Physician

Donald Charles Falgoust, MD

According to 2025 Medicare claims, Donald Falgoust, MD (NPI: 1538168323) practices ophthalmology in the Lake Charles, LA market, with the plurality of this provider's patient population coming from Calcasieu, LA. This provider's primary affiliated billing organization is FALGOUST EYE MEDICAL AND SURGICAL (NPI: 1649285040; TIN: 77-0590104) and primary practice location at 70605-4165.

Falgoust's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,462 traditional Medicare patients, billed 3,970 HCPCS/CPT codes, and received $419,750 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 1,913 prescription claims across 497 beneficiaries totaling $219,389 in drug costs, led by Restasis (Cyclosporine). DME data shows 56 claims. Open Payments data shows 20 records totaling $884. 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. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,827	4,327	$423,599
2016	1,844	4,477	$430,158
2017	1,857	4,552	$457,399
2018	1,958	4,750	$475,353
2019	1,918	4,744	$501,394
2020	1,564	3,748	$361,613
2021	1,432	3,770	$365,314
2022	1,404	3,830	$343,373
2023	1,492	4,095	$386,478
2024	1,462	3,970	$419,750

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	393	1,897	$216,443
2016	437	1,977	$265,089
2017	475	1,967	$299,718
2018	505	1,829	$302,873
2019	551	2,021	$404,394
2020	491	1,694	$315,983
2021	566	2,054	$350,060
2022	650	2,372	$324,375
2023	502	1,987	$259,591
2024	497	1,913	$219,389

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	117	117	$6,753
2016	70	70	$4,227
2017	78	86	$5,434
2018	77	77	$5,286
2019	70	71	$4,453
2020	64	64	$3,385
2021	48	50	$2,862
2022	36	36	$2,330
2023	87	87	$6,482
2024	56	56	$3,869

* / # = 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	280	515	$395
92014	Established patient complete exam of visual system	1,039	1,124	$77
92136	Measurement of corneal curvature and depth of eye	309	514	$28
92134	Imaging of retina	250	282	$27
92133	Imaging of optic nerve	245	251	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	37	2,550	$52,322
Lotemax Sm	Loteprednol Etabonate	171	4,354	$42,413
Prolensa	Bromfenac Sodium	76	2,735	$26,519
Lumigan	Bimatoprost	34	2,467	$22,591
Cyclosporine	Cyclosporine	16	1,080	$11,464

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	N	23	23	$2,005
V2020	Frames, purchases	N	33	33	$1,864

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	20	$884	Alcon Vision LLC
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 Donald Charles Falgoust, MD?

Tedicare shows public-source Medicare data for Donald Charles Falgoust, MD (NPI 1538168323), 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 Donald Charles Falgoust, 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 Donald Charles Falgoust, MD?

Donald Charles Falgoust, MD is linked to FALGOUST EYE MEDICAL AND SURGICAL (billing NPI 1649285040) in the available physician profile data.

Does Donald Charles Falgoust, MD have Open Payments data?

Donald Charles Falgoust, MD has 20 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.