Physician

Benjamin Boone, M.D.

According to 2025 Medicare claims, Benjamin Boone, M.D. (NPI: 1366974826) practices internal medicine in the Louisville/Jefferson County, KY-IN market, with the plurality of this provider's patient population coming from Jefferson, KY. This provider's primary affiliated billing organization is RHEUMATOLOGY ASSOCIATES, PLLC (NPI: 1396865580; TIN: 611183441) and primary practice location at 40218-2458.

Boone's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 425 traditional Medicare patients, billed 107,759 HCPCS/CPT codes, and received $1,138,284 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 679 prescription claims across 198 beneficiaries totaling $986,072 in drug costs, led by Enbrel Sureclick (Etanercept). Open Payments data shows 244 records totaling $27,167. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have risen steadily, from $2,479 to $986,072. 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.

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$569K$1.1M2022 Medicare payment: $78,155 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $546,254 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,138,284 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
20221236,156$78,155
202330959,243$546,254
2024425107,759$1,138,284

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$493K$986K2017 Drug cost: $2,479 (USD; Tot_Drug_Cst)2018 Drug cost: $18,157 (USD; Tot_Drug_Cst)2019 Drug cost: $13,669 (USD; Tot_Drug_Cst)2020 Drug cost: $119,133 (USD; Tot_Drug_Cst)2021 Drug cost: $417,692 (USD; Tot_Drug_Cst)2022 Drug cost: $545,505 (USD; Tot_Drug_Cst)2023 Drug cost: $462,653 (USD; Tot_Drug_Cst)2024 Drug cost: $986,072 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R52$2,479
201829118$18,157
201954192$13,669
202043144$119,133
202155302$417,692
202283302$545,505
2023135478$462,653
2024198679$986,072

DME Billing Trend

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

No connected DME records

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.

CodeDescriptionPatientsClm LinesTotal Payment
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more106106$105
96413Administration of chemotherapy into vein, 1 hour or less69119$89
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more140236$83
96365Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less73144$44
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's140247$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Enbrel SureclickEtanercept28896$226,204
KevzaraSarilumab15532$75,835
ColchicineColchicine522,773$2,767
PrednisonePrednisone23312,636$2,502
MethotrexateMethotrexate Sodium846,498$2,453

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.244$27,167Novartis Pharmaceuticals Corporation
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 Benjamin Boone, M.D.?

Tedicare shows public-source Medicare data for Benjamin Boone, M.D. (NPI 1366974826), 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 Boone, 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 Boone, M.D.?

Benjamin Boone, M.D. is linked to RHEUMATOLOGY ASSOCIATES, PLLC (billing NPI 1396865580) in the available physician profile data.

Does Benjamin Boone, M.D. have Open Payments data?

Benjamin Boone, M.D. has 244 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.