Physician

Michael S Benjamin, M.D.

According to 2025 Medicare claims, Michael Benjamin, M.D. (NPI: 1619933132) practices hematology/oncology in the Oxnard-Thousand Oaks-Ventura, CA market, with the plurality of this provider's patient population coming from Ventura, CA. This provider's primary affiliated billing organization is MICHAEL BENJAMIN MD INC (NPI: 1649319310; TIN: 364599322) and primary practice location at 91307-1928.

Benjamin's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 401 traditional Medicare patients, billed 79,034 HCPCS/CPT codes, and received $2,056,789 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 1,835 prescription claims across 225 beneficiaries totaling $12,314,939 in drug costs, led by Xtandi (Enzalutamide). 2023 DME data shows 12 claims. Open Payments data shows 99 records totaling $2,611. 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 from a lower plateau to a higher plateau, from $686,811 to $2,056,789. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $3,929,598 to $12,314,939. 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.

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$1.2M$2.5M2015 Medicare payment: $686,811 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $539,553 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $847,330 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,587,168 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $1,604,906 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $1,641,734 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $1,828,654 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $1,729,254 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,462,519 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,056,789 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
201526461,991$686,811
201627337,030$539,553
201735044,422$847,330
2018584115,911$1,587,168
2019465116,077$1,604,906
2020454105,900$1,641,734
202147590,154$1,828,654
202250488,518$1,729,254
2023499103,503$2,462,519
202440179,034$2,056,789

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$6.8M$14M2015 Drug cost: $3,929,598 (USD; Tot_Drug_Cst)2016 Drug cost: $4,624,126 (USD; Tot_Drug_Cst)2017 Drug cost: $6,682,485 (USD; Tot_Drug_Cst)2018 Drug cost: $10,536,776 (USD; Tot_Drug_Cst)2019 Drug cost: $11,150,629 (USD; Tot_Drug_Cst)2020 Drug cost: $13,441,494 (USD; Tot_Drug_Cst)2021 Drug cost: $13,695,328 (USD; Tot_Drug_Cst)2022 Drug cost: $10,379,603 (USD; Tot_Drug_Cst)2023 Drug cost: $9,727,667 (USD; Tot_Drug_Cst)2024 Drug cost: $12,314,939 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20151661,227$3,929,598
20161481,275$4,624,126
20171821,428$6,682,485
20181801,942$10,536,776
20191621,764$11,150,629
20201501,885$13,441,494
20211691,968$13,695,328
20221731,558$10,379,603
20231421,255$9,727,667
20242251,835$12,314,939

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$7.5K$15K2016 Medicare payment: $15,033 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,709 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $805 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/R16$15,033
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/R36$2,709
2022N/RN/RN/R
2023N/R12$805
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes6368$142
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more108164$97
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more2851,338$74
96366Infusion into a vein for therapy, prevention, or diagnosis, each additional hour61502$18
96372Injection of drug or substance under skin or into muscle107754$12

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
XtandiEnzalutamide2427,260$3,217,887
ProcritEpoetin Alfa50214,086$2,709,605
NeulastaPegfilgrastim1262,849$934,301
ImbruvicaIbrutinib401,120$627,484
CalquenceAcalabrutinib Maleate411,230$624,950

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.99$2,611Novartis Pharmaceuticals Corporation
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 Michael S. Benjamin, M.D.?

Tedicare shows public-source Medicare data for Michael S. Benjamin, M.D. (NPI 1619933132), 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 Michael S. Benjamin, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael S. Benjamin, M.D.?

Michael S. Benjamin, M.D. is linked to MICHAEL BENJAMIN MD INC (billing NPI 1649319310) in the available physician profile data.

Does Michael S. Benjamin, M.D. have Open Payments data?

Michael S. Benjamin, M.D. has 99 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.