Physician

Benjamin Warren Halligan, MD

According to 2025 Medicare claims, Benjamin Halligan, MD (NPI: 1972715985) practices sports medicine in the Oakland-Fremont-Berkeley, CA market, with the plurality of this provider's patient population coming from Alameda, CA. This provider's primary affiliated billing organization is SUTTER BAY MEDICAL FOUNDATION (NPI: 1013950807; TIN: 941156581) and primary practice location at 94538-2299. Halligan is affiliated with the Sutter Medicare Direct (ACO ID: A5279), participating under the MSSP model.

Halligan's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 539 traditional Medicare patients, billed 3,315 HCPCS/CPT codes, and received $149,007 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 45 prescription claims across 34 beneficiaries totaling $146 in drug costs, led by Meloxicam (Meloxicam). 2016 DME data shows 12 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 risen steadily, from $105,321 to $149,007. In contrast, Part D prescription costs have fallen sharply in recent years, from $743 to $146. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.