Physician

Mark J Ross, M.D.

According to 2025 Medicare claims, Mark Ross, M.D. (NPI: 1508869090) practices ophthalmology in the Florence, SC market, with the plurality of this provider's patient population coming from Florence, SC. This provider's primary affiliated billing organization is STOKES REGIONAL EYE CENTERS (NPI: 1194713636; TIN: 570523600) and primary practice location at 29501-3429.

Ross' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,893 traditional Medicare patients, billed 4,263 HCPCS/CPT codes, and received $355,493 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 6,527 prescription claims across 1,280 beneficiaries totaling $507,102 in drug costs, led by Lumigan (Bimatoprost). 2020 DME data shows 28 claims. Open Payments data shows 1 records totaling $22. 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 declined steadily, from $615,750 to $355,493. In contrast, Part D prescription costs have risen steadily, from $442,192 to $507,102. 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.

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$308K$616K2015 Medicare payment: $615,750 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $607,659 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $498,844 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $416,058 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $465,670 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $404,796 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $436,366 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $402,539 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $358,923 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $355,493 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152,4216,152$615,750
20162,3306,698$607,659
20172,4226,581$498,844
20182,2325,475$416,058
20192,1345,339$465,670
20202,1364,942$404,796
20212,3065,531$436,366
20222,1725,149$402,539
20231,9704,621$358,923
20241,8934,263$355,493

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$362K$725K2015 Drug cost: $442,192 (USD; Tot_Drug_Cst)2016 Drug cost: $478,849 (USD; Tot_Drug_Cst)2017 Drug cost: $522,520 (USD; Tot_Drug_Cst)2018 Drug cost: $522,651 (USD; Tot_Drug_Cst)2019 Drug cost: $579,889 (USD; Tot_Drug_Cst)2020 Drug cost: $614,751 (USD; Tot_Drug_Cst)2021 Drug cost: $724,959 (USD; Tot_Drug_Cst)2022 Drug cost: $685,507 (USD; Tot_Drug_Cst)2023 Drug cost: $596,106 (USD; Tot_Drug_Cst)2024 Drug cost: $507,102 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20159245,141$442,192
20168685,223$478,849
20179565,442$522,520
20189775,580$522,651
20199915,251$579,889
20201,1235,292$614,751
20211,2666,432$724,959
20221,3006,925$685,507
20231,3206,608$596,106
20241,2806,527$507,102

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$1.2K$2.5K2015 Medicare payment: $1,118 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $811 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $659 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,813 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,480 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,826 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20152525$1,118
20161414$811
20171313$659
20182727$1,813
20194141$2,480
20202828$1,826
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more733742$87
92014Established patient complete exam of visual system401401$71
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more644777$60
92083Exam of visual field with extended testing318322$42
92133Imaging of optic nerve444445$24

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost16810,467$96,574
RestasisCyclosporine563,450$70,433
RhopressaNetarsudil Mesylate1245,456$59,547
Alphagan PBrimonidine Tartrate813,671$29,153
Prednisolone AcetatePrednisolone Acetate67919,882$24,366

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$22Thea Pharma Inc.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Mark J. Ross, M.D.?

Tedicare shows public-source Medicare data for Mark J. Ross, M.D. (NPI 1508869090), 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 Mark J. Ross, 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 Mark J. Ross, M.D.?

Mark J. Ross, M.D. is linked to STOKES REGIONAL EYE CENTERS (billing NPI 1194713636) in the available physician profile data.

Does Mark J. Ross, M.D. have Open Payments data?

Mark J. Ross, M.D. has 1 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.