Physician

Donald Benjamin Franklin, M.D.

According to 2025 Medicare claims, Donald Franklin, M.D. (NPI: 1518377431) practices orthopedic surgery in the Homosassa Springs, FL market, with the plurality of this provider's patient population coming from Citrus, FL. This provider's primary affiliated billing organization is THE ORTHOPAEDIC INSTITUTE PA (NPI: 1740373547; TIN: 593379430) and primary practice location at 34461-6004. Franklin is affiliated with the Mercy Health ACO, LLC (ACO ID: A2616), Main Street Rural Health Magnolia ACO LLC (ACO ID: A5400), and CoreHealth Alliance LLC (ACO ID: A5645), participating under the MSSP model.

Franklin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 414 traditional Medicare patients, billed 5,512 HCPCS/CPT codes, and received $204,625 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 535 prescription claims across 249 beneficiaries totaling $5,170 in drug costs, led by Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen). DME data shows 34 claims. Open Payments data shows 17 records totaling $2,045. 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 moved sharply higher in recent years, from $13,292 to $204,625. Similarly, Part D prescription costs have risen steadily, from $1,175 to $5,170. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	46	109	$13,292
2020	168	681	$75,364
2021	353	2,091	$182,148
2022	419	3,101	$220,559
2023	406	2,734	$225,472
2024	414	5,512	$204,625

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	34	73	$1,175
2016	28	49	$3,556
2017	37	130	$2,907
2018	19	31	$190
2019	40	97	$2,450
2020	77	158	$2,932
2021	119	251	$2,646
2022	218	489	$5,953
2023	276	782	$10,580
2024	249	535	$5,170

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	11	11	$2,283
2021	25	25	$1,353
2022	17	46	$1,622
2023	34	49	$15,076
2024	32	34	$14,177

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	110	110	$105
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	178	249	$83
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	146	163	$57
20610	Aspiration and/or injection of fluid from large joint	164	232	$45
J0702	Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	107	656	$5

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	108	1,240	$871
Diclofenac Sodium	Diclofenac Sodium	80	2,535	$798
Oxycodone Hcl	Oxycodone Hcl	85	670	$575
Tizanidine Hcl	Tizanidine Hcl	54	650	$267
Tramadol Hcl	Tramadol Hcl	86	1,086	$205

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
L3960	Shoulder elbow wrist hand orthosis, abduction positioning, airplane design, prefabricated, includes fitting and adjustment	N	19	19	$13,418
L3908	Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf	N	13	15	$759

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	17	$2,045	MEDACTA 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 Donald Benjamin Franklin, M.D.?

Tedicare shows public-source Medicare data for Donald Benjamin Franklin, M.D. (NPI 1518377431), 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 Benjamin Franklin, M.D. have ACO affiliation data?

Donald Benjamin Franklin, M.D. is shown with ACO affiliation data for Mercy Health ACO, LLC (MSSP, ACO ID A2616), Main Street Rural Health Magnolia ACO LLC (MSSP, ACO ID A5400), and CoreHealth Alliance LLC (MSSP, ACO ID A5645).

What billing organization is linked to Donald Benjamin Franklin, M.D.?

Donald Benjamin Franklin, M.D. is linked to THE ORTHOPAEDIC INSTITUTE PA (billing NPI 1740373547) in the available physician profile data.

Does Donald Benjamin Franklin, M.D. have Open Payments data?

Donald Benjamin Franklin, M.D. has 17 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.