Physician

Heather Mcdonagh Tamez, MD

According to 2025 Medicare claims, Heather Tamez, MD (NPI: 1639597347) practices ophthalmology in the York-Hanover, PA market, with the plurality of this provider's patient population coming from York, PA. This provider's primary affiliated billing organization is THE RETINA GROUP OF WASHINGTON, PLLC (NPI: 1225001654; TIN: 521570295) and primary practice location at 17331-1587. Tamez is affiliated with the Physician Leaders Direct Contracting Entity, LLC (ACO ID: D0171) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under the REACH model.

Tamez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 877 traditional Medicare patients, billed 23,104 HCPCS/CPT codes, and received $2,799,139 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 213 prescription claims across 82 beneficiaries totaling $7,067 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 22 records totaling $717. 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 sharply higher in recent years, from $6,368 to $2,799,139. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,879 and ending at $7,067. 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$1.4M$2.8M2018 Medicare payment: $6,368 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $10,205 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $88,819 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,092,948 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,603,218 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,398,934 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,799,139 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
20184352$6,368
20197582$10,205
2020181706$88,819
20215285,988$1,092,948
20225846,864$1,603,218
20236026,829$1,398,934
202487723,104$2,799,139

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$9.3K$19K2015 Drug cost: $5,879 (USD; Tot_Drug_Cst)2016 Drug cost: $6,631 (USD; Tot_Drug_Cst)2017 Drug cost: $16,848 (USD; Tot_Drug_Cst)2018 Drug cost: $11,884 (USD; Tot_Drug_Cst)2019 Drug cost: $15,943 (USD; Tot_Drug_Cst)2020 Drug cost: $18,517 (USD; Tot_Drug_Cst)2021 Drug cost: $9,467 (USD; Tot_Drug_Cst)2022 Drug cost: $9,442 (USD; Tot_Drug_Cst)2023 Drug cost: $5,612 (USD; Tot_Drug_Cst)2024 Drug cost: $7,067 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20153879$5,879
20164267$6,631
201750100$16,848
201857114$11,884
2019114218$15,943
202078225$18,517
202155161$9,467
202257152$9,442
202343134$5,612
202482213$7,067

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
67028Injection of drug into eye2911,198$94
92014Established patient complete exam of visual system7011,891$93
92134Imaging of retina4671,324$32
92250Photography of the retina694878$28
92202Extended exam of the back part of the eye with optic nerve drawing201360$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate813,830$4,209
Ketorolac TromethamineKetorolac Tromethamine371,310$828
MoxifloxacinMoxifloxacin Hcl15225$243
Polymyxin B Sul-TrimethoprimPolymyxin B Sulf/Trimethoprim20653$110
ErythromycinErythromycin Base11137$105

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$717Regeneron 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 Heather Mcdonagh Tamez, MD?

Tedicare shows public-source Medicare data for Heather Mcdonagh Tamez, MD (NPI 1639597347), 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 Heather Mcdonagh Tamez, MD have ACO affiliation data?

Heather Mcdonagh Tamez, MD is shown with ACO affiliation data for Physician Leaders Direct Contracting Entity, LLC (REACH, ACO ID D0171) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Heather Mcdonagh Tamez, MD?

Heather Mcdonagh Tamez, MD is linked to THE RETINA GROUP OF WASHINGTON, PLLC (billing NPI 1225001654) in the available physician profile data.

Does Heather Mcdonagh Tamez, MD have Open Payments data?

Heather Mcdonagh Tamez, 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.