Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ROGER P. SHERMAN, M.D., P.L.L.C.

NPI: 1861949547 · HERMITAGE, TN 37076 · Addiction Medicine (Family Medicine) Physician · NPI assigned 09/09/2016

$1.34M
Total Medicaid Paid
19,339
Total Claims
9,001
Beneficiaries
21
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSHERMAN, ROGER (OWNER/PHYSICIAN)
NPI Enumeration Date09/09/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal 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
2024 542 $82K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
H0016 Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) 4,243 1,792 $565K
H0014 Alcohol and/or drug services; ambulatory detoxification 1,111 416 $264K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 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 1,350 1,001 $150K
H2010 Comprehensive medication services, per 15 minutes 1,478 563 $113K
H0033 Oral medication administration, direct observation 356 211 $38K
H0049 Alcohol and/or drug screening 579 356 $12K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 846 475 $8K
80305 3,187 1,956 $8K
99205 Prolong outpt/office vis 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 195 109 $3K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 48 39 $1K
90838 20 13 $807.15
90632 26 12 $704.40
96127 130 60 $690.49
81025 142 101 $405.17
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 34 19 $318.43
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 26 12 $176.67
90833 Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) 37 24 $61.56
81002 42 12 $19.32
91301 26 15 $0.04