Physician

Michael Herceg, DO

According to 2025 Medicare claims, Michael Herceg, DO (NPI: 1649492554) practices ophthalmology in the Binghamton, NY market, with the plurality of this provider's patient population coming from Broome, NY. This provider's primary affiliated billing organization is BINGHAMTON OPHTHALMOLOGY ASSOCIATES, P.C. (NPI: 1861582041; TIN: 141656585) and primary practice location at 13903-1674.

Herceg's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 1,097 traditional Medicare patients, billed 3,005 HCPCS/CPT codes, and received $254,967 in Medicare payments. The top billing code was 92014 (Established patient complete exam of visual system). Part D data shows 5,100 prescription claims across 1,202 beneficiaries totaling $759,340 in drug costs, led by Lumigan (Bimatoprost). DME data shows 42 claims. Open Payments data shows 6 records totaling $123. 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 moved from a lower plateau to a higher plateau, from $281,782 to $759,340. In contrast, DME billing represents a smaller volume and changed little.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	954	2,530	$244,874
2016	958	2,820	$253,120
2017	1,050	3,237	$268,829
2018	1,047	3,402	$336,627
2019	1,011	3,238	$303,407
2020	962	3,143	$244,220
2021	1,016	3,521	$276,924
2022	1,034	2,883	$225,773
2023	1,058	2,996	$257,415
2024	1,097	3,005	$254,967

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	558	2,205	$281,782
2016	653	2,483	$313,420
2017	770	2,870	$417,722
2018	849	3,061	$458,709
2019	878	3,166	$541,092
2020	913	3,538	$606,662
2021	962	3,730	$653,169
2022	995	3,804	$637,972
2023	1,183	4,779	$776,342
2024	1,202	5,100	$759,340

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	31	31	$1,998
2016	42	42	$2,497
2017	63	63	$3,231
2018	123	123	$7,671
2019	108	108	$5,990
2020	84	87	$5,213
2021	108	108	$6,880
2022	66	66	$3,737
2023	45	45	$3,447
2024	42	42	$2,898

* / # = 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
92014	Established patient complete exam of visual system	788	791	$82
92083	Exam of visual field with extended testing	220	225	$38
92134	Imaging of retina	177	185	$26
92133	Imaging of optic nerve	365	394	$22
92250	Photography of the retina	239	250	$21

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Lumigan	Bimatoprost	206	15,656	$130,571
Restasis	Cyclosporine	72	4,710	$93,277
Xiidra	Lifitegrast	42	3,000	$66,054
Rocklatan	Netarsudil Mesylat/Latanoprost	80	5,371	$63,571
Cyclosporine	Cyclosporine	76	6,480	$50,490

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
V2203	Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens	N	19	19	$1,818
V2020	Frames, purchases	N	23	23	$1,081

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	6	$123	Tarsus 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 Michael Herceg, DO?

Tedicare shows public-source Medicare data for Michael Herceg, DO (NPI 1649492554), 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 Michael Herceg, DO have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Michael Herceg, DO?

Michael Herceg, DO is linked to BINGHAMTON OPHTHALMOLOGY ASSOCIATES, P.C. (billing NPI 1861582041) in the available physician profile data.

Does Michael Herceg, DO have Open Payments data?

Michael Herceg, DO has 6 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.