Physician

Roland E. Benton, MD

According to 2025 Medicare claims, Roland Benton, MD (NPI: 1891774675) practices internal medicine in the Huntington-Ashland, WV-KY-OH market, with the plurality of this provider's patient population coming from Lawrence, OH. This provider's primary affiliated billing organization is SOMC MEDICAL CARE FOUNDATION, INC. (NPI: 1457467227; TIN: 311374523) and primary practice location at 45638-9610.

Benton's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 293 traditional Medicare patients, billed 427 HCPCS/CPT codes, and received $21,874 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 1,240 prescription claims across 479 beneficiaries totaling $28,763 in drug costs, led by Lagevrio (Eua) (Molnupiravir). 2020 DME data shows 34 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 from a higher plateau to a lower plateau, from $66,343 to $21,874. Similarly, Part D prescription costs have moved from a higher plateau to a lower plateau, from $67,250 to $28,763. 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$35K$69K2015 Medicare payment: $66,343 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $69,396 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $65,748 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $67,714 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $64,980 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $23,530 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $26,669 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $30,814 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $25,580 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $21,874 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20159262,851$66,343
20161,0573,779$69,396
20171,0653,711$65,748
20181,0353,880$67,714
20191,0133,495$64,980
20204711,128$23,530
2021335586$26,669
2022348511$30,814
2023315481$25,580
2024293427$21,874

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$34K$67K2015 Drug cost: $67,250 (USD; Tot_Drug_Cst)2016 Drug cost: $55,779 (USD; Tot_Drug_Cst)2017 Drug cost: $63,709 (USD; Tot_Drug_Cst)2018 Drug cost: $51,141 (USD; Tot_Drug_Cst)2019 Drug cost: $51,293 (USD; Tot_Drug_Cst)2020 Drug cost: $29,053 (USD; Tot_Drug_Cst)2021 Drug cost: $24,375 (USD; Tot_Drug_Cst)2022 Drug cost: $33,282 (USD; Tot_Drug_Cst)2023 Drug cost: $26,871 (USD; Tot_Drug_Cst)2024 Drug cost: $28,763 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20157002,393$67,250
20167502,323$55,779
20177352,468$63,709
20187181,963$51,141
20197051,901$51,293
2020417986$29,053
2021373942$24,375
20224861,380$33,282
20234601,190$26,871
20244791,240$28,763

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$1.4K$2.8K2016 Medicare payment: $2,777 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $2,461 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $106 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $164 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
20161425$2,777
20171331$2,461
2018N/R22$106
2019N/RN/RN/R
2020N/R34$164
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
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more172203$59
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more148179$46

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Lagevrio (Eua)Molnupiravir20100$14,370
Albuterol Sulfate HfaAlbuterol Sulfate1344,653$3,307
Azelastine HclAzelastine Hcl1546,940$2,559
CefdinirCefdinir1491,407$2,346
Doxycycline HyclateDoxycycline Hyclate2302,294$1,665

Top 5 DME services in 2024

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

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 Roland E. Benton, MD?

Tedicare shows public-source Medicare data for Roland E. Benton, MD (NPI 1891774675), 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 Roland E. Benton, 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 Roland E. Benton, MD?

Roland E. Benton, MD is linked to SOMC MEDICAL CARE FOUNDATION, INC. (billing NPI 1457467227) in the available physician profile data.

Does Roland E. Benton, MD 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.