Physician

Alvah C Cayton, OD

According to 2025 Medicare claims, Alvah Cayton, OD (NPI: 1902054042) practices optometrist in the Rocky Mount, NC market, with the plurality of this provider's patient population coming from Edgecombe, NC. This provider's primary affiliated billing organization is TARBORO EYE ASSOCIATES OPTOMETRY PLLC (NPI: 1346654134; TIN: 471136424) and primary practice location at 27886-1903.

Cayton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 755 traditional Medicare patients, billed 7,510 HCPCS/CPT codes, and received $101,205 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 3,246 prescription claims across 622 beneficiaries totaling $905,479 in drug costs, led by Restasis (Cyclosporine). DME data shows 22 claims. Open Payments data shows 12 records totaling $263. 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 declined steadily, from $266,988 to $101,205. In contrast, Part D prescription costs have moved from a lower plateau to a higher plateau, from $343,108 to $905,479. For DME billing, this smaller-volume category 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	1,481	6,174	$266,988
2016	1,219	5,542	$221,853
2017	1,231	5,603	$210,510
2018	1,152	4,861	$188,030
2019	1,248	4,855	$185,431
2020	1,058	4,128	$155,567
2021	1,011	3,875	$147,150
2022	924	3,383	$128,370
2023	852	3,633	$128,657
2024	755	7,510	$101,205

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	504	2,926	$343,108
2016	468	2,829	$403,774
2017	502	2,863	$428,367
2018	497	3,019	$587,445
2019	555	3,018	$648,655
2020	499	2,761	$615,448
2021	551	2,960	$993,356
2022	602	3,166	$892,458
2023	626	3,090	$918,174
2024	622	3,246	$905,479

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	48	48	$2,448
2016	140	146	$7,203
2017	85	85	$4,475
2018	130	131	$7,081
2019	58	58	$2,976
2020	40	40	$2,291
2021	67	67	$3,606
2022	80	80	$4,372
2023	70	70	$4,100
2024	22	22	$1,082

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	644	742	$77
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	143	184	$51
92134	Imaging of retina	128	157	$27
92250	Photography of the retina	349	351	$24
92133	Imaging of optic nerve	147	158	$23

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	448	15,720	$332,135
Xiidra	Lifitegrast	221	7,170	$165,169
Lumigan	Bimatoprost	389	12,151	$116,045
Cequa	Cyclosporine	108	3,720	$73,564
Eysuvis	Loteprednol Etabonate	64	2,313	$31,774

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
V2020	Frames, purchases	N	11	11	$727
V2755	U-v lens, per lens	N	11	11	$355

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$263	Alcon Vision LLC
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 Alvah C. Cayton, OD?

Tedicare shows public-source Medicare data for Alvah C. Cayton, OD (NPI 1902054042), 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 Alvah C. Cayton, OD have ACO affiliation data?

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

What billing organization is linked to Alvah C. Cayton, OD?

Alvah C. Cayton, OD is linked to TARBORO EYE ASSOCIATES OPTOMETRY PLLC (billing NPI 1346654134) in the available physician profile data.

Does Alvah C. Cayton, OD have Open Payments data?

Alvah C. Cayton, OD has 12 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.