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    OpenPayerNPI Medicare & MedicaidBenjamin Sherman
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    Benjamin Sherman — Billing Profile & Reimbursement Data

    NPI 1134549074 · Bay Minette, AL · Internal Medicine Physician

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    Benjamin Sherman is a internal medicine physician provider located in Bay Minette, Alabama. This profile covers 21 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationBenjamin Sherman
    Address1903 Hand Ave
    CityBay Minette
    StateAL
    ZIP36507
    TaxonomyInternal Medicine Physician
    NPI EnumeratedApril 18, 2014

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$62.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    21 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99214The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the…260$70$18.9K
    99213The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…350$50$16.4K
    99309The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or the provider…110$60$6.3K
    90662This code represents a flu vaccine product that is a split virus type, contains no preservatives, and has enhanced effectiveness due to a higher antigen content. It is administered as an injection…50$70$3.5K
    99308The provider sees a patient for a subsequent nursing facility care visit involving evaluation and management (E/M). The visit involves a low level of medical decision making and/or the provider…70$50$3.5K
    99305The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves moderate medical decision making or the provider spends at least…30$90$2.3K
    99306The provider sees a patient for an initial nursing facility care visit involving evaluation and management (E/M). The visit involves high medical decision making, and/or the provider spends at least…20$110$1.9K
    G0008Administration of influenza virus vaccine60$30$1.6K
    G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit10$120$1.3K
    G0180Physician 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…30$40$1.3K

    Showing 1–10 of 21

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 21 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    21 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    99309204350150$70$22.7K
    992142,0287,330120$80$16.8K
    99308248350170$50$15.4K
    G04391,4961,52070$120$11K
    993069812050$130$8K
    992136686,47080$50$7.9K
    993058013040$100$6.3K
    364159091,550100$10$4.8K
    9949740942050$70$4.6K
    9066228097030$70$3.3K

    Showing 1–10 of 21

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Benjamin Sherman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    K VardenALInternal Medicine Physician$311.5K$0
    Vishwanth Reddy MallipeddiALFamily Medicine Physician$218K$0
    Bradley SadlerALPsychiatry Physician$144.2K$0
    Frankie ErdmanALInternal Medicine Physician$142.7K$0
    Gerald SparksALFamily Medicine Physician$46.5K$0
    Alfred ChanceALInternal Medicine Physician$43.7K$0
    Sharon Richard-hughesALFamily Nurse Practitioner$43.4K$0
    Mary NelsonALFamily Nurse Practitioner$38.4K$0
    Herbert StoneALEmergency Medicine Physician$7.2K$0

    Nearby Providers

    Other providers in the same ZIP code as Benjamin Sherman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Gulf Health Hospitals, Inc.ALGeneral Acute Care Hospital$0$2.5M
    North Baldwin Pediatrics LLCALPediatrics Physician$0$2.4M
    Imc North Baldwin Physician Group LLCALObstetrics & Gynecology Physician$0$1.2M
    Imc-emergency Physicians LLCALEmergency Medicine Physician$0$855.6K
    Jeffrey DullALPodiatrist$158.7K$0
    Myra HallALPhysical Therapist$87.2K$0
    Megan CourtneyALCardiovascular Disease Physician$85.7K$0
    Christine DullALPodiatrist$65.3K$0
    Kimberly BrightALFamily Nurse Practitioner$51.2K$0
    Clinton DavisALAcute Care Nurse Practitioner$49.6K$0

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Alabama Distribution
    Benjamin Sherman — 1 of 21 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Alabama