Physician

Hayley Ryan James, M.D.

According to 2025 Medicare claims, Hayley James, M.D. (NPI: 1356882542) practices ophthalmology in the Charlottesville, VA market, with the plurality of this provider's patient population coming from Charlottesville City, VA. This provider's primary affiliated billing organization is VIRGINIA RETINA CONSULTANTS, PLC (NPI: 1700976834; TIN: 030549949) and primary practice location at 22911-8836.

James' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 524 traditional Medicare patients, billed 20,289 HCPCS/CPT codes, and received $1,337,220 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 233 prescription claims across 112 beneficiaries totaling $6,488 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 12 records totaling $333. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $416 and ending at $6,488. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	91	114	$11,106
2022	187	266	$40,305
2023	290	2,763	$292,030
2024	524	20,289	$1,337,220

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	34	$416
2018	22	69	$14,358
2019	39	89	$4,603
2020	106	295	$17,258
2021	74	227	$9,870
2022	47	99	$3,694
2023	61	93	$3,878
2024	112	233	$6,488

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
92004	New patient complete exam of visual system	174	174	$105
92014	Established patient complete exam of visual system	242	386	$96
67028	Injection of drug into eye	156	674	$94
92134	Imaging of retina	449	1,307	$32
92202	Extended exam of the back part of the eye with optic nerve drawing	414	843	$12

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	107	2,883	$2,823
Difluprednate	Difluprednate	13	395	$1,165
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	35	2,328	$391
Latanoprost	Latanoprost	24	1,054	$207
Brimonidine Tartrate	Brimonidine Tartrate	19	897	$99

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.	12	$333	Regeneron Healthcare Solutions, 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 Hayley Ryan James, M.D.?

Tedicare shows public-source Medicare data for Hayley Ryan James, M.D. (NPI 1356882542), 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 Hayley Ryan James, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Hayley Ryan James, M.D.?

Hayley Ryan James, M.D. is linked to VIRGINIA RETINA CONSULTANTS, PLC (billing NPI 1700976834) in the available physician profile data.

Does Hayley Ryan James, M.D. have Open Payments data?

Hayley Ryan James, M.D. has 12 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.