Physician

Adam Tyler Benfield, PA-C

According to 2025 Medicare claims, Adam Benfield, PA-C (NPI: 1629428149) practices physician assistant in the Hickory-Lenoir-Morganton, NC market, with the plurality of this provider's patient population coming from Catawba, NC. This provider's primary affiliated billing organization is CATAWBA VALLEY MEDICAL GROUP INC (NPI: 1528461670; TIN: 452702114) and primary practice location at 28602-8307. Benfield is affiliated with the CHESS Value, LLC (ACO ID: A3391), participating under the MSSP model.

Benfield's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 121 traditional Medicare patients, billed 1,272 HCPCS/CPT codes, and received $47,698 in Medicare payments. The top billing code was G0439 (Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit). Part D data shows 5,613 prescription claims across 448 beneficiaries totaling $830,532 in drug costs, led by Jardiance (Empagliflozin). DME data shows 12 claims. Open Payments data shows 13 records totaling $215. 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 did not follow a clear longitudinal pattern. Concurrently, Part D prescription costs have risen steadily, from $36,014 to $830,532. In contrast, DME billing represents a smaller volume and moved up and down with repeated peaks and valleys, starting at $443 and ending at $6,408.

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$30K$60K2016 Medicare payment: $19,348 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $45,834 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $59,791 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $56,799 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $40,294 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $45,673 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $50,436 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $51,932 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $47,698 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
201692502$19,348
20171811,348$45,834
20182092,076$59,791
20192012,111$56,799
20201641,162$40,294
2021165995$45,673
20221641,156$50,436
20231501,176$51,932
20241211,272$47,698

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$415K$831K2016 Drug cost: $36,014 (USD; Tot_Drug_Cst)2017 Drug cost: $232,213 (USD; Tot_Drug_Cst)2018 Drug cost: $484,876 (USD; Tot_Drug_Cst)2019 Drug cost: $580,053 (USD; Tot_Drug_Cst)2020 Drug cost: $644,631 (USD; Tot_Drug_Cst)2021 Drug cost: $650,986 (USD; Tot_Drug_Cst)2022 Drug cost: $705,676 (USD; Tot_Drug_Cst)2023 Drug cost: $829,235 (USD; Tot_Drug_Cst)2024 Drug cost: $830,532 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
2016113543$36,014
20173393,299$232,213
20184144,584$484,876
20194244,416$580,053
20203374,730$644,631
20214044,856$650,986
20224415,202$705,676
20234435,698$829,235
20244485,613$830,532

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$1.8K$3.5K2017 Medicare payment: $248 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $1,059 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $2,861 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $3,503 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $2,344 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $408 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $183 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $327 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/R15$248
20183474$1,059
201928122$2,861
20201187$3,503
20211172$2,344
2022N/R31$408
2023N/R17$183
2024N/R12$327

* / # = 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
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit6868$103
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more98257$65
G0444Annual depression screening, 5 to 15 minutes4848$15
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's76191$9
36415Insertion of needle into vein for collection of blood sample96254$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
JardianceEmpagliflozin1589,030$175,413
OzempicSemaglutide663,850$126,192
EliquisApixaban724,720$93,507
Repatha SureclickEvolocumab362,184$43,057
MounjaroTirzepatide31904$33,319

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0601Continuous positive airway pressure (cpap) deviceYN/R12$327

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.13$215Novo Nordisk Inc
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 Adam Tyler Benfield, PA-C?

Tedicare shows public-source Medicare data for Adam Tyler Benfield, PA-C (NPI 1629428149), 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 Adam Tyler Benfield, PA-C have ACO affiliation data?

Adam Tyler Benfield, PA-C is shown with ACO affiliation data for CHESS Value, LLC (MSSP, ACO ID A3391).

What billing organization is linked to Adam Tyler Benfield, PA-C?

Adam Tyler Benfield, PA-C is linked to CATAWBA VALLEY MEDICAL GROUP INC (billing NPI 1528461670) in the available physician profile data.

Does Adam Tyler Benfield, PA-C have Open Payments data?

Adam Tyler Benfield, PA-C has 13 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.