Physician

Brian Groat, M.D.

According to 2025 Medicare claims, Brian Groat, M.D. (NPI: 1841271228) practices ophthalmology in the Wilmington, NC market, with the plurality of this provider's patient population coming from Brunswick, NC. This provider's primary affiliated billing organization is CAPE FEAR CATARACT AND CORNEA, P.A. (NPI: 1518437011; TIN: 832642950) and primary practice location at 28401-6682. Groat is affiliated with the CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Groat's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,279 traditional Medicare patients, billed 6,411 HCPCS/CPT codes, and received $660,024 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 1,130 prescription claims across 313 beneficiaries totaling $757,580 in drug costs, led by Oxervate (Cenegermin-Bkbj). 2021 DME data shows 13 claims. Open Payments data shows 7 records totaling $324. 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 risen steadily, from $162,797 to $757,580. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	863	3,388	$442,519
2016	1,200	4,225	$600,922
2017	1,328	4,437	$676,451
2018	1,375	4,425	$681,918
2019	1,590	5,580	$768,125
2020	1,416	5,339	$720,554
2021	1,444	6,200	$818,554
2022	1,397	6,594	$786,163
2023	1,373	6,530	$751,876
2024	1,279	6,411	$660,024

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	352	1,556	$162,797
2016	521	2,035	$211,510
2017	632	2,378	$228,933
2018	686	2,873	$215,005
2019	491	2,019	$149,209
2020	232	864	$523,533
2021	218	705	$168,029
2022	244	864	$871,352
2023	264	969	$355,592
2024	313	1,130	$757,580

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	65	66	$4,135
2016	106	107	$6,602
2017	42	42	$2,690
2018	58	60	$3,211
2019	67	67	$3,601
2020	12	12	$727
2021	13	13	$731
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
66984	Removal of cataract with insertion of prosthetic lens	528	922	$320
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	667	667	$104
92134	Imaging of retina	622	665	$27
92025	Ct scan of cornea	776	915	$24
92136	Measurement of corneal curvature and depth of eye	585	1,285	$15

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxervate	Cenegermin-Bkbj	19	266	$645,070
Restasis	Cyclosporine	24	1,200	$24,641
Prednisolone Acetate	Prednisolone Acetate	368	16,536	$16,636
Loteprednol Etabonate	Loteprednol Etabonate	98	3,644	$16,147
Alphagan P	Brimonidine Tartrate	15	556	$3,314

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.	7	$324	BIOTISSUE HOLDINGS 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 Brian Groat, M.D.?

Tedicare shows public-source Medicare data for Brian Groat, M.D. (NPI 1841271228), 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 Brian Groat, M.D. have ACO affiliation data?

Brian Groat, M.D. is shown with ACO affiliation data for CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Brian Groat, M.D.?

Brian Groat, M.D. is linked to CAPE FEAR CATARACT AND CORNEA, P.A. (billing NPI 1518437011) in the available physician profile data.

Does Brian Groat, M.D. have Open Payments data?

Brian Groat, M.D. has 7 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.