Physician

Adam James Heringhaus, MD

According to 2025 Medicare claims, Adam Heringhaus, MD (NPI: 1396064499) practices emergency medicine in the Columbus, OH market, with the plurality of this provider's patient population coming from Franklin, OH. This provider's primary affiliated billing organization is EMERGENCY SERVICES, INC. (NPI: 1952413031; TIN: 310823056) and primary practice location at 43213-1502.

Heringhaus' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 266 traditional Medicare patients, billed 399 HCPCS/CPT codes, and received $32,297 in Medicare payments. The top billing code was 99291 (Critical care, first 30-74 minutes). Part D data shows 417 prescription claims across 248 beneficiaries totaling $6,550 in drug costs, led by Albuterol Sulfate Hfa (Albuterol Sulfate). 2016 DME data shows 35 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 declined steadily, from $64,051 to $32,297. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	530	907	$64,051
2016	498	821	$59,053
2017	474	832	$57,866
2018	407	684	$48,768
2019	334	569	$42,994
2020	417	723	$59,535
2021	323	504	$45,072
2022	305	465	$37,993
2023	262	378	$34,550
2024	266	399	$32,297

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	298	474	$8,130
2016	233	382	$7,387
2017	211	359	$4,721
2018	217	305	$5,263
2019	190	275	$5,380
2020	181	275	$6,654
2021	218	359	$7,026
2022	247	412	$5,382
2023	243	398	$6,277
2024	248	417	$6,550

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	35	$1,127
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	N/R	N/R
2022	N/R	N/R	N/R
2023	N/R	N/R	N/R
2024	N/R	N/R	N/R

* / # = 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
99291	Critical care, first 30-74 minutes	20	20	$162
99285	Emergency department visit with high level of medical decision making	172	175	$130
99284	Emergency department visit with moderate level of medical decision making	60	60	$79
93010	Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	118	126	$6

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Albuterol Sulfate Hfa	Albuterol Sulfate	13	345	$369
Ondansetron Odt	Ondansetron	43	172	$325
Cephalexin	Cephalexin	25	199	$207
Amoxicillin-Clavulanate Potass	Amoxicillin/Potassium Clav	19	180	$173
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	53	160	$163

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Adam James Heringhaus, MD?

Tedicare shows public-source Medicare data for Adam James Heringhaus, MD (NPI 1396064499), 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 Adam James Heringhaus, 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 Adam James Heringhaus, MD?

Adam James Heringhaus, MD is linked to EMERGENCY SERVICES, INC. (billing NPI 1952413031) in the available physician profile data.

Does Adam James Heringhaus, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests 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.