Physician

Adam Hertel, MD

According to 2025 Medicare claims, Adam Hertel, MD (NPI: 1629480017) practices family practice in the Longview, TX market, with the plurality of this provider's patient population coming from Rusk, TX. This provider's primary affiliated billing organization is UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN (NPI: 1063400778; TIN: 752931720) and primary practice location at 75684-1613. Hertel is affiliated with the Caravan Health ACO 43 LLC (ACO ID: A4974) and CVS ACO (ACO ID: A5407), participating under the MSSP model.

Hertel's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 93 traditional Medicare patients, billed 185 HCPCS/CPT codes, and received $12,325 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 5,688 prescription claims across 407 beneficiaries totaling $400,340 in drug costs, led by Ozempic (Semaglutide). DME data shows 75 claims. Open Payments data shows 1 records totaling $17. 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 up and down with repeated peaks and valleys, starting at $7,148 and ending at $12,325. Concurrently, Part D prescription costs have moved sharply higher in recent years, from $14,964 to $400,340. For DME billing, reported payments moved up and down with repeated peaks and valleys, starting at $1,057 and ending at $20,552.

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	N/R	N/R	N/R
2017	45	109	$7,148
2018	119	359	$24,782
2019	121	481	$30,780
2020	127	376	$23,309
2021	124	418	$28,456
2022	122	423	$26,175
2023	107	384	$27,071
2024	93	185	$12,325

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	67	367	$14,964
2016	139	811	$34,504
2017	154	816	$37,339
2018	212	2,328	$191,463
2019	254	3,619	$243,472
2020	264	3,916	$228,064
2021	269	4,203	$260,970
2022	308	4,347	$255,155
2023	329	5,540	$463,867
2024	407	5,688	$400,340

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	N/R	N/R
2018	N/R	86	$3,129
2019	N/R	128	$5,783
2020	N/R	150	$9,061
2021	N/R	118	$6,140
2022	N/R	85	$3,871
2023	N/R	52	$1,282
2024	N/R	75	$8,829

* / # = 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	13	13	$131
99214	Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	25	$95
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	14	19	$69
99283	Emergency department visit with low level of medical decision making	25	25	$50

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Ozempic	Semaglutide	82	2,358	$79,030
Eliquis	Apixaban	50	1,495	$26,108
Jardiance	Empagliflozin	17	1,410	$25,932
Tresiba Flextouch U-100	Insulin Degludec	53	1,987	$21,495
Breo Ellipta	Fluticasone/Vilanterol	36	1,140	$16,548

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
A4239	Supply allowance for non-adjunctive, non-implanted continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service	N	N/R	12	$5,731
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate	Y	N/R	12	$1,590
E0601	Continuous positive airway pressure (cpap) device	Y	N/R	12	$667
A4253	Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips	N	N/R	15	$287
E0431	Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing	Y	N/R	12	$284

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	1	$17	Exact Sciences Corporation
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 Adam Hertel, MD?

Tedicare shows public-source Medicare data for Adam Hertel, MD (NPI 1629480017), 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 Hertel, MD have ACO affiliation data?

Adam Hertel, MD is shown with ACO affiliation data for Caravan Health ACO 43 LLC (MSSP, ACO ID A4974) and CVS ACO (MSSP, ACO ID A5407).

What billing organization is linked to Adam Hertel, MD?

Adam Hertel, MD is linked to UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER-FACILITY-PHYSICIAN (billing NPI 1063400778) in the available physician profile data.

Does Adam Hertel, MD have Open Payments data?

Adam Hertel, MD has 1 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.