Physician

Mark A Kroll, MD

According to 2025 Medicare claims, Mark Kroll, MD (NPI: 1568494136) practices ophthalmology in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Montgomery, TN. This provider's primary affiliated billing organization is CLARKSVILLE OPHTHALMOLOGY P.C. (NPI: 1598746794; TIN: 620906808) and primary practice location at 37040-5243. Kroll is affiliated with the Connected Care of Middle Tennessee, LLC (ACO ID: A3840), participating under the MSSP model.

Kroll's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 391 traditional Medicare patients, billed 1,705 HCPCS/CPT codes, and received $256,959 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 463 prescription claims across 154 beneficiaries totaling $30,574 in drug costs, led by Bromfenac Sodium (Bromfenac Sodium). 2023 DME data shows 27 claims. Open Payments data shows 22 records totaling $482. 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 moved from a higher plateau to a lower plateau, from $416,621 to $256,959. Similarly, Part D prescription costs have fallen sharply in recent years, from $345,135 to $30,574. 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$319K$638K2015 Medicare payment: $416,621 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $621,735 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $637,994 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $591,431 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $576,380 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $286,756 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $346,420 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $259,870 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $235,596 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $256,959 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,5753,819$416,621
20161,7119,303$621,735
20171,57113,188$637,994
20181,55911,546$591,431
20191,47810,433$576,380
20209466,346$286,756
20218677,653$346,420
20224984,405$259,870
20234403,243$235,596
20243911,705$256,959

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$173K$345K2015 Drug cost: $345,135 (USD; Tot_Drug_Cst)2016 Drug cost: $242,628 (USD; Tot_Drug_Cst)2017 Drug cost: $251,911 (USD; Tot_Drug_Cst)2018 Drug cost: $287,836 (USD; Tot_Drug_Cst)2019 Drug cost: $307,450 (USD; Tot_Drug_Cst)2020 Drug cost: $297,558 (USD; Tot_Drug_Cst)2021 Drug cost: $300,306 (USD; Tot_Drug_Cst)2022 Drug cost: $159,010 (USD; Tot_Drug_Cst)2023 Drug cost: $52,620 (USD; Tot_Drug_Cst)2024 Drug cost: $30,574 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157432,835$345,135
20167312,591$242,628
20175812,930$251,911
20186073,018$287,836
20196102,953$307,450
20204792,523$297,558
20214442,161$300,306
2022276996$159,010
2023157389$52,620
2024154463$30,574

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$6.8K$14K2015 Medicare payment: $819 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $9,360 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $13,544 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $12,393 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $7,641 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,620 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $3,716 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $853 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $2,386 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151616$819
2016152153$9,360
2017230232$13,544
2018211212$12,393
2019116116$7,641
20203333$1,620
20214949$3,716
20221313$853
20232727$2,386
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
66984Removal of cataract with insertion of prosthetic lens267493$352
66821Removal of recurring cataract in lens capsule using a laser90136$222
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more173173$101
92136Measurement of corneal curvature and depth of eye266322$24
68841Insertion of drug delivery implant into tear duct of eye61113$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Bromfenac SodiumBromfenac Sodium401,086$4,891
LumiganBimatoprost12522$4,382
MoxifloxacinMoxifloxacin Hcl1212,239$4,144
Prednisolone AcetatePrednisolone Acetate1493,373$3,473
Ketorolac TromethamineKetorolac Tromethamine721,551$1,769

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.22$482BIOTISSUE HOLDINGS 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 A. Kroll, MD?

Tedicare shows public-source Medicare data for Mark A. Kroll, MD (NPI 1568494136), 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 A. Kroll, MD have ACO affiliation data?

Mark A. Kroll, MD is shown with ACO affiliation data for Connected Care of Middle Tennessee, LLC (MSSP, ACO ID A3840).

What billing organization is linked to Mark A. Kroll, MD?

Mark A. Kroll, MD is linked to CLARKSVILLE OPHTHALMOLOGY P.C. (billing NPI 1598746794) in the available physician profile data.

Does Mark A. Kroll, MD have Open Payments data?

Mark A. Kroll, MD has 22 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.