Physician

Benjamin Scott Jones, M.D.

According to 2025 Medicare claims, Benjamin Jones, M.D. (NPI: 1134447980) practices medical oncology in the Birmingham, AL market, with the plurality of this provider's patient population coming from Jefferson, AL. This provider's primary affiliated billing organization is BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC (NPI: 1841216389; TIN: 522170293) and primary practice location at 35243-3509.

Jones' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 612 traditional Medicare patients, billed 288,792 HCPCS/CPT codes, and received $5,199,600 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 4,618 prescription claims across 598 beneficiaries totaling $7,075,817 in drug costs, led by Imbruvica (Ibrutinib). DME data shows 100 claims. Open Payments data shows 130 records totaling $7,093. 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 risen steadily, from $3,112 to $5,199,600. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,734 to $7,075,817. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $1,383 and ending at $2,571.

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$2.6M$5.2M2015 Medicare payment: $3,112 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $428,489 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,381,752 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $2,457,864 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,910,886 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $4,451,459 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $4,959,754 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $5,214,245 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $4,664,972 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $5,199,600 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20152748$3,112
201618346,670$428,489
2017302152,734$1,381,752
2018401193,950$2,457,864
2019436259,965$2,910,886
2020521346,310$4,451,459
2021602340,958$4,959,754
2022621405,633$5,214,245
2023640369,710$4,664,972
2024612288,792$5,199,600

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$3.5M$7.1M2015 Drug cost: $1,734 (USD; Tot_Drug_Cst)2016 Drug cost: $13,414 (USD; Tot_Drug_Cst)2017 Drug cost: $714,881 (USD; Tot_Drug_Cst)2018 Drug cost: $964,875 (USD; Tot_Drug_Cst)2019 Drug cost: $2,239,908 (USD; Tot_Drug_Cst)2020 Drug cost: $3,522,305 (USD; Tot_Drug_Cst)2021 Drug cost: $3,606,779 (USD; Tot_Drug_Cst)2022 Drug cost: $4,909,049 (USD; Tot_Drug_Cst)2023 Drug cost: $6,247,636 (USD; Tot_Drug_Cst)2024 Drug cost: $7,075,817 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152448$1,734
201659187$13,414
2017138981$714,881
20182211,770$964,875
20193212,363$2,239,908
20203603,151$3,522,305
20214303,628$3,606,779
20225444,391$4,909,049
20235814,744$6,247,636
20245984,618$7,075,817

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$12K$24K2017 Medicare payment: $13,793 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $23,874 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $5,064 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $4,917 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $7,114 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $4,473 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $12,412 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $4,022 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R88$13,793
201827173$23,874
2019N/R61$5,064
2020N/R81$4,917
202113107$7,114
2022N/R81$4,473
2023N/R66$12,412
2024N/R100$4,022

* / # = 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 more193659$90
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more265553$58
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's260512$12
36415Insertion of needle into vein for collection of blood sample5742,447$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count5482,297$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
ImbruvicaIbrutinib581,730$806,543
CabometyxCabozantinib S-Malate32960$805,107
BrukinsaZanubrutinib421,260$609,186
IbrancePalbociclib33889$519,892
RevlimidLenalidomide34756$412,411

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R17$1,727
J8521Capecitabine, oral, 500 mgNN/R33$1,193
E1392Portable oxygen concentrator, rentalYN/R13$499
Q0511Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day periodNN/R25$452
Q0512Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day periodNN/R12$150

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.129$2,403ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.1$4,690AstraZeneca Pharmaceuticals LP
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Benjamin Scott Jones, M.D.?

Tedicare shows public-source Medicare data for Benjamin Scott Jones, M.D. (NPI 1134447980), 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 Benjamin Scott Jones, 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 Benjamin Scott Jones, M.D.?

Benjamin Scott Jones, M.D. is linked to BIRMINGHAM HEMATOLOGY ONCOLOGY ASSOC LLC (billing NPI 1841216389) in the available physician profile data.

Does Benjamin Scott Jones, M.D. have Open Payments data?

Benjamin Scott Jones, M.D. has 130 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.