Physician

Benjamin H Roth, DO

According to 2025 Medicare claims, Benjamin Roth, DO (NPI: 1215341417) practices family practice in the Grand Forks, ND-MN market, with the plurality of this provider's patient population coming from Grand Forks, ND. This provider's primary affiliated billing organization is ALTRU HEALTH SYSTEM (NPI: 1043309552; TIN: 450310462) and primary practice location at 58201-4059. Roth is affiliated with the Caravan Collaborative Pathways (ACO ID: A4604), Caravan Health ACO 50 LLC (ACO ID: A5160), CVS ACO (ACO ID: A5407), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Roth's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 470 traditional Medicare patients, billed 1,179 HCPCS/CPT codes, and received $83,367 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 8,974 prescription claims across 606 beneficiaries totaling $849,989 in drug costs, led by Ozempic (Semaglutide). DME data shows 414 claims. Open Payments data shows 2 records totaling $122. 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 $7,544 to $83,367. Similarly, Part D prescription costs have moved sharply higher in recent years, from $3,758 to $849,989. For DME billing, reported payments rose steadily, from $1,337 to $30,549.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	98	152	$7,544
2018	284	725	$39,331
2019	367	987	$63,766
2020	466	1,304	$83,793
2021	455	1,387	$101,221
2022	469	1,407	$97,056
2023	493	1,406	$104,418
2024	470	1,179	$83,367

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	45	134	$3,758
2016	66	315	$17,623
2017	130	560	$33,653
2018	297	2,507	$145,319
2019	368	4,126	$230,107
2020	508	7,388	$492,583
2021	515	8,117	$609,239
2022	553	8,476	$683,798
2023	577	8,655	$1,033,756
2024	606	8,974	$849,989

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	26	$1,312
2017	N/R	20	$1,111
2018	14	57	$1,488
2019	23	286	$5,271
2020	87	371	$17,368
2021	107	337	$19,259
2022	76	368	$14,398
2023	109	439	$21,756
2024	109	414	$26,633

* / # = 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
G0439	Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$126
99238	Hospital discharge day management, 30 minutes or less	37	45	$58
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	267	331	$57
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	42	102	$56
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	169	211	$39

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	71	2,598	$83,653
Eliquis	Apixaban	103	3,951	$76,703
Humira(Cf)	Adalimumab	11	220	$76,538
Jardiance	Empagliflozin	77	4,026	$75,563
Trulicity	Dulaglutide	52	1,736	$59,244

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	37	$14,775
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	42	$3,554
A7031	Face mask interface, replacement for full face mask, each	N	13	30	$2,015
A7030	Full face mask used with positive airway pressure device, each	N	14	24	$1,894
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	41	$1,006

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$122	AstraZeneca Pharmaceuticals LP
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 H. Roth, DO?

Tedicare shows public-source Medicare data for Benjamin H. Roth, DO (NPI 1215341417), 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 H. Roth, DO have ACO affiliation data?

Benjamin H. Roth, DO is shown with ACO affiliation data for Caravan Collaborative Pathways (MSSP, ACO ID A4604), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), CVS ACO (MSSP, ACO ID A5407), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Benjamin H. Roth, DO?

Benjamin H. Roth, DO is linked to ALTRU HEALTH SYSTEM (billing NPI 1043309552) in the available physician profile data.

Does Benjamin H. Roth, DO have Open Payments data?

Benjamin H. Roth, DO has 2 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.