Physician

Joseph P Gale, M.D.

According to 2025 Medicare claims, Joseph Gale, M.D. (NPI: 1942205935) practices ophthalmology in the Utica-Rome, NY market, with the plurality of this provider's patient population coming from Oneida, NY. This provider's primary affiliated billing organization is MOHAWK VALLEY RETINA, PLLC (NPI: 1972513273; TIN: 161541649) and primary practice location at 13413-2334.

Gale's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,037 traditional Medicare patients, billed 16,818 HCPCS/CPT codes, and received $2,383,567 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 676 prescription claims across 212 beneficiaries totaling $40,105 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). No Open Payments 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $26,632 to $40,105. 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	1,153	10,276	$2,556,004
2016	1,093	9,735	$3,218,475
2017	1,151	8,808	$2,741,139
2018	1,113	8,723	$2,361,394
2019	1,152	9,229	$2,164,584
2020	1,161	8,174	$1,936,710
2021	1,081	7,726	$1,749,905
2022	1,139	9,281	$2,512,294
2023	1,127	13,255	$2,471,713
2024	1,037	16,818	$2,383,567

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	149	449	$26,632
2016	151	473	$30,221
2017	183	495	$33,855
2018	167	426	$32,176
2019	169	448	$35,025
2020	180	507	$38,724
2021	180	476	$29,425
2022	219	615	$41,258
2023	222	685	$52,751
2024	212	676	$40,105

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
J0178	Injection, aflibercept, 1 mg	342	2,162	$653
67028	Injection of drug into eye	487	1,654	$101
92014	Established patient complete exam of visual system	336	354	$88
92012	Established patient problem focused exam of visual system	455	629	$70
92134	Imaging of retina	742	1,281	$31

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	161	8,478	$7,150
Lumigan	Bimatoprost	17	1,064	$7,045
Brimonidine Tartrate	Brimonidine Tartrate	29	1,831	$3,378
Valacyclovir	Valacyclovir Hcl	17	675	$1,690
Bromfenac Sodium	Bromfenac Sodium	12	196	$1,666

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Joseph P. Gale, M.D.?

Tedicare shows public-source Medicare data for Joseph P. Gale, M.D. (NPI 1942205935), 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 Joseph P. Gale, M.D. have ACO affiliation data?

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

What billing organization is linked to Joseph P. Gale, M.D.?

Joseph P. Gale, M.D. is linked to MOHAWK VALLEY RETINA, PLLC (billing NPI 1972513273) in the available physician profile data.

Does Joseph P. Gale, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.