Physician

Benjamin L Proctor, M.D.

According to 2025 Medicare claims, Benjamin Proctor, M.D. (NPI: 1184811077) practices ophthalmology in the Elizabethtown, KY market, with the plurality of this provider's patient population coming from Hardin, KY. This provider's primary affiliated billing organization is EYE PHYSICIANS OF ELIZABETHTOWN PSC (NPI: 1245228204; TIN: 611276205) and primary practice location at 42701-2749.

Proctor's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,395 traditional Medicare patients, billed 3,829 HCPCS/CPT codes, and received $302,514 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 1,434 prescription claims across 356 beneficiaries totaling $286,929 in drug costs, led by Restasis (Cyclosporine). DME data shows 91 claims. Open Payments data shows 12 records totaling $323. 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 $205,220 to $286,929. 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.

Year	Patients	Clm Lines	Payment
2015	2,113	6,455	$371,570
2016	2,029	6,607	$348,754
2017	1,626	5,322	$291,739
2018	1,695	5,607	$356,457
2019	1,745	5,309	$382,866
2020	1,539	4,298	$288,703
2021	1,539	4,341	$304,833
2022	1,422	4,328	$295,146
2023	1,390	4,597	$288,217
2024	1,395	3,829	$302,514

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	430	1,965	$205,220
2016	441	2,069	$261,642
2017	390	1,863	$261,798
2018	376	1,689	$270,042
2019	354	1,523	$272,088
2020	298	1,352	$252,078
2021	276	1,269	$290,638
2022	291	1,256	$510,605
2023	308	1,273	$301,990
2024	356	1,434	$286,929

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	157	159	$9,960
2016	139	139	$9,333
2017	152	152	$8,780
2018	170	170	$11,486
2019	154	155	$10,650
2020	115	115	$7,806
2021	116	117	$8,177
2022	111	111	$7,277
2023	122	123	$9,031
2024	91	91	$7,010

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	249	273	$81
92014	Established patient complete exam of visual system	307	311	$76
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	826	999	$60
92133	Imaging of optic nerve	235	328	$23
92134	Imaging of retina	298	752	$16

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Restasis	Cyclosporine	92	4,500	$79,608
Lumigan	Bimatoprost	114	4,756	$42,375
Cyclosporine	Cyclosporine	42	2,550	$30,420
Xiidra	Lifitegrast	35	1,820	$27,788
Rocklatan	Netarsudil Mesylat/Latanoprost	36	1,763	$16,699

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
V2020	Frames, purchases	N	49	49	$3,300
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	N	19	19	$2,148
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	N	23	23	$1,562

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	12	$323	Alcon Vision LLC
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.	0	$0	N/R

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FAQ

What Medicare data is available for Benjamin L. Proctor, M.D.?

Tedicare shows public-source Medicare data for Benjamin L. Proctor, M.D. (NPI 1184811077), 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 L. Proctor, 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 L. Proctor, M.D.?

Benjamin L. Proctor, M.D. is linked to EYE PHYSICIANS OF ELIZABETHTOWN PSC (billing NPI 1245228204) in the available physician profile data.

Does Benjamin L. Proctor, M.D. have Open Payments data?

Benjamin L. Proctor, M.D. has 12 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.