Physician
Roger P. Sherman, M.D., P.L.L.C.
Roger P. Sherman, M.D., P.L.L.C. was paid $1.34M by Medicaid between Jan 2018 and Nov 2024, across 21 billing codes. Its largest line is H0016, Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) — 42% of everything it billed.
33Billing provider infoROGER P. SHERMAN, M.D., P.L.L.C.
HERMITAGE, TN 37076
HERMITAGE, TN 37076
33aNPI1861949547assigned 09/09/2016
33bProvider typeAddiction Medicine (Family Medicine) Physician
28Total paid$1.34M
24GClaims19,339
24DCodes billed21
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Addiction Medicine (Family Medicine) Physician providers in Tennessee
Rank by total paid#3 of 16
Median peer was paid$151K
This provider vs. median8.9×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,971 | $124K | |
| 2019 | 4,277 | $205K | |
| 2020 | 3,474 | $177K | |
| 2021 | 3,631 | $333K | |
| 2022 | 2,033 | $251K | |
| 2023 | 1,411 | $167K | |
| 2024incomplete | 542 | $82K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H0016 | Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | 42% | 4,243 | 1,792 | $565K |
| H0014 | Alcohol and/or drug services; ambulatory detoxification | 20% | 1,111 | 416 | $264K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 13% | 5,403 | 1,773 | $170K |
| G2087 | Office-based treatment for opioid use disorder, including care coordination, individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | 11% | 1,350 | 1,001 | $150K |
| H2010 | Comprehensive medication services, per 15 minutes | 8.4% | 1,478 | 563 | $113K |
| H0033 | Oral medication administration, direct observation | 2.8% | 356 | 211 | $38K |
| H0049 | Alcohol and/or drug screening | <1% | 579 | 356 | $12K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 846 | 475 | $8K |
| 80305 | <1% | 3,187 | 1,956 | $8K | |
| 99205 | Prolong outpt/office vis | <1% | 60 | 42 | $4K |
| G0481 | Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 8-14 drug class(es), including metabolite(s) if performed | <1% | 195 | 109 | $3K |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 48 | 39 | $1K |
9 more codes
| 90838 | <1% | 20 | $807.15 | |
| 90632 | <1% | 26 | $704.40 | |
| 96127 | <1% | 130 | $690.49 | |
| 81025 | <1% | 142 | $405.17 | |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 34 | $318.43 |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 26 | $176.67 |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 37 | $61.56 |
| 81002 | <1% | 42 | $19.32 | |
| 91301 | <1% | 26 | $0.04 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSHERMAN, ROGER (OWNER/PHYSICIAN)