Physician

Richard Scott Hamilton, M.D.

According to 2025 Medicare claims, Richard Hamilton, M.D. (NPI: 1568412823) practices ophthalmology in the Lakeland-Winter Haven, FL market, with the plurality of this provider's patient population coming from Polk, FL. This provider's primary affiliated billing organization is RETINA PARTNERS OF FLORIDA (NPI: 1831820380; TIN: 882559976) and primary practice location at 33805-2902.

Hamilton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 686 traditional Medicare patients, billed 43,942 HCPCS/CPT codes, and received $2,347,706 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 608 prescription claims across 202 beneficiaries totaling $219,386 in drug costs, led by Eylea (Aflibercept). Open Payments data shows 14 records totaling $333. 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 moved sharply higher in recent years, from $15,757 to $219,386. 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$1.2M$2.4M2015 Medicare payment: $1,703,429 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,741,036 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $2,118,653 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,342,366 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,378,812 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,041,058 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,918,817 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,562,391 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,620,078 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,347,706 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201596911,472$1,703,429
20161,03011,405$1,741,036
20171,32915,873$2,118,653
20181,31013,079$2,342,366
20191,17612,420$2,378,812
20201,05010,631$2,041,058
202193310,847$1,918,817
20228446,995$1,562,391
202358213,757$1,620,078
202468643,942$2,347,706

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$133K$266K2015 Drug cost: $15,757 (USD; Tot_Drug_Cst)2016 Drug cost: $27,320 (USD; Tot_Drug_Cst)2017 Drug cost: $38,607 (USD; Tot_Drug_Cst)2018 Drug cost: $40,622 (USD; Tot_Drug_Cst)2019 Drug cost: $35,022 (USD; Tot_Drug_Cst)2020 Drug cost: $48,978 (USD; Tot_Drug_Cst)2021 Drug cost: $71,930 (USD; Tot_Drug_Cst)2022 Drug cost: $265,891 (USD; Tot_Drug_Cst)2023 Drug cost: $128,265 (USD; Tot_Drug_Cst)2024 Drug cost: $219,386 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015126335$15,757
2016168551$27,320
2017206702$38,607
2018192657$40,622
2019172580$35,022
2020144541$48,978
2021154487$71,930
2022171616$265,891
2023182637$128,265
2024202608$219,386

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3141,079$89
67028Injection of drug into eye2451,091$89
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more354492$62
92134Imaging of retina6441,700$28
J2777Injection, faricimab-svoa, 0.1 mg11734,140$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EyleaAflibercept611,708$140,606
VabysmoFaricimab-Svoa21616$55,714
Prednisolone AcetatePrednisolone Acetate2048,895$13,672
Ketorolac TromethamineKetorolac Tromethamine1092,552$1,897
Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim732,737$660

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.14$333Regeneron Healthcare Solutions, 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 Richard Scott Hamilton, M.D.?

Tedicare shows public-source Medicare data for Richard Scott Hamilton, M.D. (NPI 1568412823), 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 Richard Scott Hamilton, 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 Richard Scott Hamilton, M.D.?

Richard Scott Hamilton, M.D. is linked to RETINA PARTNERS OF FLORIDA (billing NPI 1831820380) in the available physician profile data.

Does Richard Scott Hamilton, M.D. have Open Payments data?

Richard Scott Hamilton, M.D. has 14 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.