Physician

Robert J Benz, MD

According to 2025 Medicare claims, Robert Benz, MD (NPI: 1972595247) practices orthopedic surgery in the Fort Collins-Loveland, CO market, with the plurality of this provider's patient population coming from Larimer, CO. This provider's primary affiliated billing organization is ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC (NPI: 1770579385; TIN: 840593455) and primary practice location at 80538-9004. Benz is affiliated with the Banner Network Colorado, LLC (ACO ID: A4768) and Caravan Health ACO 50 LLC (ACO ID: A5160), participating under the MSSP model.

Benz's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 610 traditional Medicare patients, billed 2,091 HCPCS/CPT codes, and received $345,875 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 328 prescription claims across 160 beneficiaries totaling $2,958 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). DME data shows 51 claims. Open Payments data shows 3 records totaling $30. 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 fallen sharply in recent years, from $8,958 to $2,958. For DME billing, reported payments moved sharply higher in recent years, from $5,983 to $14,973.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	761	2,484	$378,007
2016	933	3,108	$473,371
2017	960	3,064	$431,900
2018	936	3,394	$471,427
2019	819	2,880	$398,415
2020	748	2,515	$383,070
2021	838	2,505	$292,504
2022	764	3,221	$421,578
2023	691	2,180	$322,174
2024	610	2,091	$345,875

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	174	406	$8,958
2016	167	321	$6,207
2017	202	437	$25,601
2018	173	364	$113,147
2019	186	425	$170,144
2020	166	414	$113,650
2021	161	294	$14,899
2022	165	300	$3,579
2023	164	297	$3,393
2024	160	328	$2,958

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	24	$1,931
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	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	45	$2,589
2023	N/R	56	$3,088
2024	N/R	51	$2,543

* / # = 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	125	125	$123
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	260	290	$97
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	178	203	$65
72082	X-ray of entire middle and lower spine, 2-3 views	106	137	$54
72100	X-ray of lower and sacral spine, 2-3 views	121	178	$30

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	66	420	$846
Gabapentin	Gabapentin	80	2,485	$734
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	25	166	$327
Cyclobenzaprine Hcl	Cyclobenzaprine Hcl	32	240	$154
Prednisone	Prednisone	32	231	$105

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
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	26	$2,126
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	25	$416

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$30	Medtronic, 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.	2	$50,000	Woven Orthopedic Technologies, LLC

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FAQ

What Medicare data is available for Robert J. Benz, MD?

Tedicare shows public-source Medicare data for Robert J. Benz, MD (NPI 1972595247), 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 Robert J. Benz, MD have ACO affiliation data?

Robert J. Benz, MD is shown with ACO affiliation data for Banner Network Colorado, LLC (MSSP, ACO ID A4768) and Caravan Health ACO 50 LLC (MSSP, ACO ID A5160).

What billing organization is linked to Robert J. Benz, MD?

Robert J. Benz, MD is linked to ORTHOPAEDIC & SPINE CENTER OF THE ROCKIES PC (billing NPI 1770579385) in the available physician profile data.

Does Robert J. Benz, MD have Open Payments data?

Robert J. Benz, MD has 3 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.