Physician

Roy Trent Wallace, MD

According to 2025 Medicare claims, Roy Wallace, MD (NPI: 1417946203) practices ophthalmology in the Nashville-Davidson--Murfreesboro--Franklin, TN market, with the plurality of this provider's patient population coming from Maury, TN. This provider's primary affiliated billing organization is TENNESSEE RETINA PC (NPI: 1497828321; TIN: 621042760) and primary practice location at 37040-5241.

Wallace's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,854 traditional Medicare patients, billed 51,836 HCPCS/CPT codes, and received $5,214,346 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 842 prescription claims across 264 beneficiaries totaling $27,292 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 19 records totaling $486. 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 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	1,758	19,298	$4,254,751
2016	1,745	18,998	$4,340,514
2017	1,839	21,967	$4,855,989
2018	1,905	23,102	$5,208,986
2019	1,964	24,612	$5,430,971
2020	1,871	21,750	$5,118,171
2021	1,764	22,848	$5,329,112
2022	1,805	24,729	$5,196,670
2023	1,884	45,978	$5,516,299
2024	1,854	51,836	$5,214,346

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	265	950	$30,251
2016	257	845	$31,730
2017	253	911	$31,146
2018	271	980	$41,698
2019	272	940	$41,244
2020	248	833	$36,090
2021	272	888	$42,793
2022	256	925	$42,393
2023	246	853	$41,105
2024	264	842	$27,292

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
J0178	Injection, aflibercept, 1 mg	463	4,208	$650
67028	Injection of drug into eye	811	2,904	$90
92014	Established patient complete exam of visual system	1,176	1,710	$81
92134	Imaging of retina	1,278	3,414	$29
92250	Photography of the retina	880	1,003	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	85	3,819	$3,858
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	209	12,880	$3,609
Brimonidine Tartrate	Brimonidine Tartrate	54	2,677	$3,362
Latanoprost	Latanoprost	146	8,071	$1,809
Brimonidine Tartrate-Timolol	Brimonidine Tartrate/Timolol	12	370	$1,565

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.	19	$486	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 Roy Trent Wallace, MD?

Tedicare shows public-source Medicare data for Roy Trent Wallace, MD (NPI 1417946203), 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 Roy Trent Wallace, 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 Roy Trent Wallace, MD?

Roy Trent Wallace, MD is linked to TENNESSEE RETINA PC (billing NPI 1497828321) in the available physician profile data.

Does Roy Trent Wallace, MD have Open Payments data?

Roy Trent Wallace, MD has 19 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.