Physician

Denise Sophia Gallagher, M.D.

According to 2025 Medicare claims, Denise Gallagher, M.D. (NPI: 1699980151) practices ophthalmology in the Pittsburgh, PA market, with the plurality of this provider's patient population coming from Allegheny, PA. This provider's primary affiliated billing organization is UNIVERSITY OF PITTSBURGH PHYSICIANS (NPI: 1710945100; TIN: 232919472) and primary practice location at 15219-5924.

Gallagher's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 266 traditional Medicare patients, billed 5,736 HCPCS/CPT codes, and received $285,743 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 251 prescription claims across 93 beneficiaries totaling $25,317 in drug costs, led by Lumigan (Bimatoprost). 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 $450,638 to $285,743. Similarly, Part D prescription costs have fallen sharply in recent years, from $71,840 to $25,317. 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$225K$451K2015 Medicare payment: $450,638 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $392,297 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $289,650 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $357,194 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $427,534 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $378,145 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $313,885 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $118,074 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $161,321 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $285,743 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153182,327$450,638
20163742,430$392,297
20173551,751$289,650
20183201,959$357,194
20193862,244$427,534
20203411,821$378,145
20213501,481$313,885
2022155544$118,074
20231883,091$161,321
20242665,736$285,743

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$36K$72K2015 Drug cost: $71,840 (USD; Tot_Drug_Cst)2016 Drug cost: $64,952 (USD; Tot_Drug_Cst)2017 Drug cost: $67,855 (USD; Tot_Drug_Cst)2018 Drug cost: $46,949 (USD; Tot_Drug_Cst)2019 Drug cost: $55,957 (USD; Tot_Drug_Cst)2020 Drug cost: $55,871 (USD; Tot_Drug_Cst)2021 Drug cost: $54,185 (USD; Tot_Drug_Cst)2022 Drug cost: $38,584 (USD; Tot_Drug_Cst)2023 Drug cost: $19,525 (USD; Tot_Drug_Cst)2024 Drug cost: $25,317 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201578311$71,840
201693291$64,952
201781319$67,855
201891286$46,949
201987338$55,957
202075304$55,871
202180268$54,185
202290268$38,584
202379234$19,525
202493251$25,317

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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more76139$94
92014Established patient complete exam of visual system114122$89
67028Injection of drug into eye62180$84
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more91110$50
92134Imaging of retina167330$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost20650$6,236
Brimonidine TartrateBrimonidine Tartrate271,915$2,568
Ketorolac TromethamineKetorolac Tromethamine331,715$2,213
Prednisolone AcetatePrednisolone Acetate231,184$1,295
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat241,776$638

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 Denise Sophia Gallagher, M.D.?

Tedicare shows public-source Medicare data for Denise Sophia Gallagher, M.D. (NPI 1699980151), 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 Denise Sophia Gallagher, 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 Denise Sophia Gallagher, M.D.?

Denise Sophia Gallagher, M.D. is linked to UNIVERSITY OF PITTSBURGH PHYSICIANS (billing NPI 1710945100) in the available physician profile data.

Does Denise Sophia Gallagher, M.D. 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.