Physician

James Benjamin Earl, MD PHD

According to 2025 Medicare claims, James Earl, MD PHD (NPI: 1720248305) practices ophthalmology in the Boise City, ID market, with the plurality of this provider's patient population coming from Ada, ID. This provider's primary affiliated billing organization is RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC (NPI: 1922425032; TIN: 30-0811574) and primary practice location at 83713-1969. Earl is affiliated with the Trinity Health Integrated Care (ACO ID: A3454), Caravan Health ACO 50 LLC (ACO ID: A5160), and Collaborative ACO 30, LLC (ACO ID: A5483), participating under the MSSP model.

Earl's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 919 traditional Medicare patients, billed 39,877 HCPCS/CPT codes, and received $3,928,829 in Medicare payments. The top billing code was J0178 (Injection, aflibercept, 1 mg). Part D data shows 749 prescription claims across 239 beneficiaries totaling $24,871 in drug costs, led by Prednisolone Acetate (Prednisolone Acetate). Open Payments data shows 20 records totaling $421. 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 risen steadily, from $370,855 to $3,928,829. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $15,528 and ending at $24,871. 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	474	3,093	$370,855
2016	615	5,004	$665,522
2017	765	6,507	$1,072,174
2018	764	7,542	$1,560,701
2019	775	8,698	$2,324,528
2020	757	8,235	$2,370,508
2021	769	8,559	$2,491,742
2022	766	9,950	$2,564,425
2023	800	16,510	$3,165,932
2024	919	39,877	$3,928,829

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	128	333	$15,528
2016	127	346	$25,977
2017	121	355	$27,057
2018	140	365	$20,728
2019	210	697	$38,638
2020	192	700	$36,028
2021	194	653	$27,274
2022	171	577	$22,396
2023	217	638	$24,412
2024	239	749	$24,871

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
J0178	Injection, aflibercept, 1 mg	199	2,164	$653
67028	Injection of drug into eye	433	1,876	$91
92014	Established patient complete exam of visual system	195	205	$67
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	694	1,027	$64
92134	Imaging of retina	896	1,857	$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	211	6,108	$7,227
Timolol Maleate	Timolol Maleate	108	4,824	$1,264
Ofloxacin	Ofloxacin	103	1,946	$1,178
Dorzolamide Hcl	Dorzolamide Hcl	44	3,026	$708
Dorzolamide-Timolol	Dorzolamide Hcl/Timolol Maleat	21	1,130	$654

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.	20	$421	Regeneron Healthcare Solutions, 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 James Benjamin Earl, MD PHD?

Tedicare shows public-source Medicare data for James Benjamin Earl, MD PHD (NPI 1720248305), 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 James Benjamin Earl, MD PHD have ACO affiliation data?

James Benjamin Earl, MD PHD is shown with ACO affiliation data for Trinity Health Integrated Care (MSSP, ACO ID A3454), Caravan Health ACO 50 LLC (MSSP, ACO ID A5160), and Collaborative ACO 30, LLC (MSSP, ACO ID A5483).

What billing organization is linked to James Benjamin Earl, MD PHD?

James Benjamin Earl, MD PHD is linked to RETINA SPECIALISTS OF IDAHO PARTNERS, PLLC (billing NPI 1922425032) in the available physician profile data.

Does James Benjamin Earl, MD PHD have Open Payments data?

James Benjamin Earl, MD PHD has 20 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.