Physician

James A Goodson, M.D.

According to 2025 Medicare claims, James Goodson, M.D. (NPI: 1689677155) practices ophthalmology in the Sumter, SC market, with the plurality of this provider's patient population coming from Sumter, SC. This provider's primary affiliated billing organization is STOKES REGIONAL EYE CENTERS (NPI: 1194713636; TIN: 570523600) and primary practice location at 29501-3429.

Goodson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,556 traditional Medicare patients, billed 5,901 HCPCS/CPT codes, and received $529,943 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 3,592 prescription claims across 915 beneficiaries totaling $411,391 in drug costs, led by Lumigan (Bimatoprost). 2020 DME data shows 31 claims. Open Payments data shows 21 records totaling $412. 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 declined steadily, from $661,540 to $529,943. Concurrently, Part D prescription costs have changed little. 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$373K$747K2015 Medicare payment: $661,540 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $746,903 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $735,167 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $709,421 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $638,110 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $546,141 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $562,963 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $523,529 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $476,004 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $529,943 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153,3197,376$661,540
20163,4487,868$746,903
20173,3197,427$735,167
20183,3387,407$709,421
20193,1986,966$638,110
20202,6916,199$546,141
20212,7116,435$562,963
20222,7176,101$523,529
20232,5195,602$476,004
20242,5565,901$529,943

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$256K$513K2015 Drug cost: $384,383 (USD; Tot_Drug_Cst)2016 Drug cost: $425,478 (USD; Tot_Drug_Cst)2017 Drug cost: $421,063 (USD; Tot_Drug_Cst)2018 Drug cost: $409,313 (USD; Tot_Drug_Cst)2019 Drug cost: $451,889 (USD; Tot_Drug_Cst)2020 Drug cost: $493,078 (USD; Tot_Drug_Cst)2021 Drug cost: $512,856 (USD; Tot_Drug_Cst)2022 Drug cost: $486,804 (USD; Tot_Drug_Cst)2023 Drug cost: $470,148 (USD; Tot_Drug_Cst)2024 Drug cost: $411,391 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157503,508$384,383
20167573,581$425,478
20178023,753$421,063
20187893,723$409,313
20197673,389$451,889
20207363,257$493,078
20218523,463$512,856
20228343,405$486,804
20238943,608$470,148
20249153,592$411,391

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$4.1K$8.3K2015 Medicare payment: $8,294 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $7,644 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $7,128 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $7,974 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,813 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $1,608 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015168168$8,294
2016127139$7,644
2017139139$7,128
2018140140$7,974
20195050$2,813
20203131$1,608
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,9341,974$84
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more567846$59
92083Exam of visual field with extended testing323326$40
92134Imaging of retina305323$27
92133Imaging of optic nerve326327$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost24812,958$109,778
RestasisCyclosporine703,360$70,184
Prednisolone AcetatePrednisolone Acetate46121,737$27,898
TravoprostTravoprost1436,522$26,128
CyclosporineCyclosporine442,460$24,141

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.21$412Alcon Vision LLC
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 James A. Goodson, M.D.?

Tedicare shows public-source Medicare data for James A. Goodson, M.D. (NPI 1689677155), 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 James A. Goodson, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to James A. Goodson, M.D.?

James A. Goodson, M.D. is linked to STOKES REGIONAL EYE CENTERS (billing NPI 1194713636) in the available physician profile data.

Does James A. Goodson, M.D. have Open Payments data?

James A. Goodson, M.D. has 21 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.