Physician

Gad Heilweil, M.D.

According to 2025 Medicare claims, Gad Heilweil, M.D. (NPI: 1386989440) practices ophthalmology in the Anaheim-Santa Ana-Irvine, CA market, with the plurality of this provider's patient population coming from Orange, CA. This provider's primary affiliated billing organization is JULES STEIN EYE INSTITUTE MEDICAL GROUP (NPI: 1326006966; TIN: 954379486) and primary practice location at 92708-6728.

Heilweil's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,169 traditional Medicare patients, billed 20,451 HCPCS/CPT codes, and received $2,253,207 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 375 prescription claims across 127 beneficiaries totaling $63,961 in drug costs, led by Eylea (Aflibercept). Open Payments data shows 10 records totaling $270. 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 $858,581 to $2,253,207. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $15,694 to $63,961. 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	440	3,406	$858,581
2016	533	4,804	$1,147,989
2017	509	4,732	$1,079,442
2018	601	5,332	$1,073,700
2019	721	5,777	$1,152,719
2020	770	5,717	$1,183,897
2021	965	6,638	$1,412,944
2022	1,119	7,808	$1,574,105
2023	1,265	11,875	$2,059,411
2024	1,169	20,451	$2,253,207

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	77	190	$15,694
2016	107	314	$34,080
2017	99	277	$32,755
2018	114	306	$26,258
2019	101	303	$41,407
2020	110	351	$47,248
2021	116	364	$50,368
2022	128	448	$58,295
2023	108	311	$64,720
2024	127	375	$63,961

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	639	711	$99
67028	Injection of drug into eye	236	1,535	$97
92012	Established patient problem focused exam of visual system	577	1,084	$73
92134	Imaging of retina	916	2,304	$32
92250	Photography of the retina	233	259	$28

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eylea	Aflibercept	11	308	$20,753
Restasis	Cyclosporine	14	765	$14,375
Cyclosporine	Cyclosporine	11	810	$8,639
Prednisolone Acetate	Prednisolone Acetate	120	4,376	$3,652
Ketorolac Tromethamine	Ketorolac Tromethamine	50	2,365	$652

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.	10	$270	Astellas Pharma US 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 Gad Heilweil, M.D.?

Tedicare shows public-source Medicare data for Gad Heilweil, M.D. (NPI 1386989440), 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 Gad Heilweil, 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 Gad Heilweil, M.D.?

Gad Heilweil, M.D. is linked to JULES STEIN EYE INSTITUTE MEDICAL GROUP (billing NPI 1326006966) in the available physician profile data.

Does Gad Heilweil, M.D. have Open Payments data?

Gad Heilweil, M.D. has 10 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.