Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Maine for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Maine only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Maine (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Benjamin Herman (NPI 1447284708)

Field	Value
Entity Type	Individual
Organization	Benjamin Herman
Address	1356a Washington Street
City	Bath
State	ME
ZIP	04530
Taxonomy	Internal Medicine Physician
NPI Enumerated	July 10, 2006

Payer Source	Total Paid
Medicare	$49.7K
Medicaid	$0

Medicare: Complete Services Breakdown

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

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99233	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	260	$90	$23.5K
99232	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…	150	$60	$9K
99239	The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…	90	$90	$7.6K
99223	The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…	30	$130	$4.4K
99231	The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a straightforward or low level of medical…	70	$40	$2.7K
99291	Critical care services include the treatment of vital organ failure or prevention of further life–threatening conditions. Delivering medical care in a moment of crisis and in time of emergency is…	20	$170	$2.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Maine Distribution

Benjamin Herman — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Maine

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99233	29	580	50	$90	$8.1K
99291	236	280	30	$170	$7.9K
99232	217	890	70	$60	$7.1K
99223	229	600	30	$130	$5.3K
99239	64	440	40	$90	$4.4K
99231	52	310	30	$40	$1.8K

Related Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Central Maine Medical Center	ME	General Acute Care Hospital	$0	$76.1M
Kirk Mitchell	CO	Geriatric Medicine (Internal Medicine) Physician	$27.1M	$1M
Tri-state Memorial Hospital	WA	Critical Access Hospital	$0	$14.5M
Mainehealth	ME	Rural Health Clinic/Center	$0	$9.6M
Mainehealth	ME	Critical Access Hospital	$0	$2.6M
Bridgton Hospital	ME	Critical Access Hospital	$0	$2.5M
Rumford Hospital	ME	Critical Access Hospital	$0	$2.4M
Benjamin Ditty	FL	Neurological Surgery Physician	$590.6K	$0
Daniel Rausch	ME	Hematology & Oncology Physician	$541K	$0
Danielle Stout	ME	Family Nurse Practitioner	$522.1K	$0

Nearby Providers

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

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Elmhurst, Inc	ME	Community/Behavioral Health Agency	$0	$23.7M
Pine Tree Society Inc	ME	Voluntary or Charitable Agency	$0	$17.8M
City Of Bath	ME	Land Ambulance	$157.5K	$996K
Bio-medical Applications Of Maine, Inc.	ME	End-Stage Renal Disease (ESRD) Treatment Clinic/Center	$0	$991.1K
Michelle Roberts	ME	Orthodontics and Dentofacial Orthopedics Dentistry	$0	$965.8K
Saskia Cooper	ME	Rheumatology Physician	$119.5K	$0
Walgreen Eastern Co Inc	ME	Pharmacy	$118.6K	$0
Cvs State Capital LLC	ME	Pharmacy	$115.2K	$0
Alice Shea	ME	Diagnostic Radiology Physician	$79.8K	$0
Matthew Perkowski	ME	Physical Medicine & Rehabilitation Physician	$46.5K	$0

Benjamin Herman — Billing Profile & Reimbursement Data

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Benjamin Herman — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References