Physician

Steven A Herbst, MD

According to 2025 Medicare claims, Steven Herbst, MD (NPI: 1588671788) practices orthopedic surgery in the Muncie, IN market, with the plurality of this provider's patient population coming from Delaware, IN. This provider's primary affiliated billing organization is CENTRAL INDIANA ORTHOPEDICS LLC (NPI: 1063422137; TIN: 35-1709418) and primary practice location at 47304-5407.

Herbst's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 365 traditional Medicare patients, billed 18,478 HCPCS/CPT codes, and received $126,249 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 370 prescription claims across 154 beneficiaries totaling $4,267 in drug costs, led by Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen). DME data shows 43 claims. Open Payments data shows 33 records totaling $88,914. 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 changed little. Concurrently, Part D prescription costs have declined steadily, from $11,899 to $4,267. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $20,996 to $9,894.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	478	2,739	$149,819
2016	529	3,383	$168,187
2017	551	3,367	$148,825
2018	488	2,522	$128,087
2019	463	2,438	$147,011
2020	421	1,949	$109,803
2021	367	2,218	$124,955
2022	390	2,518	$143,514
2023	396	2,257	$130,147
2024	365	18,478	$126,249

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	155	534	$11,899
2016	157	495	$8,949
2017	158	439	$13,252
2018	130	363	$17,448
2019	142	365	$11,129
2020	151	389	$6,645
2021	161	367	$9,370
2022	170	429	$9,705
2023	141	341	$3,143
2024	154	370	$4,267

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	109	135	$23,012
2016	123	126	$12,523
2017	125	181	$20,901
2018	50	50	$5,191
2019	52	52	$6,295
2020	73	74	$8,022
2021	76	79	$6,054
2022	72	72	$10,526
2023	72	75	$18,729
2024	43	43	$7,500

* / # = 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
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	108	123	$79
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	150	221	$60
20605	Aspiration and/or injection of fluid from medium joint	142	367	$39
73630	X-ray of foot, minimum of 3 views	113	169	$25
J1010	Injection, methylprednisolone acetate, 1 mg	133	16,688	$0

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone-Acetaminophen	Oxycodone Hcl/Acetaminophen	123	848	$1,505
Hydrocodone-Acetaminophen	Hydrocodone/Acetaminophen	68	763	$826
Gabapentin	Gabapentin	47	1,322	$444
Cephalexin	Cephalexin	42	303	$243
Sulfamethoxazole-Trimethoprim	Sulfamethoxazole/Trimethoprim	20	253	$108

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
L4361	Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf	N	31	31	$6,742
L1902	Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf	N	12	12	$757

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	33	$88,914	Zimmer Biomet Holdings, 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 Steven A. Herbst, MD?

Tedicare shows public-source Medicare data for Steven A. Herbst, MD (NPI 1588671788), 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 Steven A. Herbst, 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 Steven A. Herbst, MD?

Steven A. Herbst, MD is linked to CENTRAL INDIANA ORTHOPEDICS LLC (billing NPI 1063422137) in the available physician profile data.

Does Steven A. Herbst, MD have Open Payments data?

Steven A. Herbst, MD has 33 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.