Physician

Benjamin Paul Boudreaux, MD

According to 2025 Medicare claims, Benjamin Boudreaux, MD (NPI: 1871723411) practices neurosurgery in the Charlotte-Concord-Gastonia, NC-SC market, with the plurality of this provider's patient population coming from Gaston, NC. This provider's primary affiliated billing organization is CAROLINA NEUROSURGERY & SPINE ASSOCIATES PA (NPI: 1154384568; TIN: 560963485) and primary practice location at 28054-2140.

Boudreaux's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 224 traditional Medicare patients, billed 643 HCPCS/CPT codes, and received $144,345 in Medicare payments. The top billing code was 99215 (Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more). Part D data shows 421 prescription claims across 154 beneficiaries totaling $3,597 in drug costs, led by Gabapentin (Gabapentin). 2019 DME data shows 12 claims. Open Payments data shows 18 records totaling $821. 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 up and down with repeated peaks and valleys, starting at $82,470 and ending at $144,345. Concurrently, Part D prescription costs have risen steadily, from $367 to $3,597. 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.

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$122K$244K2016 Medicare payment: $82,470 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $244,165 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $236,688 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $205,803 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $164,191 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $115,414 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $157,035 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $168,378 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $144,345 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016182477$82,470
20175151,464$244,165
20185601,518$236,688
20195741,501$205,803
20204211,215$164,191
2021262568$115,414
2022318675$157,035
2023266655$168,378
2024224643$144,345

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$1.8K$3.6K2016 Drug cost: $367 (USD; Tot_Drug_Cst)2017 Drug cost: $1,551 (USD; Tot_Drug_Cst)2018 Drug cost: $917 (USD; Tot_Drug_Cst)2019 Drug cost: $1,322 (USD; Tot_Drug_Cst)2020 Drug cost: $851 (USD; Tot_Drug_Cst)2021 Drug cost: $2,570 (USD; Tot_Drug_Cst)2022 Drug cost: $2,510 (USD; Tot_Drug_Cst)2023 Drug cost: $2,474 (USD; Tot_Drug_Cst)2024 Drug cost: $3,597 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
2015N/RN/RN/R
20161527$367
201764139$1,551
20185698$917
201963152$1,322
202048104$851
202193227$2,570
2022114266$2,510
2023155351$2,474
2024154421$3,597

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$21K$42K2019 Medicare payment: $41,753 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
20191212$41,753
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/RN/RN/R
2024N/RN/RN/R

* / # = 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
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more3940$126
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more5454$114
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2424$91
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more6979$86
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more5571$61

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
GabapentinGabapentin792,358$730
Tizanidine HclTizanidine Hcl58851$524
Cyclobenzaprine HclCyclobenzaprine Hcl701,288$382
Hydrocodone-AcetaminophenHydrocodone/Acetaminophen48335$374
MethocarbamolMethocarbamol30565$352

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.18$821Boston Scientific Corporation
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 Benjamin Paul Boudreaux, MD?

Tedicare shows public-source Medicare data for Benjamin Paul Boudreaux, MD (NPI 1871723411), 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 Benjamin Paul Boudreaux, 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 Benjamin Paul Boudreaux, MD?

Benjamin Paul Boudreaux, MD is linked to CAROLINA NEUROSURGERY & SPINE ASSOCIATES PA (billing NPI 1154384568) in the available physician profile data.

Does Benjamin Paul Boudreaux, MD have Open Payments data?

Benjamin Paul Boudreaux, MD has 18 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.