Physician

Kenneth B Graham

According to 2025 Medicare claims, Kenneth Graham (NPI: 1457464778) practices ophthalmology in the Nassau County-Suffolk County, NY market, with the plurality of this provider's patient population coming from Suffolk, NY. This provider's primary affiliated billing organization is LONG ISLAND VITREO RETINAL CONSULTANTS PC (NPI: 1437262755; TIN: 112566918) and primary practice location at 11901-3106. Graham is affiliated with the Northwell Health ACO (ACO ID: A3030) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Graham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,789 traditional Medicare patients, billed 58,920 HCPCS/CPT codes, and received $5,797,582 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 551 prescription claims across 178 beneficiaries totaling $44,762 in drug costs, led by Restasis (Cyclosporine). Open Payments data shows 147 records totaling $273,305. 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 moved sharply higher in recent years, from $24,904 to $44,762. 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	1,424	20,037	$3,863,460
2016	1,631	23,138	$4,370,868
2017	1,491	24,621	$4,471,452
2018	1,575	30,217	$5,069,759
2019	1,486	31,834	$5,527,426
2020	1,391	23,649	$4,772,743
2021	1,584	24,261	$5,281,468
2022	1,583	22,917	$5,227,546
2023	1,705	43,534	$5,615,045
2024	1,789	58,920	$5,797,582

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	112	308	$24,904
2016	117	284	$19,511
2017	104	247	$18,957
2018	115	278	$19,760
2019	135	380	$31,154
2020	148	420	$29,507
2021	161	469	$36,088
2022	127	474	$45,197
2023	146	481	$52,021
2024	178	551	$44,762

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
67028	Injection of drug into eye	751	2,862	$108
92012	Established patient problem focused exam of visual system	959	1,679	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	637	850	$76
92134	Imaging of retina	1,684	4,362	$35
92201	Extended exam of the back part of the eye with retinal drawing	657	875	$21

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	11	630	$13,136
Prednisolone Acetate	Prednisolone Acetate	161	6,102	$8,364
Brimonidine Tartrate	Brimonidine Tartrate	26	1,515	$2,322
Ketorolac Tromethamine	Ketorolac Tromethamine	41	1,269	$1,258
Difluprednate	Difluprednate	13	324	$1,008

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.	17	$665	Apellis Pharmaceuticals, Inc.
Research Payments	Reported research-related payment or transfer-of-value amount.	130	$272,640	Bayer Healthcare Pharmaceuticals Inc.
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 Kenneth B. Graham?

Tedicare shows public-source Medicare data for Kenneth B. Graham (NPI 1457464778), 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 Kenneth B. Graham have ACO affiliation data?

Kenneth B. Graham is shown with ACO affiliation data for Northwell Health ACO (MSSP, ACO ID A3030) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Kenneth B. Graham?

Kenneth B. Graham is linked to LONG ISLAND VITREO RETINAL CONSULTANTS PC (billing NPI 1437262755) in the available physician profile data.

Does Kenneth B. Graham have Open Payments data?

Kenneth B. Graham has 147 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.