Physician

Paul William Mallory, M.D.

According to 2025 Medicare claims, Paul Mallory, M.D. (NPI: 1790149821) practices ophthalmology in the Cleveland, TN market, with the plurality of this provider's patient population coming from Bradley, TN. This provider's primary affiliated billing organization is SOUTHEAST EYE SPECIALISTS PLLC (NPI: 1518961176; TIN: 621791165) and primary practice location at 37312-4886.

Mallory's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 391 traditional Medicare patients, billed 16,131 HCPCS/CPT codes, and received $1,160,351 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 121 prescription claims across 45 beneficiaries totaling $8,042 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 23 records totaling $544. 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 $4,446 to $1,160,351. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,740 and ending at $8,042. 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$580K$1.2M2020 Medicare payment: $4,446 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $9,605 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $28,355 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $90,854 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,160,351 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20203740$4,446
20218290$9,605
202285242$28,355
20231421,007$90,854
202439116,131$1,160,351

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$20K$39K2016 Drug cost: $5,740 (USD; Tot_Drug_Cst)2017 Drug cost: $12,121 (USD; Tot_Drug_Cst)2018 Drug cost: $39,474 (USD; Tot_Drug_Cst)2019 Drug cost: $10,062 (USD; Tot_Drug_Cst)2020 Drug cost: $7,259 (USD; Tot_Drug_Cst)2021 Drug cost: $14,979 (USD; Tot_Drug_Cst)2022 Drug cost: $3,321 (USD; Tot_Drug_Cst)2023 Drug cost: $2,951 (USD; Tot_Drug_Cst)2024 Drug cost: $8,042 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/R30$5,740
201760100$12,121
201894217$39,474
20193876$10,062
20203987$7,259
202185168$14,979
20223979$3,321
20232971$2,951
202445121$8,042

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
J0178Injection, aflibercept, 1 mg113850$655
67028Injection of drug into eye168641$83
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more181206$80
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more110135$57
92134Imaging of retina352623$25

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate301,264$919
ValacyclovirValacyclovir Hcl11330$591
Ketorolac TromethamineKetorolac Tromethamine15637$363
Neomycin-Polymyxin-DexamethNeomycin/Polymyxin B/Dexametha11170$194
Ondansetron HclOndansetron Hcl17108$88

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.23$544Regeneron 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 Paul William Mallory, M.D.?

Tedicare shows public-source Medicare data for Paul William Mallory, M.D. (NPI 1790149821), 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 Paul William Mallory, 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 Paul William Mallory, M.D.?

Paul William Mallory, M.D. is linked to SOUTHEAST EYE SPECIALISTS PLLC (billing NPI 1518961176) in the available physician profile data.

Does Paul William Mallory, M.D. have Open Payments data?

Paul William Mallory, M.D. has 23 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.