Physician

Adrian Hernandez, M.D.

According to 2025 Medicare claims, Adrian Hernandez, M.D. (NPI: 1902980063) practices advanced heart failure and transplant cardiology, with the plurality of this provider's patient population coming from Richmond, NC. This provider's primary affiliated billing organization is DUKE HEALTH INTEGRATED PRACTICE, INC. (NPI: 1205553369; TIN: 862109896) and primary practice location at 27705-4699. Hernandez is affiliated with the Duke Connected Care, LLC (ACO ID: A2419), participating under the MSSP model.

Hernandez's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 81 traditional Medicare patients, billed 279 HCPCS/CPT codes, and received $17,888 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 12 prescription claims totaling $779 in drug costs. 2022 DME data shows 53 claims. Open Payments data shows 68 records totaling $1,269,117. 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 higher plateau to a lower plateau, from $46,552 to $17,888. Similarly, Part D prescription costs started with an early spike, then settled into a lower baseline, moving from $45,065 to $779. For DME billing, reported payments started with an early spike, then settled into a lower baseline, moving from $5,097 to $2,685.

Part B Carrier Billing Trend

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

Year	Patients	Clm Lines	Payment
2015	191	764	$46,552
2016	186	516	$28,520
2017	154	605	$35,915
2018	121	399	$23,090
2019	108	454	$27,680
2020	82	272	$17,042
2021	95	341	$20,828
2022	84	311	$19,580
2023	42	95	$6,640
2024	81	279	$17,888

Part D Events Trend

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

Year	Patients	Claims	Drug Cost
2015	51	403	$45,065
2016	39	277	$28,170
2017	25	80	$8,056
2018	12	27	$2,022
2019	N/R	16	$3,055
2020	N/R	34	$2,136
2021	N/R	33	$3,044
2022	N/R	49	$4,436
2023	N/R	N/R	N/R
2024	N/R	12	$779

DME Billing Trend

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

Year	Patients	Claims	Payment
2015	47	133	$9,473
2016	N/R	354	$53,522
2017	N/R	65	$3,884
2018	N/R	27	$2,180
2019	N/R	N/R	N/R
2020	N/R	N/R	N/R
2021	N/R	150	$10,792
2022	N/R	53	$3,601
2023	N/R	N/R	N/R
2024	N/R	N/R	N/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.

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	21	21	$123
99239	Hospital discharge day management, more than 30 minutes	23	23	$85
99232	Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	204	$55
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	19	20	$47

Top 5 Part D drugs in 2024

By total drug costs.

Part D summary data is connected for 2024, but public drug-level costs are not available, so a Top 5 by total drug costs cannot be shown.

Top 5 DME services in 2024

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

Open Payments Summary in 2024

Category	Definition	Records	Total Reported Amount	Top Related Entity
General Payments	Reported payment or transfer-of-value amount.	52	$81,714	Novo Nordisk AS
Research Payments	Reported research-related payment or transfer-of-value amount.	16	$1,187,403	PFIZER INC.
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 Adrian Hernandez, M.D.?

Tedicare shows public-source Medicare data for Adrian Hernandez, M.D. (NPI 1902980063), 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 Adrian Hernandez, M.D. have ACO affiliation data?

Adrian Hernandez, M.D. is shown with ACO affiliation data for Duke Connected Care, LLC (MSSP, ACO ID A2419).

What billing organization is linked to Adrian Hernandez, M.D.?

Adrian Hernandez, M.D. is linked to DUKE HEALTH INTEGRATED PRACTICE, INC. (billing NPI 1205553369) in the available physician profile data.

Does Adrian Hernandez, M.D. have Open Payments data?

Adrian Hernandez, M.D. has 68 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.