Physician

John F Payne, MD

According to 2025 Medicare claims, John Payne, MD (NPI: 1528143021) practices ophthalmology in the Columbia, SC market, with the plurality of this provider's patient population coming from Lexington, SC. This provider's primary affiliated billing organization is PALMETTO RETINA CENTER LLC (NPI: 1255322806; TIN: 57-0955585) and primary practice location at 29169-2429. Payne is affiliated with the CVS Accountable Care Organization, Inc. (ACO ID: D0061), participating under the REACH model.

Payne's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 765 traditional Medicare patients, billed 27,337 HCPCS/CPT codes, and received $4,076,040 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 702 prescription claims across 195 beneficiaries totaling $38,733 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 17 records totaling $114,143. 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	851	11,994	$2,743,080
2016	887	14,977	$3,720,253
2017	894	16,720	$4,292,737
2018	926	17,653	$4,388,974
2019	938	18,866	$4,593,377
2020	856	18,675	$4,515,213
2021	909	20,401	$4,758,284
2022	829	17,274	$3,845,374
2023	805	24,711	$4,085,348
2024	765	27,337	$4,076,040

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	195	707	$42,974
2016	196	672	$41,991
2017	211	905	$64,855
2018	256	916	$54,706
2019	211	828	$50,104
2020	203	811	$68,544
2021	257	1,010	$74,025
2022	246	923	$74,601
2023	207	771	$56,027
2024	195	702	$38,733

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	335	4,564	$656
67028	Injection of drug into eye	392	2,120	$96
92014	Established patient complete exam of visual system	327	425	$84
92012	Established patient problem focused exam of visual system	339	537	$59
92134	Imaging of retina	738	2,799	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	209	8,405	$10,663
Combigan	Brimonidine Tartrate/Timolol	18	664	$5,438
Difluprednate	Difluprednate	27	607	$4,016
Atropine Sulfate	Atropine Sulfate	55	2,195	$2,090
Brimonidine Tartrate	Brimonidine Tartrate	78	2,430	$1,437

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.	8	$223	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	9	$113,920	Ocular Therapeutix, 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 John F. Payne, MD?

Tedicare shows public-source Medicare data for John F. Payne, MD (NPI 1528143021), 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 John F. Payne, MD have ACO affiliation data?

John F. Payne, MD is shown with ACO affiliation data for CVS Accountable Care Organization, Inc. (REACH, ACO ID D0061).

What billing organization is linked to John F. Payne, MD?

John F. Payne, MD is linked to PALMETTO RETINA CENTER LLC (billing NPI 1255322806) in the available physician profile data.

Does John F. Payne, MD have Open Payments data?

John F. Payne, MD has 17 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.