Physician

Maxwell D Elia, MD

According to 2025 Medicare claims, Maxwell Elia, MD (NPI: 1902192669) practices ophthalmology in the Manchester-Nashua, NH market, with the plurality of this provider's patient population coming from Hillsborough, NH. This provider's primary affiliated billing organization is THE MEDICAL EYE CENTER, P.C. (NPI: 1225004955; TIN: 020444664) and primary practice location at 03110-6765. Elia is affiliated with the Elliot Health System ACO LLC (ACO ID: A5640) and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Elia's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,516 traditional Medicare patients, billed 77,194 HCPCS/CPT codes, and received $2,889,037 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 1,316 prescription claims across 377 beneficiaries totaling $237,644 in drug costs, led by Humira(Cf) Pen (Adalimumab). Open Payments data shows 21 records totaling $620. 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 $7,946 to $2,889,037. Similarly, Part D prescription costs have risen steadily, from $9,255 to $237,644. 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$1.4M$2.9M2015 Medicare payment: $7,946 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $95,905 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $256,284 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $415,636 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $654,495 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $977,090 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,475,479 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,769,993 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,382,331 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,889,037 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20153765$7,946
20162631,110$95,905
20176403,704$256,284
20188374,818$415,636
20191,0255,919$654,495
20209155,774$977,090
20211,0967,111$1,475,479
20221,25414,220$1,769,993
20231,40354,600$2,382,331
20241,51677,194$2,889,037

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$189K$377K2015 Drug cost: $9,255 (USD; Tot_Drug_Cst)2016 Drug cost: $4,935 (USD; Tot_Drug_Cst)2017 Drug cost: $31,429 (USD; Tot_Drug_Cst)2018 Drug cost: $78,985 (USD; Tot_Drug_Cst)2019 Drug cost: $54,440 (USD; Tot_Drug_Cst)2020 Drug cost: $140,589 (USD; Tot_Drug_Cst)2021 Drug cost: $249,205 (USD; Tot_Drug_Cst)2022 Drug cost: $275,855 (USD; Tot_Drug_Cst)2023 Drug cost: $377,312 (USD; Tot_Drug_Cst)2024 Drug cost: $237,644 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201550174$9,255
20164097$4,935
2017104267$31,429
2018161399$78,985
2019223651$54,440
2020243896$140,589
2021226840$249,205
20223481,256$275,855
20233441,264$377,312
20243771,316$237,644

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
92004New patient complete exam of visual system456456$104
92014Established patient complete exam of visual system546587$86
92012Established patient problem focused exam of visual system412651$62
92134Imaging of retina6611,652$28
92250Photography of the retina686861$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Humira(Cf) PenAdalimumab21588$139,905
Prednisolone AcetatePrednisolone Acetate30412,635$14,539
ProlensaBromfenac Sodium11433$10,498
RhopressaNetarsudil Mesylate13530$6,565
Ketorolac TromethamineKetorolac Tromethamine2605,704$4,428

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.21$620Alcon Vision LLC
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 Maxwell D. Elia, MD?

Tedicare shows public-source Medicare data for Maxwell D. Elia, MD (NPI 1902192669), 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 Maxwell D. Elia, MD have ACO affiliation data?

Maxwell D. Elia, MD is shown with ACO affiliation data for Elliot Health System ACO LLC (MSSP, ACO ID A5640) and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Maxwell D. Elia, MD?

Maxwell D. Elia, MD is linked to THE MEDICAL EYE CENTER, P.C. (billing NPI 1225004955) in the available physician profile data.

Does Maxwell D. Elia, MD have Open Payments data?

Maxwell D. Elia, MD has 21 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.