Physician

William Louis Porfilio, MD

According to 2025 Medicare claims, William Porfilio, MD (NPI: 1285836288) practices ophthalmology in the Burlington, NC market, with the plurality of this provider's patient population coming from Alamance, NC. This provider's primary affiliated billing organization is ALAMANCE EYE CARE, PA (NPI: 1184641524; TIN: 56-1973223) and primary practice location at 27215-9714. Porfilio is affiliated with the Triad HealthCare Network, LLC. (ACO ID: D0209), participating under the REACH model.

Porfilio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 756 traditional Medicare patients, billed 2,382 HCPCS/CPT codes, and received $210,868 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 1,945 prescription claims across 537 beneficiaries totaling $589,926 in drug costs, led by Lumigan (Bimatoprost). 2023 DME data shows 18 claims. Open Payments data shows 28 records totaling $1,072. 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 moved sharply higher in recent years, from $186,229 to $589,926. 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	866	2,857	$253,065
2016	764	2,149	$192,913
2017	872	2,406	$260,170
2018	902	2,309	$240,352
2019	833	2,363	$224,910
2020	640	2,549	$183,599
2021	789	3,260	$236,216
2022	809	2,899	$196,075
2023	795	2,785	$195,270
2024	756	2,382	$210,868

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	420	1,308	$186,229
2016	411	1,426	$202,631
2017	391	1,242	$164,722
2018	398	1,489	$180,110
2019	484	2,000	$246,634
2020	398	1,748	$366,387
2021	400	1,468	$343,366
2022	429	1,602	$528,620
2023	459	1,760	$331,257
2024	537	1,945	$589,926

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	78	82	$5,415
2016	71	72	$4,838
2017	65	67	$4,412
2018	82	85	$5,809
2019	85	93	$6,862
2020	57	57	$4,006
2021	61	61	$4,431
2022	31	31	$2,081
2023	17	18	$837
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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	212	285	$85
92014	Established patient complete exam of visual system	427	439	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	110	161	$58
92134	Imaging of retina	202	339	$27
92136	Measurement of corneal curvature and depth of eye	64	152	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	146	7,640	$67,296
Restasis	Cyclosporine	43	2,910	$59,879
Xiidra	Lifitegrast	36	2,280	$51,637
Rocklatan	Netarsudil Mesylat/Latanoprost	58	1,782	$23,214
Miebo	Perfluorohexyloctane/Pf	21	525	$15,534

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.	28	$1,072	BIOTISSUE HOLDINGS INC.
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 William Louis Porfilio, MD?

Tedicare shows public-source Medicare data for William Louis Porfilio, MD (NPI 1285836288), 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 William Louis Porfilio, MD have ACO affiliation data?

William Louis Porfilio, MD is shown with ACO affiliation data for Triad HealthCare Network, LLC. (REACH, ACO ID D0209).

What billing organization is linked to William Louis Porfilio, MD?

William Louis Porfilio, MD is linked to ALAMANCE EYE CARE, PA (billing NPI 1184641524) in the available physician profile data.

Does William Louis Porfilio, MD have Open Payments data?

William Louis Porfilio, MD has 28 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.