Physician

Daniel Douglas Herrick, MD

According to 2025 Medicare claims, Daniel Herrick, MD (NPI: 1356500409) practices sleep medicine in the Grand Rapids-Wyoming-Kentwood, MI market, with the plurality of this provider's patient population coming from Kent, MI. This provider's primary affiliated billing organization is SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI: 1235188673; TIN: 381358164) and primary practice location at 49546-8292. Herrick is affiliated with the West Michigan Accountable Care Organization, LLC (ACO ID: A4626), participating under the MSSP model.

Herrick's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 108 traditional Medicare patients, billed 143 HCPCS/CPT codes, and received $12,939 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 277 prescription claims across 61 beneficiaries totaling $9,539 in drug costs, led by Methylphenidate Er (Methylphenidate Hcl). DME data shows 948 claims. Open Payments data shows 14 records totaling $697. 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 started with an early spike, then settled into a lower baseline, moving from $132,778 to $12,939. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $230,655 to $40,667.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	522	775	$132,778
2016	395	530	$73,095
2017	368	552	$42,853
2018	219	360	$26,597
2019	172	328	$26,013
2020	129	181	$16,485
2021	150	217	$24,748
2022	111	153	$14,636
2023	103	133	$13,062
2024	108	143	$12,939

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	31	154	$3,989
2016	85	192	$10,750
2017	114	263	$122,993
2018	51	178	$26,095
2019	39	168	$11,301
2020	42	161	$10,844
2021	59	278	$12,677
2022	66	317	$11,768
2023	59	286	$8,467
2024	61	277	$9,539

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	1,422	2,922	$210,165
2016	1,445	3,232	$144,517
2017	1,270	2,520	$90,898
2018	1,230	2,368	$96,045
2019	1,047	2,044	$88,106
2020	845	1,716	$79,263
2021	718	1,451	$67,857
2022	630	1,291	$55,507
2023	538	1,196	$55,864
2024	438	948	$39,650

* / # = 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
99215	Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$114
99204	New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$110
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	26	$84
95811	Sleep study in sleep lab with continuous airway pressure (6 years or older)	11	11	$81
G0399	Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation	13	13	$33

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Methylphenidate Er	Methylphenidate Hcl	11	315	$565
Dextroamphetamine-Amphet Er	Dextroamphetamine/Amphetamine	15	450	$562
Gabapentin	Gabapentin	37	2,310	$428
Mirtazapine	Mirtazapine	13	353	$373
Temazepam	Temazepam	20	682	$366

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
E0601	Continuous positive airway pressure (cpap) device	Y	39	219	$6,558
A7032	Cushion for use on nasal mask interface, replacement only, each	N	25	49	$4,874
A7034	Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap	N	46	86	$4,753
A7030	Full face mask used with positive airway pressure device, each	N	29	47	$4,080
A4604	Tubing with integrated heating element for use with positive airway pressure device	N	64	107	$4,062

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	14	$697	JAZZ PHARMACEUTICALS 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.	0	$0	N/R

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FAQ

What Medicare data is available for Daniel Douglas Herrick, MD?

Tedicare shows public-source Medicare data for Daniel Douglas Herrick, MD (NPI 1356500409), 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 Daniel Douglas Herrick, MD have ACO affiliation data?

Daniel Douglas Herrick, MD is shown with ACO affiliation data for West Michigan Accountable Care Organization, LLC (MSSP, ACO ID A4626).

What billing organization is linked to Daniel Douglas Herrick, MD?

Daniel Douglas Herrick, MD is linked to SPECTRUM HEALTH PRIMARY CARE PARTNERS (billing NPI 1235188673) in the available physician profile data.

Does Daniel Douglas Herrick, MD have Open Payments data?

Daniel Douglas Herrick, MD has 14 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.