Physician

Benjamin S Herman, MD

According to 2025 Medicare claims, Benjamin Herman, MD (NPI: 1447284708) practices internal medicine in the Lewiston-Auburn, ME market, with the plurality of this provider's patient population coming from Androscoggin, ME. This provider's primary affiliated billing organization is CENTRAL MAINE MEDICAL CENTER (NPI: 1689653487; TIN: 010211494) and primary practice location at 04240-7027.

Herman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 246 traditional Medicare patients, billed 715 HCPCS/CPT codes, and received $56,756 in Medicare payments. The top billing code was 99223 (Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes). Part D data shows 311 prescription claims across 131 beneficiaries totaling $11,632 in drug costs, led by Metoprolol Succinate (Metoprolol Succinate). 2023 DME data shows 11 claims. Open Payments data shows 2 records totaling $45. 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 $16,669 to $56,756. Concurrently, Part D prescription costs have moved up and down with repeated peaks and valleys, starting at $5,803 and ending at $11,632. For DME billing, reported payments moved sharply higher in recent years, from $1,803 to $9,662.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	N/R	N/R	N/R
2016	78	197	$16,669
2017	184	492	$40,496
2018	175	480	$39,523
2019	158	399	$31,138
2020	102	289	$20,806
2021	106	289	$21,326
2022	134	359	$26,790
2023	195	646	$52,226
2024	246	715	$56,756

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	N/R	N/R	N/R
2016	34	134	$5,803
2017	98	405	$18,168
2018	84	254	$9,051
2019	61	302	$15,845
2020	46	101	$6,019
2021	50	107	$4,035
2022	61	122	$7,645
2023	98	266	$15,887
2024	131	311	$11,632

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	N/R	N/R
2017	N/R	36	$1,358
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	11	$1,145
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
99223	Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	28	$133
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	121	226	$92
99239	Hospital discharge day management, more than 30 minutes	113	117	$89
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	115	226	$62
99231	Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	32	76	$38

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Metoprolol Succinate	Metoprolol Succinate	12	324	$290
Cefdinir	Cefdinir	32	172	$286
Pantoprazole Sodium	Pantoprazole Sodium	14	384	$83
Prednisone	Prednisone	16	160	$49
Furosemide	Furosemide	16	420	$40

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	2	$45	Boehringer Ingelheim 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 Benjamin S. Herman, MD?

Tedicare shows public-source Medicare data for Benjamin S. Herman, MD (NPI 1447284708), 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 Benjamin S. Herman, 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 Benjamin S. Herman, MD?

Benjamin S. Herman, MD is linked to CENTRAL MAINE MEDICAL CENTER (billing NPI 1689653487) in the available physician profile data.

Does Benjamin S. Herman, MD have Open Payments data?

Benjamin S. Herman, MD has 2 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.