Physician

Cole Christopher Budinsky, M.D.

According to 2025 Medicare claims, Cole Budinsky, M.D. (NPI: 1740625615) practices sports medicine in the Cleveland, OH market, with the plurality of this provider's patient population coming from Lorain, OH. This provider's primary affiliated billing organization is UNIVERSITY PRIMARY CARE PRACTICES INC (NPI: 1720220098; TIN: 341768928) and primary practice location at 44054-2849. Budinsky is affiliated with the University Hospitals Coordinated Care Organization (ACO ID: A1262) and Vytalize Health 9 ACO LLC (ACO ID: D0313), participating under both the MSSP and REACH models.

Budinsky's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 363 traditional Medicare patients, billed 2,397 HCPCS/CPT codes, and received $64,925 in Medicare payments. The top billing code was 99204 (New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more). Part D data shows 822 prescription claims across 472 beneficiaries totaling $5,483 in drug costs, led by Methylprednisolone (Methylprednisolone). DME data shows 73 claims. Open Payments data shows 1 records totaling $23. 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 $7,396 to $64,925. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $3,388 and ending at $5,483. 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	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	58	152	$7,396
2020	246	1,512	$35,249
2021	380	1,487	$62,941
2022	340	1,211	$55,549
2023	360	1,555	$55,679
2024	363	2,397	$64,925

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	29	87	$3,388
2016	82	278	$13,050
2017	92	394	$17,719
2018	82	360	$16,553
2019	46	60	$1,288
2020	230	373	$2,415
2021	294	501	$3,794
2022	328	500	$4,379
2023	518	818	$8,456
2024	472	822	$5,483

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	46	46	$6,962
2021	74	74	$7,636
2022	81	81	$10,068
2023	50	50	$6,091
2024	73	73	$7,435

* / # = 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
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$90
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	176	$75
20611	Aspiration and/or injection of fluid large joint using ultrasound guidance	97	140	$53
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	208	273	$51
76942	Ultrasonic guidance for needle placement	57	69	$28

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylprednisolone	Methylprednisolone	249	1,495	$1,611
Celecoxib	Celecoxib	20	780	$798
Diclofenac Sodium	Diclofenac Sodium	19	484	$618
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	107	690	$413
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	121	1,706	$392

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	N	12	12	$2,866
L3670	Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf	N	21	21	$2,004
L1812	Knee orthosis, elastic with joints, prefabricated, off-the-shelf	N	26	26	$1,601
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	N	14	14	$964

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$23	Bioventus 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 Cole Christopher Budinsky, M.D.?

Tedicare shows public-source Medicare data for Cole Christopher Budinsky, M.D. (NPI 1740625615), 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 Cole Christopher Budinsky, M.D. have ACO affiliation data?

Cole Christopher Budinsky, M.D. is shown with ACO affiliation data for University Hospitals Coordinated Care Organization (MSSP, ACO ID A1262) and Vytalize Health 9 ACO LLC (REACH, ACO ID D0313).

What billing organization is linked to Cole Christopher Budinsky, M.D.?

Cole Christopher Budinsky, M.D. is linked to UNIVERSITY PRIMARY CARE PRACTICES INC (billing NPI 1720220098) in the available physician profile data.

Does Cole Christopher Budinsky, M.D. have Open Payments data?

Cole Christopher Budinsky, M.D. has 1 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.