Dr. Benjamin Mathew , MD
Ophthalmology โข Aurora, IL
1221 N Highland Ave
Aurora, IL 605061404
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 29, 2009; this date does not establish years in practice.
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Published CMS data list 761 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 92014 โ Established patient complete exam of visual system: 256 service units.
- 92012 โ Established patient problem focused exam of visual system: 100 service units.
- 92133 โ Imaging of optic nerve: 83 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 11 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,079 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Latanoprost โ 861 prescription fills, including refills.
- Timolol Maleate โ 207 prescription fills, including refills.
- Prednisolone Acetate โ 178 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 18 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 75% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: 1,942. Middle half: 813 to 3,689.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 361 in 2020 to 761 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
1221 N Highland Ave
Aurora, IL 605061404
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 4 distinct additional practice-address records in Crystal Lake, IL; Harvard, IL; Rockford, IL and 1 more. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 4 distinct group names: Advocate Health And Hospitals Corporation; Mercy Health System Corporation; Rockford Health Physicians and 1 more. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2000
What Public CMS Data Show
Ophthalmology: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
344 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $92,016 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
Paid by Medicare
About $62,176 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024.
30-day fills
3,268 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$72,184 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $17.49 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
26 years (graduated 2000)
CMS Doctors and Clinicians data list 2000 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2009
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Mathew has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Mathew as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Aurora and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 75% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: 1,942. Middle half: 813 to 3,689.
Too few clinicians listed under Ophthalmology in Aurora have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 70% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $217,562. Middle half: $82,211 to $445,105.
Too few clinicians listed under Ophthalmology in Aurora have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 70% of clinicians listed under Ophthalmology in Illinois (2024, 519 clinicians with data). Median for this group: $156,041. Middle half: $58,651 to $322,257.
Too few clinicians listed under Ophthalmology in Aurora have Medicare Part B data for 2024 to compare.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: 891. Middle half: 294 to 1,971.
Too few clinicians listed under Ophthalmology in Aurora have Medicare Part D data for 2024 to compare.
Part D drug cost
Close to the middle for clinicians listed under Ophthalmology in Illinois (2024, 570 clinicians with data). Median for this group: $71,776. Middle half: $10,407 to $185,387.
Too few clinicians listed under Ophthalmology in Aurora have Medicare Part D data for 2024 to compare.
10 active clinicians are listed under Ophthalmology with a practice address in Aurora, IL (898 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 111% from 361 in 2020 to 761 in 2024.
- 2020: 361
- 2021: 424
- 2022: 805
- 2023: 1,435
- 2024: 761
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Medicare-allowed amount
Medicare-allowed amount increased 135% from $39,123 in 2020 to $92,016 in 2024.
- 2020: $39,123
- 2021: $40,734
- 2022: $98,054
- 2023: $177,619
- 2024: $92,016
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Paid by Medicare
Paid by Medicare increased 117% from $28,613 in 2020 to $62,176 in 2024.
- 2020: $28,613
- 2021: $30,826
- 2022: $71,590
- 2023: $129,290
- 2024: $62,176
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 397% from 418 in 2020 to 2,079 in 2024.
- 2020: 418
- 2021: 502
- 2022: 818
- 2023: 1,915
- 2024: 2,079
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30-day fills
30-day fills increased 458% from 586 in 2020 to 3,268 in 2024.
- 2020: 586
- 2021: 683
- 2022: 1,168
- 2023: 2,854
- 2024: 3,268
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Part D drug cost
Part D drug cost increased 506% from $11,918 in 2020 to $72,184 in 2024.
- 2020: $11,918
- 2021: $12,563
- 2022: $50,424
- 2023: $90,156
- 2024: $72,184
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $117.06 in 2020 to $17.49 in 2025.
