

Tedicare shows public-source Medicare data for Troy L. Carter, MD (NPI 1265596522), 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 Troy L. Carter, 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 Troy L. Carter, MD?

A separate primary affiliated billing organization is not shown for this profile in the available data.

Does Troy L. Carter, MD have Open Payments data?

Troy L. Carter, MD has 14 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.