Physician

Donald W Benefield, MD

According to 2025 Medicare claims, Donald Benefield, MD (NPI: 1386636694) practices ophthalmology in the Gulfport-Biloxi, MS market, with the plurality of this provider's patient population coming from Harrison, MS. This provider's primary affiliated billing organization is BENEFIELD EYE CARE, PC (NPI: 1104879196; TIN: 95-4896128) and primary practice location at 39503-3369.

Benefield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 919 traditional Medicare patients, billed 4,413 HCPCS/CPT codes, and received $448,844 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 2,007 prescription claims across 475 beneficiaries totaling $962,822 in drug costs, led by Eylea (Aflibercept). Open Payments data shows 41 records totaling $1,242. 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 moved sharply higher in recent years, from $162,818 to $962,822. 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$245K$491K2015 Medicare payment: $428,816 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $371,903 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $419,440 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $409,089 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $400,227 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $331,598 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $380,057 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $388,693 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $490,666 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $448,844 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,2495,925$428,816
20161,2044,935$371,903
20171,2294,919$419,440
20181,2465,204$409,089
20191,1454,984$400,227
20201,0504,609$331,598
20211,0474,274$380,057
20221,0364,545$388,693
20239564,264$490,666
20249194,413$448,844

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$481K$963K2015 Drug cost: $162,818 (USD; Tot_Drug_Cst)2016 Drug cost: $173,665 (USD; Tot_Drug_Cst)2017 Drug cost: $214,974 (USD; Tot_Drug_Cst)2018 Drug cost: $236,472 (USD; Tot_Drug_Cst)2019 Drug cost: $232,753 (USD; Tot_Drug_Cst)2020 Drug cost: $212,232 (USD; Tot_Drug_Cst)2021 Drug cost: $200,298 (USD; Tot_Drug_Cst)2022 Drug cost: $223,080 (USD; Tot_Drug_Cst)2023 Drug cost: $613,775 (USD; Tot_Drug_Cst)2024 Drug cost: $962,822 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154621,947$162,818
20164812,003$173,665
20174722,115$214,974
20185012,257$236,472
20194882,082$232,753
20204461,683$212,232
20214291,715$200,298
20224761,914$223,080
20234301,674$613,775
20244752,007$962,822

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
92014Established patient complete exam of visual system601694$77
92012Established patient problem focused exam of visual system411717$60
92134Imaging of retina288505$27
83861Microfluid analysis of tears222454$22
92250Photography of the retina197207$22

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
EyleaAflibercept31902$81,400
RestasisCyclosporine873,480$65,446
MieboPerfluorohexyloctane/Pf34988$26,511
XiidraLifitegrast301,080$23,015
LumiganBimatoprost462,121$18,009

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.41$1,242ABBVIE INC.
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 Donald W. Benefield, MD?

Tedicare shows public-source Medicare data for Donald W. Benefield, MD (NPI 1386636694), 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 Donald W. Benefield, MD have ACO affiliation data?

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

What billing organization is linked to Donald W. Benefield, MD?

Donald W. Benefield, MD is linked to BENEFIELD EYE CARE, PC (billing NPI 1104879196) in the available physician profile data.

Does Donald W. Benefield, MD have Open Payments data?

Donald W. Benefield, MD has 41 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.