Physician

Patrick M. Higgins, MD

According to 2025 Medicare claims, Patrick Higgins, MD (NPI: 1285642470) practices ophthalmology in the New York-Jersey City-White Plains, NY-NJ market, with the plurality of this provider's patient population coming from Bergen, NJ. This provider's primary affiliated billing organization is EYE CENTERS OF AMERICA, LLC (NPI: 1649563636; TIN: 273654710) and primary practice location at 07666-4858.

Higgins' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 615 traditional Medicare patients, billed 333,519 HCPCS/CPT codes, and received $1,941,873 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 1,352 prescription claims across 406 beneficiaries totaling $104,764 in drug costs, led by Prolensa (Bromfenac Sodium). Open Payments data shows 315 records totaling $3,096,847. 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 from a higher plateau to a lower plateau, from $3,758,583 to $1,941,873. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $175,641 and ending at $104,764. 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.

Year	Patients	Clm Lines	Payment
2015	1,707	30,342	$3,758,583
2016	1,566	30,853	$3,234,832
2017	2,600	44,537	$4,013,461
2018	1,284	25,543	$2,327,344
2019	1,184	23,891	$2,340,341
2020	1,139	13,485	$1,782,769
2021	869	12,149	$2,620,165
2022	802	11,378	$2,014,762
2023	695	31,160	$1,889,499
2024	615	333,519	$1,941,873

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	456	1,644	$175,641
2016	538	1,841	$207,426
2017	607	2,230	$248,639
2018	552	1,938	$224,114
2019	588	2,128	$249,660
2020	508	1,787	$206,045
2021	473	1,826	$324,449
2022	488	1,892	$223,049
2023	458	1,596	$153,090
2024	406	1,352	$104,764

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
92014	Established patient complete exam of visual system	537	1,302	$102
67028	Injection of drug into eye	170	862	$101
92134	Imaging of retina	580	1,444	$34
92201	Extended exam of the back part of the eye with retinal drawing	208	274	$20
92202	Extended exam of the back part of the eye with optic nerve drawing	346	603	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prolensa	Bromfenac Sodium	49	1,509	$16,728
Prednisolone Acetate	Prednisolone Acetate	271	11,920	$13,473
Lumigan	Bimatoprost	32	1,750	$11,812
Combigan	Brimonidine Tartrate/Timolol	24	1,102	$7,216
Brimonidine Tartrate-Timolol	Brimonidine Tartrate/Timolol	41	2,375	$6,640

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.	19	$839	Regeneron Healthcare Solutions, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	296	$3,096,007	Genentech, Inc.
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 Patrick M. Higgins, MD?

Tedicare shows public-source Medicare data for Patrick M. Higgins, MD (NPI 1285642470), 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 Patrick M. Higgins, 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 Patrick M. Higgins, MD?

Patrick M. Higgins, MD is linked to EYE CENTERS OF AMERICA, LLC (billing NPI 1649563636) in the available physician profile data.

Does Patrick M. Higgins, MD have Open Payments data?

Patrick M. Higgins, MD has 315 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.