Physician

Benjamin J Martin, MD

According to 2025 Medicare claims, Benjamin Martin, MD (NPI: 1609893221) practices urology in the Columbus, OH market, with the plurality of this provider's patient population coming from Franklin, OH. This provider's primary affiliated billing organization is CENTRAL OHIO UROLOGY GROUP, LLC (NPI: 1396780466; TIN: 20-1781799) and primary practice location at 43230-1987. Martin is affiliated with the Mercy Health Select, LLC (ACO ID: A1215) and Main Street Rural Health Sycamore ACO LLC (ACO ID: A5403), participating under the MSSP model.

Martin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 599 traditional Medicare patients, billed 13,737 HCPCS/CPT codes, and received $1,176,584 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 3,264 prescription claims across 546 beneficiaries totaling $6,925,286 in drug costs, led by Nubeqa (Darolutamide). DME data shows 45 claims. Open Payments data shows 150 records totaling $368,125. 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 $622,750 to $1,176,584. Similarly, Part D prescription costs have moved sharply higher in recent years, from $1,594,281 to $6,925,286. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $392 to $775.

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$588K$1.2M2015 Medicare payment: $622,750 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $966,897 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $673,286 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $749,430 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $761,357 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $720,174 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,072,827 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,089,873 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $1,051,810 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,176,584 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201536710,071$622,750
201651220,495$966,897
201754516,733$673,286
201858412,135$749,430
201958313,791$761,357
202046913,134$720,174
202151616,768$1,072,827
202251511,945$1,089,873
202357112,410$1,051,810
202459913,737$1,176,584

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$5.2M$10M2015 Drug cost: $1,594,281 (USD; Tot_Drug_Cst)2016 Drug cost: $2,517,413 (USD; Tot_Drug_Cst)2017 Drug cost: $2,801,307 (USD; Tot_Drug_Cst)2018 Drug cost: $4,039,488 (USD; Tot_Drug_Cst)2019 Drug cost: $3,644,233 (USD; Tot_Drug_Cst)2020 Drug cost: $4,898,542 (USD; Tot_Drug_Cst)2021 Drug cost: $5,318,591 (USD; Tot_Drug_Cst)2022 Drug cost: $10,367,499 (USD; Tot_Drug_Cst)2023 Drug cost: $7,622,926 (USD; Tot_Drug_Cst)2024 Drug cost: $6,925,286 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152591,462$1,594,281
20162801,523$2,517,413
20173401,844$2,801,307
20183872,133$4,039,488
20194172,274$3,644,233
20204412,393$4,898,542
20214912,646$5,318,591
20225783,492$10,367,499
20235783,290$7,622,926
20245463,264$6,925,286

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$4.5K$9.1K2015 Medicare payment: $3,422 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $3,469 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $4,306 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $4,205 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $3,419 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $6,006 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $5,752 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $7,619 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $8,338 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $9,060 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/R51$3,422
2016N/R67$3,469
2017N/R39$4,306
2018N/R33$4,205
2019N/R28$3,419
2020N/R49$6,006
2021N/R54$5,752
2022N/R56$7,619
2023N/R54$8,338
2024N/R45$9,060

* / # = 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 more297462$85
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more9298$57
84153Psa (prostate specific antigen) measurement, total130215$18
G2211Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's6994$12
36415Insertion of needle into vein for collection of blood sample157229$9

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
NubeqaDarolutamide1835,670$2,297,612
XtandiEnzalutamide1354,050$1,437,039
Abiraterone AcetateAbiraterone Acetate62719,250$1,174,589
OrgovyxRelugolix33010,140$888,373
ErleadaApalutamide621,860$619,510

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
A4351Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), eachNN/R34$8,810
A4357Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, eachNN/R11$249

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.93$18,968Dendreon Pharmaceuticals LLC
Research PaymentsReported research-related payment or transfer-of-value amount.57$349,157Janssen Research & Development, LLC
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Benjamin J. Martin, MD?

Tedicare shows public-source Medicare data for Benjamin J. Martin, MD (NPI 1609893221), 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 J. Martin, MD have ACO affiliation data?

Benjamin J. Martin, MD is shown with ACO affiliation data for Mercy Health Select, LLC (MSSP, ACO ID A1215) and Main Street Rural Health Sycamore ACO LLC (MSSP, ACO ID A5403).

What billing organization is linked to Benjamin J. Martin, MD?

Benjamin J. Martin, MD is linked to CENTRAL OHIO UROLOGY GROUP, LLC (billing NPI 1396780466) in the available physician profile data.

Does Benjamin J. Martin, MD have Open Payments data?

Benjamin J. Martin, MD has 150 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.