Physician

Harold Milton Calvert, MD

According to 2025 Medicare claims, Harold Calvert, MD (NPI: 1396737219) practices ophthalmology in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is CALVERT OPTHALMOLOGY PSC (NPI: 1508036831; TIN: 020626685) and primary practice location at 42240-9998.

Calvert's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,097 traditional Medicare patients, billed 3,731 HCPCS/CPT codes, and received $241,631 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 2,911 prescription claims across 662 beneficiaries totaling $123,985 in drug costs, led by Restasis (Cyclosporine). 2022 DME data shows 25 claims. Open Payments data shows 3 records totaling $226. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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	967	3,227	$334,123
2016	990	3,395	$340,839
2017	1,277	4,918	$488,772
2018	1,590	6,504	$608,678
2019	1,600	6,060	$539,120
2020	1,212	4,307	$353,286
2021	1,305	5,005	$400,522
2022	1,254	4,569	$354,858
2023	1,245	4,241	$301,695
2024	1,097	3,731	$241,631

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	378	1,559	$168,974
2016	420	1,595	$165,737
2017	509	1,826	$206,798
2018	621	2,456	$264,106
2019	582	2,455	$244,609
2020	572	2,484	$181,200
2021	679	3,065	$192,624
2022	693	3,100	$193,779
2023	690	3,022	$152,062
2024	662	2,911	$123,985

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	32	32	$1,475
2016	N/R	N/R	N/R
2017	57	57	$2,638
2018	157	157	$6,576
2019	81	81	$3,238
2020	29	29	$1,217
2021	34	34	$1,702
2022	25	25	$1,097
2023	N/R	N/R	N/R
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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	167	167	$97
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	674	693	$75
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	377	547	$54
92134	Imaging of retina	284	323	$26
92250	Photography of the retina	896	918	$22

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	36	1,410	$29,589
Restasis Multidose	Cyclosporine	13	658	$16,119
Prednisolone Acetate	Prednisolone Acetate	544	12,680	$13,201
Fluorometholone	Fluorometholone	150	8,556	$12,799
Lumigan	Bimatoprost	20	877	$8,390

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.	3	$226	Alcon Vision LLC
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 Harold Milton Calvert, MD?

Tedicare shows public-source Medicare data for Harold Milton Calvert, MD (NPI 1396737219), 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 Harold Milton Calvert, 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 Harold Milton Calvert, MD?

Harold Milton Calvert, MD is linked to CALVERT OPTHALMOLOGY PSC (billing NPI 1508036831) in the available physician profile data.

Does Harold Milton Calvert, MD have Open Payments data?

Harold Milton Calvert, MD has 3 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.