Physician

Nicholas H Benson, M.D.

According to 2025 Medicare claims, Nicholas Benson, M.D. (NPI: 1710935895) practices pulmonary disease in the Minneapolis-St. Paul-Bloomington, MN-WI market, with the plurality of this provider's patient population coming from St. Croix, WI. This provider's primary affiliated billing organization is GROUP HEALTH PLAN, INC (NPI: 1245608454; TIN: 410797853) and primary practice location at 55082-6040. Benson is affiliated with the Aledade 103 Upper Midwest MSSP (ACO ID: A5003) and Park Nicollet Health Services ACO LLC d/b/a HealthPartners ACO (ACO ID: D0207), participating under both the MSSP and REACH models.

Benson's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 379 traditional Medicare patients, billed 2,272 HCPCS/CPT codes, and received $101,341 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 2,724 prescription claims across 342 beneficiaries totaling $1,241,299 in drug costs, led by Trelegy Ellipta (Fluticasone/Umeclidin/Vilanter). DME data shows 2,538 claims. No Open Payments records. 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 sharply higher in recent years, from $26,460 to $101,341. Similarly, Part D prescription costs have risen steadily, from $343,745 to $1,241,299. For DME billing, reported payments rose steadily, from $94,242 to $136,067.

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$61K$122K2015 Medicare payment: $26,460 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $61,754 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $58,678 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $50,636 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $69,660 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $60,552 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $117,587 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $112,839 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $121,618 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $101,341 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015191520$26,460
20164341,309$61,754
20174181,239$58,678
20183851,079$50,636
20195331,521$69,660
20204971,413$60,552
20214282,501$117,587
20224012,603$112,839
20233852,743$121,618
20243792,272$101,341

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$738K$1.5M2015 Drug cost: $343,745 (USD; Tot_Drug_Cst)2016 Drug cost: $651,276 (USD; Tot_Drug_Cst)2017 Drug cost: $839,956 (USD; Tot_Drug_Cst)2018 Drug cost: $833,479 (USD; Tot_Drug_Cst)2019 Drug cost: $775,177 (USD; Tot_Drug_Cst)2020 Drug cost: $900,280 (USD; Tot_Drug_Cst)2021 Drug cost: $982,136 (USD; Tot_Drug_Cst)2022 Drug cost: $1,476,507 (USD; Tot_Drug_Cst)2023 Drug cost: $1,254,933 (USD; Tot_Drug_Cst)2024 Drug cost: $1,241,299 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152851,876$343,745
20163142,183$651,276
20173042,084$839,956
20183272,218$833,479
20193102,179$775,177
20202942,192$900,280
20213152,252$982,136
20223182,584$1,476,507
20233162,612$1,254,933
20243422,724$1,241,299

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$78K$156K2015 Medicare payment: $90,514 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $81,032 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $98,982 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $106,143 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $140,309 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $155,742 (USD; DME_Suplr_Mdcr_Pymt_Amt)2021 Medicare payment: $91,876 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $109,378 (USD; DME_Suplr_Mdcr_Pymt_Amt)2023 Medicare payment: $104,321 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $136,512 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20156031,558$90,514
20166601,927$81,032
20177922,363$98,982
20189172,438$106,143
20191,2683,107$140,309
20201,3003,382$155,742
20211,0782,655$91,876
20221,0452,682$109,378
20238762,237$104,321
20241,0312,538$136,512

* / # = 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 more164214$88
94010Test to measure expiratory airflow and volume125155$16
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's7378$12
94726Test to determine lung volumes using sensors95100$9
94729Test to examine how well the lungs exchange gases96105$6

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Trelegy ElliptaFluticasone/Umeclidin/Vilanter47115,956$337,130
Spiriva RespimatTiotropium Bromide1567,110$122,476
PirfenidonePirfenidone24720$119,163
Stiolto RespimatTiotropium Br/Olodaterol Hcl1033,810$59,255
TezspireTezepelumab-Ekko13364$56,769

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)YN/R27$23,219
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateY38285$20,767
E0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, eachYN/R13$12,794
A7030Full face mask used with positive airway pressure device, eachN66127$9,790
A4604Tubing with integrated heating element for use with positive airway pressure deviceN132232$8,369

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

FAQ

What Medicare data is available for Nicholas H. Benson, M.D.?

Tedicare shows public-source Medicare data for Nicholas H. Benson, M.D. (NPI 1710935895), 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 Nicholas H. Benson, M.D. have ACO affiliation data?

Nicholas H. Benson, M.D. is shown with ACO affiliation data for Aledade 103 Upper Midwest MSSP (MSSP, ACO ID A5003) and Park Nicollet Health Services ACO LLC d/b/a HealthPartners ACO (REACH, ACO ID D0207).

What billing organization is linked to Nicholas H. Benson, M.D.?

Nicholas H. Benson, M.D. is linked to GROUP HEALTH PLAN, INC (billing NPI 1245608454) in the available physician profile data.

Does Nicholas H. Benson, M.D. have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.