Physician

Mary Lisa Mcham, M.D.

According to 2025 Medicare claims, Mary Mcham, M.D. (NPI: 1922055664) practices ophthalmology in the Boston, MA market, with the plurality of this provider's patient population coming from Norfolk, MA. This provider's primary affiliated billing organization is OPHTHALMIC CONSULTANTS OF BOSTON, INC. (NPI: 1932146594; TIN: 04-2500346) and primary practice location at 02189-3110. Mcham is affiliated with the Mass General Brigham ACO, LLC (ACO ID: A4641), participating under the MSSP model.

Mcham's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,164 traditional Medicare patients, billed 6,725 HCPCS/CPT codes, and received $628,123 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 10,054 prescription claims across 1,941 beneficiaries totaling $712,387 in drug costs, led by Lumigan (Bimatoprost). DME data shows 13 claims. Open Payments data shows 1 records totaling $20. 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 $231,850 to $712,387. 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$314K$628K2015 Medicare payment: $480,644 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $461,897 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $435,402 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $504,024 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $502,507 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $392,247 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $473,291 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $489,683 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $586,318 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $628,123 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,8104,333$480,644
20161,6354,139$461,897
20171,7714,316$435,402
20181,7964,967$504,024
20191,7695,144$502,507
20201,5553,979$392,247
20211,6654,536$473,291
20221,6454,966$489,683
20232,1395,901$586,318
20242,1646,725$628,123

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$356K$712K2015 Drug cost: $231,850 (USD; Tot_Drug_Cst)2016 Drug cost: $308,861 (USD; Tot_Drug_Cst)2017 Drug cost: $346,083 (USD; Tot_Drug_Cst)2018 Drug cost: $440,077 (USD; Tot_Drug_Cst)2019 Drug cost: $497,490 (USD; Tot_Drug_Cst)2020 Drug cost: $501,719 (USD; Tot_Drug_Cst)2021 Drug cost: $462,991 (USD; Tot_Drug_Cst)2022 Drug cost: $458,271 (USD; Tot_Drug_Cst)2023 Drug cost: $576,153 (USD; Tot_Drug_Cst)2024 Drug cost: $712,387 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20158334,868$231,850
20168965,930$308,861
20179986,542$346,083
20181,1117,933$440,077
20191,1217,861$497,490
20201,1167,574$501,719
20211,2847,390$462,991
20221,3147,899$458,271
20231,7238,512$576,153
20241,94110,054$712,387

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$1.5K$3.0K2015 Medicare payment: $2,569 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $3,034 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,258 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $2,134 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $994 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $791 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $941 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $760 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20154545$2,569
20165656$3,034
20173939$2,258
20183536$2,134
20192020$994
2020N/RN/RN/R
20211111$791
2022N/RN/RN/R
20231717$941
20241313$760

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more627758$97
92014Established patient complete exam of visual system1,4261,543$92
92012Established patient problem focused exam of visual system455514$70
92083Exam of visual field with extended testing9621,055$50
92133Imaging of optic nerve1,0951,192$27

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
LumiganBimatoprost18812,937$125,037
RhopressaNetarsudil Mesylate1327,075$81,361
RestasisCyclosporine502,760$55,610
LatanoprostLatanoprost3,511258,201$55,271
Prednisolone AcetatePrednisolone Acetate1,01334,090$43,407

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
V2020Frames, purchasesN1313$760

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.1$20NEW WORLD MEDICAL,INC.
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 Mary Lisa Mcham, M.D.?

Tedicare shows public-source Medicare data for Mary Lisa Mcham, M.D. (NPI 1922055664), 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 Mary Lisa Mcham, M.D. have ACO affiliation data?

Mary Lisa Mcham, M.D. is shown with ACO affiliation data for Mass General Brigham ACO, LLC (MSSP, ACO ID A4641).

What billing organization is linked to Mary Lisa Mcham, M.D.?

Mary Lisa Mcham, M.D. is linked to OPHTHALMIC CONSULTANTS OF BOSTON, INC. (billing NPI 1932146594) in the available physician profile data.

Does Mary Lisa Mcham, M.D. have Open Payments data?

Mary Lisa Mcham, M.D. 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.