Physician

Marc D Hirsch, MD

According to 2025 Medicare claims, Marc Hirsch, MD (NPI: 1386624120) practices ophthalmology in the Milwaukee-Waukesha, WI market, with the plurality of this provider's patient population coming from Ozaukee, WI. This provider's primary affiliated billing organization is EYE PHYSICIAN ASSOCIATES, S.C. (NPI: 1457331894; TIN: 391129753) and primary practice location at 53092-3397.

Hirsch's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 621 traditional Medicare patients, billed 4,251 HCPCS/CPT codes, and received $370,429 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 1,572 prescription claims across 375 beneficiaries totaling $245,338 in drug costs, led by Restasis (Cyclosporine). 2019 DME data shows 32 claims. Open Payments data shows 24 records totaling $1,044. 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 up and down with repeated peaks and valleys, starting at $189,352 and ending at $370,429. Concurrently, Part D prescription costs have risen steadily, from $156,762 to $245,338. 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.

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$249K$498K2015 Medicare payment: $189,352 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $197,466 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $213,132 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $205,668 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $221,814 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $166,520 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $498,326 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $168,316 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $268,584 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $370,429 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20158211,855$189,352
20168281,985$197,466
20177831,982$213,132
20187401,926$205,668
20197381,960$221,814
20206161,577$166,520
20219103,647$498,326
20226181,519$168,316
20236152,143$268,584
20246214,251$370,429

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$188K$375K2015 Drug cost: $156,762 (USD; Tot_Drug_Cst)2016 Drug cost: $170,008 (USD; Tot_Drug_Cst)2017 Drug cost: $208,751 (USD; Tot_Drug_Cst)2018 Drug cost: $233,293 (USD; Tot_Drug_Cst)2019 Drug cost: $245,169 (USD; Tot_Drug_Cst)2020 Drug cost: $250,697 (USD; Tot_Drug_Cst)2021 Drug cost: $295,305 (USD; Tot_Drug_Cst)2022 Drug cost: $375,308 (USD; Tot_Drug_Cst)2023 Drug cost: $251,552 (USD; Tot_Drug_Cst)2024 Drug cost: $245,338 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153231,438$156,762
20163211,470$170,008
20173241,576$208,751
20183091,568$233,293
20193151,545$245,169
20203291,588$250,697
20214311,932$295,305
20223861,738$375,308
20233571,478$251,552
20243751,572$245,338

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$2.9K$5.8K2015 Medicare payment: $2,279 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $2,237 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $5,788 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,078 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,193 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20154141$2,279
20163737$2,237
20177590$5,788
20182020$1,078
20193232$2,193
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
66984Removal of cataract with insertion of prosthetic lens109168$360
92014Established patient complete exam of visual system347349$79
92012Established patient problem focused exam of visual system134203$57
92136Measurement of corneal curvature and depth of eye112133$30
92134Imaging of retina120261$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RestasisCyclosporine1295,520$105,565
LumiganBimatoprost773,871$34,761
XiidraLifitegrast16900$19,829
CyclosporineCyclosporine171,050$10,329
CombiganBrimonidine Tartrate/Timolol19694$7,946

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.24$1,044Apellis Pharmaceuticals, 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 Marc D. Hirsch, MD?

Tedicare shows public-source Medicare data for Marc D. Hirsch, MD (NPI 1386624120), 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 Marc D. Hirsch, 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 Marc D. Hirsch, MD?

Marc D. Hirsch, MD is linked to EYE PHYSICIAN ASSOCIATES, S.C. (billing NPI 1457331894) in the available physician profile data.

Does Marc D. Hirsch, MD have Open Payments data?

Marc D. Hirsch, MD has 24 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.