Physician

Jay Michael Fiore, MD

According to 2025 Medicare claims, Jay Fiore, MD (NPI: 1578708897) practices ophthalmology in the State College, PA market, with the plurality of this provider's patient population coming from Centre, PA. This provider's primary affiliated billing organization is HEIMER EYE CARE ASSOC. P.C. (NPI: 1063468395; TIN: 352262521) and primary practice location at 16803-2276.

Fiore's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 660 traditional Medicare patients, billed 2,047 HCPCS/CPT codes, and received $189,633 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 3,315 prescription claims across 605 beneficiaries totaling $1,127,192 in drug costs, led by Oxervate (Cenegermin-Bkbj). 2023 DME data shows 43 claims. Open Payments data shows 31 records totaling $934. 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 have moved sharply higher in recent years, from $205,177 to $1,127,192. 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	551	1,731	$199,707
2016	529	1,688	$183,176
2017	520	1,685	$194,450
2018	542	1,784	$202,121
2019	573	2,004	$216,984
2020	559	1,747	$180,969
2021	605	2,065	$201,118
2022	612	1,947	$188,223
2023	644	2,114	$207,573
2024	660	2,047	$189,633

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	402	1,943	$205,177
2016	442	2,080	$219,594
2017	435	2,085	$242,462
2018	453	2,170	$259,931
2019	463	2,359	$343,140
2020	390	2,081	$321,082
2021	450	2,260	$692,856
2022	497	2,635	$554,539
2023	575	3,003	$849,206
2024	605	3,315	$1,127,192

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	22	22	$1,429
2016	38	38	$2,124
2017	N/R	N/R	N/R
2018	26	26	$1,590
2019	51	51	$3,729
2020	31	31	$2,250
2021	34	34	$2,006
2022	34	34	$2,341
2023	43	43	$3,150
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	107	107	$117
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	440	476	$80
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	318	548	$58
92134	Imaging of retina	135	181	$26
92133	Imaging of optic nerve	104	107	$24

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxervate	Cenegermin-Bkbj	23	322	$645,464
Restasis	Cyclosporine	81	3,990	$80,943
Xiidra	Lifitegrast	60	3,180	$69,575
Lumigan	Bimatoprost	93	5,443	$47,574
Cyclosporine	Cyclosporine	70	4,080	$39,116

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.	31	$934	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 Jay Michael Fiore, MD?

Tedicare shows public-source Medicare data for Jay Michael Fiore, MD (NPI 1578708897), 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 Jay Michael Fiore, 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 Jay Michael Fiore, MD?

Jay Michael Fiore, MD is linked to HEIMER EYE CARE ASSOC. P.C. (billing NPI 1063468395) in the available physician profile data.

Does Jay Michael Fiore, MD have Open Payments data?

Jay Michael Fiore, MD has 31 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.