Physician

Joseph M Donaldson, MD

According to 2025 Medicare claims, Joseph Donaldson, MD (NPI: 1306006317) practices ophthalmology in the Yuma, AZ market, with the plurality of this provider's patient population coming from Yuma, AZ. This provider's primary affiliated billing organization is SOUTHWESTERN EYE CENTER LTD (NPI: 1023063187; TIN: 86-0423068) and primary practice location at 85364-6136.

Donaldson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 905 traditional Medicare patients, billed 20,550 HCPCS/CPT codes, and received $1,297,170 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 2,053 prescription claims across 579 beneficiaries totaling $104,228 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). 2017 DME data shows 30 claims. Open Payments data shows 15 records totaling $1,322. 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 sharply higher in recent years, from $312,797 to $1,297,170. In contrast, Part D prescription costs have declined steadily, from $117,734 to $104,228. 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.

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$649K$1.3M2015 Medicare payment: $312,797 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $328,694 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $398,167 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $452,383 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $577,748 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $596,245 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $620,387 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $817,158 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $881,383 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,297,170 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,0152,428$312,797
20161,0112,552$328,694
20171,1883,228$398,167
20181,4344,072$452,383
20191,3804,660$577,748
20201,0733,984$596,245
20211,0104,350$620,387
20229504,923$817,158
20238708,130$881,383
202490520,550$1,297,170

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$61K$121K2015 Drug cost: $117,734 (USD; Tot_Drug_Cst)2016 Drug cost: $110,750 (USD; Tot_Drug_Cst)2017 Drug cost: $121,410 (USD; Tot_Drug_Cst)2018 Drug cost: $106,653 (USD; Tot_Drug_Cst)2019 Drug cost: $106,711 (USD; Tot_Drug_Cst)2020 Drug cost: $93,722 (USD; Tot_Drug_Cst)2021 Drug cost: $72,275 (USD; Tot_Drug_Cst)2022 Drug cost: $87,274 (USD; Tot_Drug_Cst)2023 Drug cost: $81,937 (USD; Tot_Drug_Cst)2024 Drug cost: $104,228 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20155172,569$117,734
20165212,429$110,750
20176462,695$121,410
20187172,745$106,653
20196822,730$106,711
20205882,340$93,722
20214751,907$72,275
20225191,834$87,274
20234681,638$81,937
20245792,053$104,228

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$2.4K$4.7K2015 Medicare payment: $2,061 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $4,745 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,081 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20153030$2,061
20166868$4,745
20173030$2,081
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more195195$113
67028Injection of drug into eye193584$96
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6271,198$93
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more254461$67
92134Imaging of retina414824$30

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate2529,684$9,339
IlevroNepafenac211,075$8,338
RhopressaNetarsudil Mesylate13948$7,614
Brimonidine TartrateBrimonidine Tartrate35721,023$7,485
LatanoprostLatanoprost51129,760$7,392

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.15$1,322Alimera Sciences, Inc.
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 Joseph M. Donaldson, MD?

Tedicare shows public-source Medicare data for Joseph M. Donaldson, MD (NPI 1306006317), 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 Joseph M. Donaldson, 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 Joseph M. Donaldson, MD?

Joseph M. Donaldson, MD is linked to SOUTHWESTERN EYE CENTER LTD (billing NPI 1023063187) in the available physician profile data.

Does Joseph M. Donaldson, MD have Open Payments data?

Joseph M. Donaldson, MD has 15 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.