Physician

Benjamin L Mason, M.D..

According to 2025 Medicare claims, Benjamin Mason, M.D.. (NPI: 1457301442) practices ophthalmology in the Waterloo-Cedar Falls, IA market, with the plurality of this provider's patient population coming from Black Hawk, IA. This provider's primary affiliated billing organization is WOLFE CLINIC INC (NPI: 1477532174; TIN: 420954581) and primary practice location at 50613-2380. Mason is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Gundersen ACO (ACO ID: A5094), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Mason's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,649 traditional Medicare patients, billed 6,368 HCPCS/CPT codes, and received $544,549 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 6,676 prescription claims across 887 beneficiaries totaling $468,577 in drug costs, led by Lumigan (Bimatoprost). DME data shows 114 claims. Open Payments data shows 2 records totaling $32. 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. Similarly, Part D prescription costs have changed little. 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	2,109	7,755	$702,140
2016	1,946	6,801	$633,121
2017	1,979	6,929	$625,067
2018	1,886	6,894	$654,875
2019	1,891	7,013	$696,797
2020	1,687	5,931	$540,361
2021	1,925	7,018	$666,773
2022	1,786	6,443	$544,875
2023	1,700	6,441	$544,151
2024	1,649	6,368	$544,549

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	1,229	6,582	$624,778
2016	1,186	6,213	$616,458
2017	1,118	5,748	$570,895
2018	1,089	6,093	$613,486
2019	830	5,283	$496,263
2020	828	5,940	$523,789
2021	882	6,693	$535,998
2022	856	6,605	$536,100
2023	853	6,492	$513,455
2024	887	6,676	$468,577

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	105	105	$6,363
2016	78	78	$4,708
2017	86	86	$5,380
2018	80	81	$5,258
2019	82	82	$5,319
2020	61	62	$4,186
2021	58	58	$3,558
2022	62	62	$4,095
2023	27	27	$1,870
2024	114	114	$9,235

* / # = 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
92004	New patient complete exam of visual system	467	467	$96
92014	Established patient complete exam of visual system	795	800	$81
92083	Exam of visual field with extended testing	496	502	$41
92133	Imaging of optic nerve	577	597	$23
92136	Measurement of corneal curvature and depth of eye	423	1,204	$18

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	360	15,395	$135,802
Restasis	Cyclosporine	75	2,280	$47,662
Rhopressa	Netarsudil Mesylate	125	4,384	$42,438
Alphagan P	Brimonidine Tartrate	49	2,584	$24,946
Combigan	Brimonidine Tartrate/Timolol	62	3,070	$23,896

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
V2303	Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens	N	52	52	$5,810
V2020	Frames, purchases	N	62	62	$3,425

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$32	ABBVIE 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.	1	$28,214	US Retina LLC

Explore More Providers

FAQ

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

Tedicare shows public-source Medicare data for Benjamin L. Mason, M.D.. (NPI 1457301442), 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. Mason, M.D.. have ACO affiliation data?

Benjamin L. Mason, M.D.. is shown with ACO affiliation data for Prairie Vista Care Organization (MSSP, ACO ID A3578), Gundersen ACO (MSSP, ACO ID A5094), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Benjamin L. Mason, M.D..?

Benjamin L. Mason, M.D.. is linked to WOLFE CLINIC INC (billing NPI 1477532174) in the available physician profile data.

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

Benjamin L. Mason, 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.