Physician

Alan Richard Margherio, MD

According to 2025 Medicare claims, Alan Margherio, MD (NPI: 1598793614) practices ophthalmology in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Kent, MI. This provider's primary affiliated billing organization is ASSOCIATED RETINAL CONSULTANTS, PC (NPI: 1215003793; TIN: 381946761) and primary practice location at 49546-8371.

Margherio's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 293 traditional Medicare patients, billed 2,033 HCPCS/CPT codes, and received $258,128 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 218 prescription claims across 52 beneficiaries totaling $9,788 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). No Open Payments records. 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 fallen sharply in recent years, from $1,893,531 to $258,128. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. 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$947K$1.9M2015 Medicare payment: $1,893,531 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,635,229 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,304,732 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,046,768 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $910,498 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $799,972 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $673,106 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $525,442 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $339,523 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $258,128 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201558310,249$1,893,531
20165269,793$1,635,229
20174568,421$1,304,732
20184027,327$1,046,768
20193846,364$910,498
20204825,192$799,972
20213934,650$673,106
20223383,850$525,442
20233042,587$339,523
20242932,033$258,128

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$9.0K$18K2015 Drug cost: $17,821 (USD; Tot_Drug_Cst)2016 Drug cost: $18,015 (USD; Tot_Drug_Cst)2017 Drug cost: $11,611 (USD; Tot_Drug_Cst)2018 Drug cost: $11,327 (USD; Tot_Drug_Cst)2019 Drug cost: $10,233 (USD; Tot_Drug_Cst)2020 Drug cost: $12,361 (USD; Tot_Drug_Cst)2021 Drug cost: $14,033 (USD; Tot_Drug_Cst)2022 Drug cost: $16,507 (USD; Tot_Drug_Cst)2023 Drug cost: $15,341 (USD; Tot_Drug_Cst)2024 Drug cost: $9,788 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201594302$17,821
201683273$18,015
201758207$11,611
201845185$11,327
201959215$10,233
202056217$12,361
202168285$14,033
202276310$16,507
202354259$15,341
202452218$9,788

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
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more3434$119
67028Injection of drug into eye49161$92
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more251555$90
92014Established patient complete exam of visual system4753$87
92134Imaging of retina241587$29

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate602,671$2,993
Ketorolac TromethamineKetorolac Tromethamine451,514$1,515
Atropine SulfateAtropine Sulfate291,135$751
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat251,762$500
Gentamicin SulfateGentamicin Sulfate22437$139

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Alan Richard Margherio, MD?

Tedicare shows public-source Medicare data for Alan Richard Margherio, MD (NPI 1598793614), 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 Alan Richard Margherio, 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 Alan Richard Margherio, MD?

Alan Richard Margherio, MD is linked to ASSOCIATED RETINAL CONSULTANTS, PC (billing NPI 1215003793) in the available physician profile data.

Does Alan Richard Margherio, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.