Physician

Ralph R. Paylor, MD

According to 2025 Medicare claims, Ralph Paylor, MD (NPI: 1407807928) practices ophthalmology in the Palm Bay-Melbourne-Titusville, FL market, with the plurality of this provider's patient population coming from Brevard, FL. This provider's primary affiliated billing organization is FLORIDA EYE ASSOCIATES INC (NPI: 1285684399; TIN: 59-3401517) and primary practice location at 32901-5427.

Paylor's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 459 traditional Medicare patients, billed 15,146 HCPCS/CPT codes, and received $1,624,992 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 358 prescription claims across 98 beneficiaries totaling $31,113 in drug costs, led by Ilevro (Nepafenac). 2020 DME data shows 14 claims. Open Payments data shows 4 records totaling $274. 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 changed little. Concurrently, Part D prescription costs have fallen sharply in recent years, from $331,594 to $31,113. 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	1,871	8,855	$1,370,840
2016	1,894	9,274	$1,756,645
2017	1,717	8,930	$1,672,671
2018	1,691	8,833	$1,719,189
2019	1,659	9,310	$1,767,174
2020	1,198	6,476	$1,310,318
2021	1,020	7,177	$1,622,412
2022	591	5,231	$1,223,339
2023	526	12,838	$1,444,622
2024	459	15,146	$1,624,992

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	572	2,316	$331,594
2016	583	2,541	$326,768
2017	554	2,379	$302,390
2018	553	2,570	$301,897
2019	521	2,486	$277,225
2020	309	1,346	$165,040
2021	208	826	$90,467
2022	150	667	$65,095
2023	106	358	$26,772
2024	98	358	$31,113

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	109	109	$5,391
2016	88	89	$4,548
2017	138	140	$6,541
2018	141	141	$7,057
2019	93	93	$4,826
2020	14	14	$823
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
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
J0178	Injection, aflibercept, 1 mg	119	1,446	$658
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	115	$97
67028	Injection of drug into eye	249	1,269	$87
92014	Established patient complete exam of visual system	391	635	$85
92134	Imaging of retina	367	1,342	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ilevro	Nepafenac	16	942	$6,096
Latanoprost	Latanoprost	125	8,567	$1,995
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	59	3,647	$1,583
Brimonidine Tartrate	Brimonidine Tartrate	29	1,599	$1,292
Prednisolone Acetate	Prednisolone Acetate	25	1,143	$1,044

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.	4	$274	Genentech USA, 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 Ralph R. Paylor, MD?

Tedicare shows public-source Medicare data for Ralph R. Paylor, MD (NPI 1407807928), 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 Ralph R. Paylor, 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 Ralph R. Paylor, MD?

Ralph R. Paylor, MD is linked to FLORIDA EYE ASSOCIATES INC (billing NPI 1285684399) in the available physician profile data.

Does Ralph R. Paylor, MD have Open Payments data?

Ralph R. Paylor, MD has 4 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.