Physician

James Michael Herrington, MD

According to 2025 Medicare claims, James Herrington, MD (NPI: 1730192907) practices hematology/oncology in the Hattiesburg, MS market, with the plurality of this provider's patient population coming from Forrest, MS. This provider's primary affiliated billing organization is HATTIESBURG CLINIC PA (NPI: 1740213446; TIN: 640507572) and primary practice location at 39401-7233. Herrington is affiliated with the Hattiesburg Clinic ACO (ACO ID: A2880), participating under the MSSP model.

Herrington's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 519 traditional Medicare patients, billed 136,161 HCPCS/CPT codes, and received $2,680,127 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 1,613 prescription claims across 239 beneficiaries totaling $4,288,981 in drug costs, led by Revlimid (Lenalidomide). 2022 DME data shows 14 claims. Open Payments data shows 126 records totaling $2,623. 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 from a lower plateau to a higher plateau, from $1,279,189 to $2,680,127. Similarly, Part D prescription costs have risen steadily, from $1,706,128 to $4,288,981. In contrast, DME billing represents a smaller volume and started with an early spike, then settled into a lower baseline, moving from $3,378 to $735.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.5M$3.1M2015 Medicare payment: $1,279,189 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $1,207,741 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,735,349 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,701,999 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,454,049 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,601,860 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,068,861 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,132,920 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,420,375 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,680,127 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
2015657104,057$1,279,189
201668071,943$1,207,741
201758988,367$1,735,349
201867684,616$1,701,999
2019632158,170$2,454,049
2020587149,804$2,601,860
2021595176,484$3,068,861
2022567133,711$2,132,920
2023587152,340$2,420,375
2024519136,161$2,680,127

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$2.3M$4.5M2015 Drug cost: $1,706,128 (USD; Tot_Drug_Cst)2016 Drug cost: $2,580,921 (USD; Tot_Drug_Cst)2017 Drug cost: $2,779,861 (USD; Tot_Drug_Cst)2018 Drug cost: $2,449,006 (USD; Tot_Drug_Cst)2019 Drug cost: $2,513,635 (USD; Tot_Drug_Cst)2020 Drug cost: $3,426,732 (USD; Tot_Drug_Cst)2021 Drug cost: $3,987,642 (USD; Tot_Drug_Cst)2022 Drug cost: $4,516,524 (USD; Tot_Drug_Cst)2023 Drug cost: $4,227,769 (USD; Tot_Drug_Cst)2024 Drug cost: $4,288,981 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20152221,406$1,706,128
20162141,572$2,580,921
20171891,317$2,779,861
20182051,187$2,449,006
20192271,462$2,513,635
20202451,736$3,426,732
20212491,766$3,987,642
20222421,671$4,516,524
20232271,628$4,227,769
20242391,613$4,288,981

DME Billing Trend

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

DME Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: DME_Suplr_Mdcr_Pymt_Amt. Source: Medicare DME, Devices & Supplies by Referring Provider.0$6.9K$14K2015 Medicare payment: $2,962 (USD; DME_Suplr_Mdcr_Pymt_Amt)2016 Medicare payment: $13,832 (USD; DME_Suplr_Mdcr_Pymt_Amt)2017 Medicare payment: $5,925 (USD; DME_Suplr_Mdcr_Pymt_Amt)2018 Medicare payment: $10,316 (USD; DME_Suplr_Mdcr_Pymt_Amt)2019 Medicare payment: $10,491 (USD; DME_Suplr_Mdcr_Pymt_Amt)2020 Medicare payment: $5,674 (USD; DME_Suplr_Mdcr_Pymt_Amt)2022 Medicare payment: $1,039 (USD; DME_Suplr_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClaimsPayment
20151465$2,962
20161432$13,832
20173236$5,925
20181338$10,316
20191293$10,491
2020N/R74$5,674
2021N/RN/RN/R
2022N/R14$1,039
2023N/RN/RN/R
2024N/RN/RN/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.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more128567$84
96413Administration of chemotherapy into vein, 1 hour or less79286$82
99213Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more260427$58
36415Insertion of needle into vein for collection of blood sample3051,009$9
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count257887$8

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
RevlimidLenalidomide701,960$1,617,794
LenalidomideLenalidomide551,540$885,911
PomalystPomalidomide21588$478,238
JakafiRuxolitinib Phosphate13390$344,374
SprycelDasatinib12360$224,612

Top 5 DME services in 2024

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

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.126$2,623E.R. Squibb & Sons, L.L.C.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for James Michael Herrington, MD?

Tedicare shows public-source Medicare data for James Michael Herrington, MD (NPI 1730192907), 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 James Michael Herrington, MD have ACO affiliation data?

James Michael Herrington, MD is shown with ACO affiliation data for Hattiesburg Clinic ACO (MSSP, ACO ID A2880).

What billing organization is linked to James Michael Herrington, MD?

James Michael Herrington, MD is linked to HATTIESBURG CLINIC PA (billing NPI 1740213446) in the available physician profile data.

Does James Michael Herrington, MD have Open Payments data?

James Michael Herrington, MD has 126 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.