- 2020: $117.06
- 2022: $24.45
- 2023: $138.99
- 2024: $114.00
- 2025: $17.49
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $17.49.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Alcon Vision LLC |
Food and Beverage
In-kind items and services
|
HYDRUS Microstent | General | $17.49 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2017โ2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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92014
Established patient complete exam of visual system
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256 | 237 | $254.00 | $126.76 |
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92012
Established patient problem focused exam of visual system
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100 | 85 | $180.00 | $90.39 |
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92133
Imaging of optic nerve
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83 | 79 | $131.00 | $36.26 |
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92083
Exam of visual field with extended testing
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75 | 69 | $201.00 | $64.71 |
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92136
Measurement of corneal curvature and depth of eye
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62 | 43 | $169.13 | $37.83 |
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92134
Imaging of retina
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55 | 49 | $131.00 | $39.35 |
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66984
Removal of cataract with insertion of prosthetic lens
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54 | 35 | $3081.00 | $500.88 |
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92004
New patient complete exam of visual system
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26 | 26 | $301.00 | $144.96 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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24 | 22 | $198.00 | $89.45 |
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66821
Removal of recurring cataract in lens capsule using a laser
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13 | 11 | $1432.31 | $316.66 |
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92002
New patient problem focused exam of visual system
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13 | 13 | $171.00 | $82.65 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Latanoprost | Latanoprost | 861 | 43,470 | $8,937.88 | 198 |
| Timolol Maleate | Timolol Maleate | 207 | 11,469 | $1,667.80 | 53 |
| Prednisolone Acetate | Prednisolone Acetate | 178 | 4,506 | $5,299.04 | 110 |
| Ofloxacin | Ofloxacin | 176 | 3,938 | $1,882.59 | 104 |
| Dorzolamide-Timolol | Dorzolamide Hcl/Timolol Maleat | 164 | 10,248 | $2,428.37 | 40 |
| Brimonidine Tartrate | Brimonidine Tartrate | 109 | 4,244 | $1,035.87 | 20 |
| Erythromycin | Erythromycin Base | 78 | 1,242 | $654.69 | 51 |
| Neomycin-Polymyxin-Dexameth | Neomycin/Polymyxin B/Dexametha | 56 | 685 | $608.52 | 51 |
| Cyclosporine | Cyclosporine | 53 | 1,860 | $15,484.98 | 11 |
| Dorzolamide Hcl | Dorzolamide Hcl | 46 | 2,376 | $860.23 | โ |
| Brimonidine Tartrate-Timolol | Brimonidine Tartrate/Timolol | 40 | 1,492 | $5,164.86 | โ |
| Fluorometholone | Fluorometholone | 27 | 609 | $1,687.66 | 25 |
| Tobramycin-Dexamethasone | Tobramycin/Dexamethasone | 23 | 611 | $815.62 | 23 |
| Rocklatan | Netarsudil Mesylat/Latanoprost | 14 | 350 | $4,605.66 | โ |
| Lumigan | Bimatoprost | 12 | 795 | $7,587.05 | โ |
| Restasis | Cyclosporine | 12 | 540 | $10,849.15 | โ |
| Tobramycin | Tobramycin | 12 | 426 | $63.07 | 11 |
| Simbrinza | Brinzolamide/Brimonidine Tart | 11 | 508 | $2,551.04 | โ |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-01-08NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OPHTHALMOLOGY
I20240423003262
OH
2466506555
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Summa Physicians Llc
525 E Market St, Akron, OH 443041619
Rockford Health Physicians
2350 N Rockton Ave, Rockford, IL 611033600
Phone: 8159712000
Mercy Health System Corporation
875 S Route 31, Crystal Lake, IL 600148190
Phone: 7792205500
Advocate Health And Hospitals Corporation
1221 N Highland Ave, Aurora, IL 605061404
Phone: 6308596800
Secondary Practice Locations
8201 E Riverside Blvd
Rockford, IL 611142300
Phone: 8159717000
2000 Lake Ave
Woodstock, IL 600987401
Phone: 8153377100
901 Grant St
Harvard, IL 600331821
Phone: 8159435431
875 S Route 31
Crystal Lake, IL 600148190
Phone: 7792205500
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Internal Medicine - Pulmonary Disease
Doctor of Medicine (M.D.)
Internal Medicine - Gastroenterology
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Doctor of Osteopathic Medicine (D.O.)
Podiatrist
Doctor of Podiatric Medicine
Physical Therapist
Physical Therapist
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 29624 NETWORK PL, CHICAGO, IL 606731296 (Tel: 8153377100)
Registered at 1221 N HIGHLAND AVE, AURORA, IL 605061404 (Tel: 6308598700)
Registered at 28594 NETWORK PL, CHICAGO, IL 606731285
NPI status registered as active in NPPES database
Registered at 2300 N ROCKTON AVE, OPHTHALMOLOGY DEPT., ROCKFORD, IL 611033619 (Tel: 8159712000)
Registered at 2400 N ROCKTON AVE, ATT. CHRIS LABONTE, RMH - MED STAFF, ROCKFORD, IL 611033655 (Tel: 8159712248)
Recorded as BENJAMIN MATHEW, MD
Ophthalmology (license number reported to NPPES: IL 036129732)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Ophthalmology Specialists in Aurora
- Dr. Richard Zak, MD
- Dr. David Yoo, MD
- Dr. William Park, MD
- Dr. Tosca Kekish, MD
- Dr. Robert Barnes, MD
- Dr. John Chu, MD
Mailing Address
29624 Network Pl
Chicago, IL 606731296
Phone: 8153377100