Physician

Adam David Herman, M.D.

According to 2025 Medicare claims, Adam Herman, M.D. (NPI: 1598728784) practices hospice and palliative care in the Rochester, NY market, with the plurality of this provider's patient population coming from Monroe, NY. This provider's primary affiliated billing organization is ROCHESTER GENERAL HOSPITAL (NPI: 1356412712; TIN: 160743134) and primary practice location at 14621-3001. Herman is affiliated with the Rochester Regional Health ACO, Inc. (ACO ID: A3476), participating under the MSSP model.

Herman's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 125 traditional Medicare patients, billed 295 HCPCS/CPT codes, and received $21,245 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 389 prescription claims across 129 beneficiaries totaling $11,756 in drug costs, led by Oxycodone Hcl (Oxycodone Hcl). 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 fallen sharply in recent years, from $48,146 to $21,245. 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	187	528	$48,146
2016	174	480	$42,643
2017	153	490	$40,727
2018	166	615	$47,864
2019	178	504	$41,361
2020	137	356	$31,539
2021	141	323	$30,367
2022	79	148	$13,044
2023	85	192	$15,727
2024	125	295	$21,245

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	N/R	N/R	N/R
2017	N/R	N/R	N/R
2018	N/R	N/R	N/R
2019	N/R	N/R	N/R
2020	40	113	$3,051
2021	63	263	$12,736
2022	101	259	$10,827
2023	103	275	$11,499
2024	129	389	$11,756

DME Billing Trend

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

No connected DME records

* / # = 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	22	23	$139
99233	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	40	$93
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	46	84	$62
99497	Advance care planning, first 30 minutes	31	34	$61
G0180	Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	25	$43

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Oxycodone Hcl	Oxycodone Hcl	61	1,038	$2,206
Fentanyl	Fentanyl	19	342	$1,404
Morphine Sulfate Er	Morphine Sulfate	25	735	$720
Pregabalin	Pregabalin	22	650	$385
Morphine Sulfate	Morphine Sulfate	28	381	$358

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 David Herman, M.D.?

Tedicare shows public-source Medicare data for Adam David Herman, M.D. (NPI 1598728784), 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 David Herman, M.D. have ACO affiliation data?

Adam David Herman, M.D. is shown with ACO affiliation data for Rochester Regional Health ACO, Inc. (MSSP, ACO ID A3476).

What billing organization is linked to Adam David Herman, M.D.?

Adam David Herman, M.D. is linked to ROCHESTER GENERAL HOSPITAL (billing NPI 1356412712) in the available physician profile data.

Does Adam David Herman, M.D. 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.