Physician

Michael R Pavlica, MD

According to 2025 Medicare claims, Michael Pavlica, MD (NPI: 1699735613) practices ophthalmology in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is FAMILY EYE GROUP, P.C. (NPI: 1588616924; TIN: 233055908) and primary practice location at 17601-3200. Pavlica is affiliated with the Lancaster General Health Community Care Collaborative, LLC (ACO ID: A2019), participating under the MSSP model.

Pavlica's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 866 traditional Medicare patients, billed 7,560 HCPCS/CPT codes, and received $557,793 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 2,892 prescription claims across 503 beneficiaries totaling $249,326 in drug costs, led by Rhopressa (Netarsudil Mesylate). Open Payments data shows 28 records totaling $759. 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 $58,128 to $249,326. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.