Physician

Lee Hoye Grafton, M.D.

According to 2025 Medicare claims, Lee Grafton, M.D. (NPI: 1700881141) practices dermatology in the Houma-Bayou Cane-Thibodaux, LA market, with the plurality of this provider's patient population coming from Terrebonne, LA. This provider's primary affiliated billing organization is GRAFTON DERMATOLOGY AND COSMETIC SURGERY (NPI: 1053400416; TIN: 72-1432806) and primary practice location at 70364-1434.

Grafton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 996 traditional Medicare patients, billed 24,604 HCPCS/CPT codes, and received $825,288 in Medicare payments. The top billing code was 17311 (Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks). Part D data shows 2,949 prescription claims across 894 beneficiaries totaling $4,251,916 in drug costs, led by Humira(Cf) Pen (Adalimumab). 2019 DME data shows 22 claims. Open Payments data shows 181 records totaling $3,166. 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 risen steadily, from $365,801 to $825,288. Similarly, Part D prescription costs have moved sharply higher in recent years, from $576,325 to $4,251,916. 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.

Year	Patients	Clm Lines	Payment
2015	1,243	7,727	$365,801
2016	1,307	8,098	$372,341
2017	1,339	8,488	$378,734
2018	1,346	17,382	$380,038
2019	1,263	15,445	$481,450
2020	1,043	12,580	$586,456
2021	991	14,773	$559,332
2022	1,019	14,305	$584,419
2023	1,067	14,621	$495,011
2024	996	24,604	$825,288

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	620	1,679	$576,325
2016	660	1,749	$602,057
2017	711	1,946	$554,138
2018	751	2,048	$955,899
2019	722	1,965	$1,366,118
2020	652	1,876	$2,135,088
2021	669	1,976	$2,763,634
2022	725	2,367	$3,587,754
2023	833	2,698	$3,908,941
2024	894	2,949	$4,251,916

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	22	22	$7,781
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

Code	Description	Patients	Clm Lines	Total Payment
17311	Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks	157	185	$476
11102	Biopsy of related skin growth, first growth	267	326	$68
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	745	1,253	$62
17000	Destruction of precancer skin growth, 1 growth	436	656	$40
17003	Destruction of precancer skin growth, 2-14 growths	360	2,772	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Humira(Cf) Pen	Adalimumab	116	3,250	$971,743
Otezla	Apremilast	112	3,328	$562,054
Dupixent Pen	Dupilumab	130	3,602	$534,509
Cosentyx Sensoready (2 Pens)	Secukinumab	46	1,290	$428,887
Tremfya	Guselkumab	25	1,400	$340,887

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	181	$3,166	ABBVIE INC.
Research Payments	Reported research-related payment or transfer-of-value amount.	0	$0	N/R
Ownership / Investment Interests	Reported value of ownership or investment interests.	0	$0	N/R

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FAQ

What Medicare data is available for Lee Hoye Grafton, M.D.?

Tedicare shows public-source Medicare data for Lee Hoye Grafton, M.D. (NPI 1700881141), 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 Lee Hoye Grafton, 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 Lee Hoye Grafton, M.D.?

Lee Hoye Grafton, M.D. is linked to GRAFTON DERMATOLOGY AND COSMETIC SURGERY (billing NPI 1053400416) in the available physician profile data.

Does Lee Hoye Grafton, M.D. have Open Payments data?

Lee Hoye Grafton, M.D. has 181 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.