Physician

Paul K. Herrell, MD

According to 2025 Medicare claims, Paul Herrell, MD (NPI: 1336134998) practices ophthalmology in the Clarksville, TN-KY market, with the plurality of this provider's patient population coming from Christian, KY. This provider's primary affiliated billing organization is PAUL K HERRELL PSC (NPI: 1578675518; TIN: 610961654) and primary practice location at 42240-2035.

Herrell's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,011 traditional Medicare patients, billed 2,911 HCPCS/CPT codes, and received $324,546 in Medicare payments. The top billing code was 66984 (Removal of cataract with insertion of prosthetic lens). Part D data shows 721 prescription claims across 194 beneficiaries totaling $156,446 in drug costs, led by Xiidra (Lifitegrast). DME data shows 11 claims. Open Payments data shows 7 records totaling $140. 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 declined steadily, from $439,018 to $324,546. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	1,357	3,596	$439,018
2016	1,522	4,314	$534,011
2017	1,518	4,109	$511,712
2018	1,394	3,967	$489,928
2019	1,465	4,186	$553,537
2020	1,125	2,821	$328,030
2021	1,180	3,095	$393,781
2022	1,086	3,029	$349,084
2023	1,079	2,898	$321,429
2024	1,011	2,911	$324,546

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	477	1,593	$237,598
2016	617	1,935	$306,228
2017	614	1,964	$351,453
2018	648	2,045	$388,402
2019	629	2,034	$417,174
2020	468	1,515	$297,504
2021	336	1,061	$205,211
2022	232	810	$190,239
2023	221	802	$221,696
2024	194	721	$156,446

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	63	63	$3,259
2016	84	84	$4,446
2017	39	39	$1,933
2018	43	43	$1,838
2019	44	44	$2,311
2020	33	33	$1,848
2021	25	25	$1,188
2022	11	11	$576
2023	14	14	$726
2024	11	11	$679

* / # = 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
66984	Removal of cataract with insertion of prosthetic lens	270	466	$310
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	322	322	$102
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	495	497	$73
92134	Imaging of retina	188	207	$24
92136	Measurement of corneal curvature and depth of eye	189	473	$17

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Xiidra	Lifitegrast	16	1,380	$29,613
Lumigan	Bimatoprost	38	2,150	$20,500
Vyzulta	Latanoprostene Bunod	41	1,710	$14,461
Restasis	Cyclosporine	15	630	$12,792
Combigan	Brimonidine Tartrate/Timolol	35	1,528	$10,132

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
V2020	Frames, purchases	N	11	11	$679

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	7	$140	Alcon Vision LLC
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.	0	$0	N/R

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FAQ

What Medicare data is available for Paul K. Herrell, MD?

Tedicare shows public-source Medicare data for Paul K. Herrell, MD (NPI 1336134998), 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 Paul K. Herrell, 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 Paul K. Herrell, MD?

Paul K. Herrell, MD is linked to PAUL K HERRELL PSC (billing NPI 1578675518) in the available physician profile data.

Does Paul K. Herrell, MD have Open Payments data?

Paul K. Herrell, MD 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.