Physician

Benjamin Thomas Gielda, M.D.

According to 2025 Medicare claims, Benjamin Gielda, M.D. (NPI: 1386801496) practices radiation oncology in the Niles, MI market, with the plurality of this provider's patient population coming from Berrien, MI. This provider's primary affiliated billing organization is LAKELAND MEDICAL PRACTICES (NPI: 1538397120; TIN: 270381199) and primary practice location at 49085-2112. Gielda is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626) and AdvantagePoint Health Alliance - Great Lakes, LLC (ACO ID: A4652), participating under the MSSP model.

Gielda's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 270 traditional Medicare patients, billed 1,866 HCPCS/CPT codes, and received $133,552 in Medicare payments. The top billing code was 77427 (Radiation treatment management, 5 treatment sessions). Part D data shows 204 prescription claims across 70 beneficiaries totaling $4,868 in drug costs, led by Tamsulosin Hcl (Tamsulosin Hcl). Open Payments data shows 2 records totaling $40. 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 declined steadily, from $239,673 to $133,552. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $6,984 and ending at $4,868. 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.

Year	Patients	Clm Lines	Payment
2015	286	4,247	$239,673
2016	295	3,583	$191,262
2017	351	4,806	$269,515
2018	332	3,093	$178,916
2019	303	2,707	$189,283
2020	279	2,317	$179,449
2021	266	2,156	$151,608
2022	271	2,128	$139,009
2023	231	1,799	$117,494
2024	270	1,866	$133,552

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	64	161	$6,984
2016	65	143	$5,682
2017	83	278	$9,532
2018	79	210	$5,458
2019	73	218	$6,758
2020	85	253	$9,919
2021	79	180	$3,567
2022	51	122	$3,001
2023	77	200	$4,693
2024	70	204	$4,868

DME Billing Trend

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

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.

Code	Description	Patients	Clm Lines	Total Payment
77427	Radiation treatment management, 5 treatment sessions	67	187	$152
77263	Complex radiation therapy planning	63	68	$122
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	151	196	$47
77014	Ct guidance for insertion of radiation therapy fields	79	689	$36
77300	Calculation of radiation therapy dose	65	211	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Tamsulosin Hcl	Tamsulosin Hcl	19	1,251	$638
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	23	173	$458
Lidocaine Hcl Viscous	Lidocaine Hcl	21	240	$302
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	18	141	$220
Oxybutynin Chloride Er	Oxybutynin Chloride	15	467	$149

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$40	Siemens Medical Solutions USA, Inc.
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 Thomas Gielda, M.D.?

Tedicare shows public-source Medicare data for Benjamin Thomas Gielda, M.D. (NPI 1386801496), 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 Thomas Gielda, M.D. have ACO affiliation data?

Benjamin Thomas Gielda, M.D. is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626) and AdvantagePoint Health Alliance - Great Lakes, LLC (MSSP, ACO ID A4652).

What billing organization is linked to Benjamin Thomas Gielda, M.D.?

Benjamin Thomas Gielda, M.D. is linked to LAKELAND MEDICAL PRACTICES (billing NPI 1538397120) in the available physician profile data.

Does Benjamin Thomas Gielda, M.D. have Open Payments data?

Benjamin Thomas Gielda, M.D. 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.