Physician

Brett Howard Herzog, MD PHD

According to 2025 Medicare claims, Brett Herzog, MD PHD (NPI: 1023499282) practices medical oncology in the St. Louis, MO-IL market, with the plurality of this provider's patient population coming from St. Clair, IL. This provider's primary affiliated billing organization is WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC (NPI: 1477076263; TIN: 822026363) and primary practice location at 62269-2998. Herzog is affiliated with the IRCCO (ACO ID: A2619) and SBL accountable care organization (ACO ID: A5147), participating under the MSSP model.

Herzog's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 204 traditional Medicare patients, billed 40,761 HCPCS/CPT codes, and received $1,225,122 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 1,102 prescription claims across 139 beneficiaries totaling $478,298 in drug costs, led by Tagrisso (Osimertinib Mesylate). DME data shows 16 claims. Open Payments data shows 7 records totaling $57,422. 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 sharply higher in recent years, from $2,964 to $1,225,122. Similarly, Part D prescription costs have risen steadily, from $2,853 to $478,298. In contrast, DME billing represents a smaller volume and moved sharply higher in recent years, from $1,158 to $2,713.

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$1.6M$3.2M2020 Medicare payment: $2,964 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $382,914 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,545,528 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $3,235,303 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $1,225,122 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
20201331$2,964
202110015,000$382,914
2022246113,875$2,545,528
2023265110,173$3,235,303
202420440,761$1,225,122

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$239K$478K2015 Drug cost: $2,853 (USD; Tot_Drug_Cst)2016 Drug cost: $40,488 (USD; Tot_Drug_Cst)2017 Drug cost: $42,688 (USD; Tot_Drug_Cst)2018 Drug cost: $7,594 (USD; Tot_Drug_Cst)2020 Drug cost: $33,579 (USD; Tot_Drug_Cst)2021 Drug cost: $182,180 (USD; Tot_Drug_Cst)2022 Drug cost: $103,779 (USD; Tot_Drug_Cst)2023 Drug cost: $98,166 (USD; Tot_Drug_Cst)2024 Drug cost: $478,298 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152154$2,853
201666327$40,488
201753294$42,688
20181872$7,594
2019N/RN/RN/R
20201244$33,579
202152414$182,180
2022103762$103,779
20231351,098$98,166
20241391,102$478,298

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$1.0K$2.0K2023 Medicare payment: $909 (USD; DME_Suplr_Mdcr_Pymt_Amt)2024 Medicare payment: $2,007 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
2015N/RN/RN/R
2016N/RN/RN/R
2017N/RN/RN/R
2018N/RN/RN/R
2019N/RN/RN/R
2020N/RN/RN/R
2021N/RN/RN/R
2022N/RN/RN/R
2023N/R12$909
2024N/R16$2,007

* / # = 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 more4170$133
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more87244$96
96413Administration of chemotherapy into vein, 1 hour or less46170$90
96375Injection of additional new drug or substance into vein26126$11
J1100Injection, dexamethasone sodium phosphate, 1 mg241,010$0

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
TagrissoOsimertinib Mesylate12360$222,563
EliquisApixaban29870$16,976
Oxycodone HclOxycodone Hcl1131,766$2,253
Prochlorperazine MaleateProchlorperazine Maleate711,568$1,874
Morphine Sulfate ErMorphine Sulfate491,449$1,816

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS CodeHCPCS DescriptionSupplier Rental IndicatorTotal Supplier BeneficiariesTotal Supplier ClaimsTotal Medicare Payment Amount
E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rateYN/R16$2,007

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.3$163Galvanize Therapeutics, Inc
Research PaymentsReported research-related payment or transfer-of-value amount.4$57,259ABBVIE INC.
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Brett Howard Herzog, MD PHD?

Tedicare shows public-source Medicare data for Brett Howard Herzog, MD PHD (NPI 1023499282), 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 Brett Howard Herzog, MD PHD have ACO affiliation data?

Brett Howard Herzog, MD PHD is shown with ACO affiliation data for IRCCO (MSSP, ACO ID A2619) and SBL accountable care organization (MSSP, ACO ID A5147).

What billing organization is linked to Brett Howard Herzog, MD PHD?

Brett Howard Herzog, MD PHD is linked to WASHINGTON UNIVERSITY PHYSICIANS IN ILLINOIS, INC (billing NPI 1477076263) in the available physician profile data.

Does Brett Howard Herzog, MD PHD have Open Payments data?

Brett Howard Herzog, MD PHD has 7 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.