Physician

Michael J. Banach, MD

According to 2025 Medicare claims, Michael Banach, MD (NPI: 1710972310) practices ophthalmology in the Harrisburg-Carlisle, PA market, with the plurality of this provider's patient population coming from Cumberland, PA. This provider's primary affiliated billing organization is PENNSYLVANIA RETINA SPECIALISTS PC (NPI: 1568428126; TIN: 232152842) and primary practice location at 17011-1776.

Banach's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 702 traditional Medicare patients, billed 40,001 HCPCS/CPT codes, and received $2,171,744 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 499 prescription claims across 155 beneficiaries totaling $195,745 in drug costs, led by Eylea (Aflibercept). Open Payments data shows 7 records totaling $258. 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 changed little. Concurrently, Part D prescription costs have moved from a lower plateau to a higher plateau, from $15,504 to $195,745. 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	834	9,507	$1,795,064
2016	1,081	13,138	$2,549,558
2017	903	11,361	$2,288,305
2018	891	11,774	$2,500,615
2019	1,105	14,426	$2,947,041
2020	909	12,157	$2,633,494
2021	843	11,438	$2,582,552
2022	761	13,465	$2,281,300
2023	736	33,322	$2,148,088
2024	702	40,001	$2,171,744

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	142	357	$15,504
2016	149	407	$21,017
2017	149	412	$17,325
2018	153	378	$34,880
2019	148	340	$73,167
2020	146	419	$114,175
2021	151	493	$175,843
2022	118	338	$121,010
2023	127	368	$141,842
2024	155	499	$195,745

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
92014	Established patient complete exam of visual system	419	449	$85
67028	Injection of drug into eye	346	1,408	$85
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	361	685	$67
92134	Imaging of retina	546	1,656	$29
92250	Photography of the retina	247	280	$26

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eylea	Aflibercept	44	1,354	$130,179
Vabysmo	Faricimab-Svoa	13	366	$37,028
Prednisolone Acetate	Prednisolone Acetate	126	6,190	$4,577
Brimonidine Tartrate	Brimonidine Tartrate	23	1,120	$1,636
Ketorolac Tromethamine	Ketorolac Tromethamine	90	2,995	$1,233

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.	7	$258	Alcon Vision LLC
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 Michael J. Banach, MD?

Tedicare shows public-source Medicare data for Michael J. Banach, MD (NPI 1710972310), 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 J. Banach, MD 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 J. Banach, MD?

Michael J. Banach, MD is linked to PENNSYLVANIA RETINA SPECIALISTS PC (billing NPI 1568428126) in the available physician profile data.

Does Michael J. Banach, MD have Open Payments data?

Michael J. Banach, MD has 7 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.