Physician

Benjamin Francis Donohue, M.D.

According to 2025 Medicare claims, Benjamin Donohue, M.D. (NPI: 1558587204) practices orthopedic surgery in the Ithaca, NY market, with the plurality of this provider's patient population coming from Tompkins, NY. This provider's primary affiliated billing organization is CAYUGA MEDICAL ASSOCIATES, PC (NPI: 1679525455; TIN: 204356115) and primary practice location at 14850-1863. Donohue is affiliated with the Cayuga Health Partners (ACO ID: A3195), participating under the MSSP model.

Donohue's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 421 traditional Medicare patients, billed 4,712 HCPCS/CPT codes, and received $148,939 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 27 prescription claims across 23 beneficiaries totaling $221 in drug costs, led by Methylprednisolone (Methylprednisolone). 2022 DME data shows 12 claims. Open Payments data shows 5 records totaling $537. 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 $27,444 to $148,939. In contrast, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $563 to $221. 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	104	416	$27,444
2017	337	1,416	$88,490
2018	335	1,330	$86,952
2019	358	1,543	$90,247
2020	373	2,097	$113,941
2021	340	2,615	$127,998
2022	394	4,198	$141,345
2023	374	4,201	$123,026
2024	421	4,712	$148,939

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	24	30	$563
2017	58	88	$2,664
2018	52	78	$1,683
2019	61	82	$1,178
2020	38	61	$614
2021	23	32	$697
2022	20	28	$1,393
2023	14	17	$190
2024	23	27	$221

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	23	25	$2,994
2018	12	14	$779
2019	13	13	$725
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	12	$218
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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	67	67	$119
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	182	$91
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	223	357	$66
20610	Aspiration and/or injection of fluid from large joint	125	196	$53
J3301	Injection, triamcinolone acetonide, not otherwise specified, 10 mg	166	2,481	$1

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylprednisolone	Methylprednisolone	11	66	$51

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.	5	$537	Prodigy Surgical Distribution, 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 Francis Donohue, M.D.?

Tedicare shows public-source Medicare data for Benjamin Francis Donohue, M.D. (NPI 1558587204), 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 Francis Donohue, M.D. have ACO affiliation data?

Benjamin Francis Donohue, M.D. is shown with ACO affiliation data for Cayuga Health Partners (MSSP, ACO ID A3195).

What billing organization is linked to Benjamin Francis Donohue, M.D.?

Benjamin Francis Donohue, M.D. is linked to CAYUGA MEDICAL ASSOCIATES, PC (billing NPI 1679525455) in the available physician profile data.

Does Benjamin Francis Donohue, M.D. have Open Payments data?

Benjamin Francis Donohue, M.D. has 5 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.