Physician

Jonathan Pierce Walgama, M.D.

According to 2025 Medicare claims, Jonathan Walgama, M.D. (NPI: 1477846871) practices ophthalmology in the Longview, TX market, with the plurality of this provider's patient population coming from Gregg, TX. This provider's primary affiliated billing organization is JONATHAN P WALGAMA MD PA (NPI: 1487184867; TIN: 821860843) and primary practice location at 75605-5170.

Walgama's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 940 traditional Medicare patients, billed 3,295 HCPCS/CPT codes, and received $282,985 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 1,241 prescription claims across 319 beneficiaries totaling $63,439 in drug costs, led by Restasis (Cyclosporine). 2020 DME data shows 12 claims. Open Payments data shows 6 records totaling $141. 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 have risen steadily, from $11,727 to $63,439. 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	235	638	$81,518
2016	553	2,036	$221,203
2017	688	2,729	$284,412
2018	784	3,481	$372,912
2019	848	3,629	$385,572
2020	841	3,233	$310,750
2021	887	3,234	$320,590
2022	889	3,091	$281,534
2023	964	3,184	$287,044
2024	940	3,295	$282,985

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	88	316	$11,727
2016	244	867	$27,816
2017	305	1,228	$56,005
2018	320	1,234	$69,908
2019	279	997	$70,480
2020	262	1,032	$72,874
2021	269	1,050	$78,311
2022	253	947	$79,478
2023	271	968	$94,730
2024	319	1,241	$63,439

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	29	29	$1,196
2017	N/R	N/R	N/R
2018	25	25	$1,086
2019	28	28	$1,145
2020	12	12	$548
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
66984	Removal of cataract with insertion of prosthetic lens	133	216	$385
92014	Established patient complete exam of visual system	675	684	$77
92012	Established patient problem focused exam of visual system	258	342	$53
92134	Imaging of retina	168	362	$27
92136	Measurement of corneal curvature and depth of eye	138	369	$17

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	18	720	$15,554
Prednisolone Acetate	Prednisolone Acetate	154	6,986	$7,479
Combigan	Brimonidine Tartrate/Timolol	12	760	$4,785
Latanoprost	Latanoprost	435	31,433	$4,291
Timolol Maleate	Timolol Maleate	97	7,462	$2,752

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.	6	$141	RxSight 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 Jonathan Pierce Walgama, M.D.?

Tedicare shows public-source Medicare data for Jonathan Pierce Walgama, M.D. (NPI 1477846871), 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 Jonathan Pierce Walgama, 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 Jonathan Pierce Walgama, M.D.?

Jonathan Pierce Walgama, M.D. is linked to JONATHAN P WALGAMA MD PA (billing NPI 1487184867) in the available physician profile data.

Does Jonathan Pierce Walgama, M.D. have Open Payments data?

Jonathan Pierce Walgama, M.D. has 6 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.