Physician

John T Pajka, MD

According to 2025 Medicare claims, John Pajka, MD (NPI: 1861469108) practices ophthalmology in the Lima, OH market, with the plurality of this provider's patient population coming from Allen, OH. This provider's primary affiliated billing organization is PAJKA EYE CENTER INC (NPI: 1831167097; TIN: 341146550) and primary practice location at 45805-2764.

Pajka's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 661 traditional Medicare patients, billed 11,158 HCPCS/CPT codes, and received $374,283 in Medicare payments. The top billing code was 66821 (Removal of recurring cataract in lens capsule using a laser). Part D data shows 1,902 prescription claims across 795 beneficiaries totaling $93,615 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). DME data shows 30 claims. Open Payments data shows 2 records totaling $23. 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 $788,064 to $374,283. Similarly, Part D prescription costs have fallen sharply in recent years, from $454,350 to $93,615. 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.

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$444K$889K2015 Medicare payment: $788,064 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $845,839 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $888,805 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $741,460 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $808,403 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $595,559 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $654,261 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $515,790 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $380,093 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $374,283 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,85221,348$788,064
20162,00824,978$845,839
20171,90128,613$888,805
20181,67024,623$741,460
20191,50723,652$808,403
20201,06219,891$595,559
20211,08722,508$654,261
202287518,855$515,790
202366113,047$380,093
202466111,158$374,283

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$227K$454K2015 Drug cost: $454,350 (USD; Tot_Drug_Cst)2016 Drug cost: $365,023 (USD; Tot_Drug_Cst)2017 Drug cost: $283,620 (USD; Tot_Drug_Cst)2018 Drug cost: $277,142 (USD; Tot_Drug_Cst)2019 Drug cost: $253,931 (USD; Tot_Drug_Cst)2020 Drug cost: $207,381 (USD; Tot_Drug_Cst)2021 Drug cost: $221,176 (USD; Tot_Drug_Cst)2022 Drug cost: $175,268 (USD; Tot_Drug_Cst)2023 Drug cost: $139,282 (USD; Tot_Drug_Cst)2024 Drug cost: $93,615 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151,3955,397$454,350
20161,4314,961$365,023
20171,4644,302$283,620
20181,3664,211$277,142
20191,3954,356$253,931
20201,2333,628$207,381
20211,3693,753$221,176
20221,2243,120$175,268
20238372,187$139,282
20247951,902$93,615

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$10K$21K2015 Medicare payment: $20,626 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $20,666 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $16,810 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $11,336 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $11,069 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,391 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,357 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $2,339 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $2,580 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,026 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015323326$20,626
2016340344$20,666
2017271274$16,810
2018206206$11,336
2019187187$11,069
20208890$6,391
20217475$4,357
20223939$2,339
20233737$2,580
20243030$2,026

* / # = 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
66821Removal of recurring cataract in lens capsule using a laser124154$231
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more370370$106
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more134148$88
92136Measurement of corneal curvature and depth of eye362582$27
66984Removal of cataract with insertion of prosthetic lens3459,013$24

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Prednisolone AcetatePrednisolone Acetate82534,574$51,169
MoxifloxacinMoxifloxacin Hcl5859,809$20,633
Timolol MaleateTimolol Maleate1569,257$1,081
LatanoprostLatanoprost1345,867$1,010
Dorzolamide-TimololDorzolamide Hcl/Timolol Maleat292,167$617

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
V2200Sphere, bifocal, plano to plus or minus 4.00d, per lensN1414$1,083
V2020Frames, purchasesN1616$943

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$23ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.1$17,450,991Midmark Corporation

FAQ

What Medicare data is available for John T. Pajka, MD?

Tedicare shows public-source Medicare data for John T. Pajka, MD (NPI 1861469108), 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 John T. Pajka, MD have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to John T. Pajka, MD?

John T. Pajka, MD is linked to PAJKA EYE CENTER INC (billing NPI 1831167097) in the available physician profile data.

Does John T. Pajka, MD have Open Payments data?

John T. Pajka, MD has 2 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.