Physician

Benjamin Scott Fontenot

According to 2025 Medicare claims, Benjamin Fontenot (NPI: 1508283813) practices family practice in the Lake Charles, LA market, with the plurality of this provider's patient population coming from Calcasieu, LA. This provider's primary affiliated billing organization is IMPERIAL HEALTH, LLP (NPI: 1053352401; TIN: 721005645) and primary practice location at 70611-5374. Fontenot is affiliated with the Aledade 35 Lagniappe MSSP Enhanced (ACO ID: A3899), participating under the MSSP model.

Fontenot's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 396 traditional Medicare patients, billed 33,532 HCPCS/CPT codes, and received $285,293 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 14,362 prescription claims across 663 beneficiaries totaling $1,393,769 in drug costs, led by Ozempic (Semaglutide). DME data shows 233 claims. Open Payments data shows 46 records totaling $1,054. 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 $52,174 to $285,293. Similarly, Part D prescription costs have moved sharply higher in recent years, from $20,418 to $1,393,769. In contrast, DME billing represents a smaller volume and rose steadily, from $1,528 to $49,279.

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$143K$285K2017 Medicare payment: $52,174 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $183,438 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $237,286 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $177,678 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $217,657 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $234,889 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $243,159 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $285,293 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
20172292,920$52,174
201841012,792$183,438
201944915,182$237,286
202051413,277$177,678
202145929,607$217,657
202247732,595$234,889
202345134,218$243,159
202439633,532$285,293

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$726K$1.5M2015 Drug cost: $20,418 (USD; Tot_Drug_Cst)2016 Drug cost: $31,016 (USD; Tot_Drug_Cst)2017 Drug cost: $86,792 (USD; Tot_Drug_Cst)2018 Drug cost: $491,264 (USD; Tot_Drug_Cst)2019 Drug cost: $576,564 (USD; Tot_Drug_Cst)2020 Drug cost: $684,169 (USD; Tot_Drug_Cst)2021 Drug cost: $756,554 (USD; Tot_Drug_Cst)2022 Drug cost: $1,014,917 (USD; Tot_Drug_Cst)2023 Drug cost: $1,451,796 (USD; Tot_Drug_Cst)2024 Drug cost: $1,393,769 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
201554395$20,418
201684655$31,016
20172591,425$86,792
20184397,630$491,264
20195139,907$576,564
202058010,741$684,169
202162911,646$756,554
202266312,509$1,014,917
202368313,622$1,451,796
202466314,362$1,393,769

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$12K$23K2018 Medicare payment: $3,951 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $5,037 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $5,577 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $4,433 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $10,327 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $21,235 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $23,008 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
201834235$3,951
201938276$5,037
202045204$5,577
202120160$4,433
202216196$10,327
202311300$21,235
202411233$23,008

* / # = 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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more3681,094$79
80061Blood test, lipids (cholesterol and triglycerides)329613$13
80053Blood test, comprehensive group of blood chemicals331689$10
36415Insertion of needle into vein for collection of blood sample343737$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count336687$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
OzempicSemaglutide2078,514$271,547
MounjaroTirzepatide1897,374$269,119
EliquisApixaban1135,010$95,743
JardianceEmpagliflozin954,050$78,817
TrulicityDulaglutide471,708$57,667

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R12$10,746
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R24$2,523
A4393Ostomy pouch, urinary, with extended wear barrier attached, with built-in convexity (1 piece), eachNN/R11$2,127
A7032Cushion for use on nasal mask interface, replacement only, eachNN/R12$1,257
A5054Ostomy pouch, closed; for use on barrier with flange (2 piece), eachNN/R11$1,210

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.46$1,054AstraZeneca Pharmaceuticals LP
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 Scott Fontenot?

Tedicare shows public-source Medicare data for Benjamin Scott Fontenot (NPI 1508283813), 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 Scott Fontenot have ACO affiliation data?

Benjamin Scott Fontenot is shown with ACO affiliation data for Aledade 35 Lagniappe MSSP Enhanced (MSSP, ACO ID A3899).

What billing organization is linked to Benjamin Scott Fontenot?

Benjamin Scott Fontenot is linked to IMPERIAL HEALTH, LLP (billing NPI 1053352401) in the available physician profile data.

Does Benjamin Scott Fontenot have Open Payments data?

Benjamin Scott Fontenot has 46 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.