Physician

Benjamin Wise Botsford, M.D.

According to 2025 Medicare claims, Benjamin Botsford, M.D. (NPI: 1619327236) practices ophthalmology in the Worcester, MA market, with the plurality of this provider's patient population coming from Worcester, MA. This provider's primary affiliated billing organization is UMASS MEMORIAL MEDICAL GROUP INC (NPI: 1760445373; TIN: 042911067) and primary practice location at 01532-2130. Botsford is affiliated with the NewYork Quality Care (ACO ID: A2571) and UMASS Memorial Accountable Care Organization, INC. (ACO ID: A2598), participating under the MSSP model.

Botsford's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 640 traditional Medicare patients, billed 2,796 HCPCS/CPT codes, and received $354,949 in Medicare payments. The top billing code was 92004 (New patient complete exam of visual system). Part D data shows 425 prescription claims across 116 beneficiaries totaling $16,820 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 2 records totaling $171. 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 has fewer than 5 years of reported Medicare Part B carrier billing data, so a reliable trend cannot be assigned. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $2,625 to $16,820. 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	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	29	40	$5,799
2022	272	552	$35,847
2023	601	2,637	$288,519
2024	640	2,796	$354,949

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	28	40	$2,625
2017	24	37	$1,809
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	28	50	$7,236
2021	129	361	$51,975
2022	99	243	$33,130
2023	113	401	$23,630
2024	116	425	$16,820

DME Billing Trend

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

No connected DME records

* / # = 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	86	86	$99
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	202	281	$87
67028	Injection of drug into eye	95	372	$85
92014	Established patient complete exam of visual system	322	353	$77
92134	Imaging of retina	495	992	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Prednisolone Acetate	Prednisolone Acetate	53	1,897	$1,649
Brimonidine Tartrate	Brimonidine Tartrate	25	1,729	$1,221
Cyclosporine	Cyclosporine	15	405	$1,024
Latanoprost	Latanoprost	103	4,982	$1,006
Dorzolamide Hcl	Dorzolamide Hcl	59	3,145	$968

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.	2	$171	Genentech 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 Benjamin Wise Botsford, M.D.?

Tedicare shows public-source Medicare data for Benjamin Wise Botsford, M.D. (NPI 1619327236), 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 Wise Botsford, M.D. have ACO affiliation data?

Benjamin Wise Botsford, M.D. is shown with ACO affiliation data for NewYork Quality Care (MSSP, ACO ID A2571) and UMASS Memorial Accountable Care Organization, INC. (MSSP, ACO ID A2598).

What billing organization is linked to Benjamin Wise Botsford, M.D.?

Benjamin Wise Botsford, M.D. is linked to UMASS MEMORIAL MEDICAL GROUP INC (billing NPI 1760445373) in the available physician profile data.

Does Benjamin Wise Botsford, M.D. have Open Payments data?

Benjamin Wise Botsford, 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.