Physician

Kyle S Fallgatter, MD

According to 2025 Medicare claims, Kyle Fallgatter, MD (NPI: 1588160188) practices ophthalmology in the Brunswick-St. Simons, GA market, with the plurality of this provider's patient population coming from Glynn, GA. This provider's primary affiliated billing organization is RETINA VITREOUS CONSULTANTS (NPI: 1699773796; TIN: 592086792) and primary practice location at 31520-4848.

Fallgatter's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 195 traditional Medicare patients, billed 1,168 HCPCS/CPT codes, and received $156,368 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 134 prescription claims across 50 beneficiaries totaling $4,557 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 5 records totaling $299. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $63,709 to $4,557. 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$78K$156K2023 Medicare payment: $27,876 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $156,368 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
202345270$27,876
20241951,168$156,368

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$33K$65K2020 Drug cost: $63,709 (USD; Tot_Drug_Cst)2021 Drug cost: $65,381 (USD; Tot_Drug_Cst)2022 Drug cost: $25,390 (USD; Tot_Drug_Cst)2023 Drug cost: $3,330 (USD; Tot_Drug_Cst)2024 Drug cost: $4,557 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020168444$63,709
2021186587$65,381
202278169$25,390
20231535$3,330
202450134$4,557

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
92004New patient complete exam of visual system6666$109
67028Injection of drug into eye5580$90
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5359$68
92134Imaging of retina4860$30
92250Photography of the retina140140$28

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate361,397$1,982
Atropine SulfateAtropine Sulfate20743$841
MoxifloxacinMoxifloxacin Hcl21290$494

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.5$299Regeneron 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 Kyle S. Fallgatter, MD?

Tedicare shows public-source Medicare data for Kyle S. Fallgatter, MD (NPI 1588160188), 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 Kyle S. Fallgatter, 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 Kyle S. Fallgatter, MD?

Kyle S. Fallgatter, MD is linked to RETINA VITREOUS CONSULTANTS (billing NPI 1699773796) in the available physician profile data.

Does Kyle S. Fallgatter, MD have Open Payments data?

Kyle S. Fallgatter, MD has 5 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.