Physician

Charles Hejny, MD

According to 2025 Medicare claims, Charles Hejny, MD (NPI: 1922013671) practices ophthalmology in the Green Bay, WI market, with the plurality of this provider's patient population coming from Brown, WI. This provider's primary affiliated billing organization is NORTHEAST WISCONSIN RETINA ASSOCIATES SC (NPI: 1437164175; TIN: 391842462) and primary practice location at 54304-5279. Hejny is affiliated with the THEDACARE ACO (ACO ID: A4988), participating under the MSSP model.

Hejny's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 396 traditional Medicare patients, billed 7,836 HCPCS/CPT codes, and received $962,537 in Medicare payments. The top billing code was 67028 (Injection of drug into eye). Part D data shows 115 prescription claims across 49 beneficiaries totaling $4,451 in drug costs, led by Brimonidine Tartrate (Brimonidine Tartrate). Open Payments data shows 1 records. 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 up and down with repeated peaks and valleys, starting at $1,136,360 and ending at $962,537. Concurrently, Part D prescription costs have moved from a higher plateau to a lower plateau, from $13,146 to $4,451. 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.

Year	Patients	Clm Lines	Payment
2015	560	9,002	$1,136,360
2016	554	8,715	$1,127,222
2017	484	7,936	$886,533
2018	523	7,906	$1,192,793
2019	487	7,595	$1,573,278
2020	477	5,947	$1,441,717
2021	489	5,342	$1,206,754
2022	373	4,942	$947,463
2023	397	7,045	$959,123
2024	396	7,836	$962,537

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	59	155	$13,146
2016	54	158	$8,475
2017	62	182	$10,692
2018	60	145	$6,574
2019	49	120	$6,829
2020	40	82	$3,129
2021	59	120	$5,821
2022	46	98	$5,326
2023	56	124	$6,793
2024	49	115	$4,451

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
67028	Injection of drug into eye	194	920	$90
92012	Established patient problem focused exam of visual system	157	231	$64
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	96	124	$58
J9035	Injection, bevacizumab, 10 mg	131	625	$56
92134	Imaging of retina	386	1,295	$29

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Brimonidine Tartrate	Brimonidine Tartrate	15	803	$1,407
Prednisolone Acetate	Prednisolone Acetate	17	1,020	$1,312
Ketorolac Tromethamine	Ketorolac Tromethamine	34	1,487	$1,003
Timolol Maleate	Timolol Maleate	14	975	$162
Latanoprost	Latanoprost	22	1,253	$130

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.	0	$0	N/R
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.	1	$15,055	US Retina LLC

Explore More Providers

FAQ

What Medicare data is available for Charles Hejny, MD?

Tedicare shows public-source Medicare data for Charles Hejny, MD (NPI 1922013671), 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 Charles Hejny, MD have ACO affiliation data?

Charles Hejny, MD is shown with ACO affiliation data for THEDACARE ACO (MSSP, ACO ID A4988).

What billing organization is linked to Charles Hejny, MD?

Charles Hejny, MD is linked to NORTHEAST WISCONSIN RETINA ASSOCIATES SC (billing NPI 1437164175) in the available physician profile data.

Does Charles Hejny, MD have Open Payments data?

Charles Hejny, MD has 1 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.