Medicare Enrolled

Dr. Jay Herman, MD

Urology Physician · Pittsburgh, PA
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
532 S AIKEN AVE, Pittsburgh, PA 15232
4126815433
In practice since 2006 (19 years)
NPI: 1477574234 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Herman from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Herman? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Herman

Dr. Jay Herman is an urology physician in Pittsburgh, PA, with 19 years of NPI registration. Based on federal Medicare data, Dr. Herman performed 2,724 Medicare services across 1,207 unique beneficiaries.

Between the years covered by Open Payments, Dr. Herman received a total of $13,667 from 49 pharmaceutical and/or device companies across 474 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in urology physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Herman is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 25% volume in PA $13,667 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,724
Medicare services
Top 25% in PA for urology physician
1,207
Unique beneficiaries
$44
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~143 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
630 $56 $120
Urinalysis, manual
A manual laboratory examination of a urine sample to check for various substances and cells.
602 $3 $7
Bladder ultrasound after voiding
An ultrasound scan performed after urination to measure the amount of urine remaining in the bladder.
586 $7 $45
Leuprolide acetate (for depot suspension), 7.5 mg 213 $135 $400
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
160 $82 $140
Hospital follow-up visit, low complexity
Follow-up hospital visit for an established patient with straightforward or low-level medical decision making. The visit requires at least 25 minutes of time spent on the day of service.
120 $38 $95
PSA test (prostate cancer screening) 76 $18 $90
Subcutaneous or intramuscular chemotherapy injection
This procedure involves administering anti-cancer hormonal medication through an injection into the tissue under the skin or into a muscle.
54 $21 $70
Initial hospital admission, moderate complexity
Initial hospital inpatient or observation care for a new patient involving moderate-level medical decision making, with at least 55 minutes total time on the date of the encounter.
52 $96 $160
Ureteral stent insertion via endoscope
A flexible tube is inserted into the ureter using an endoscope to keep the passage open and allow urine to flow from the kidney to the bladder.
44 $155 $871
New patient office visit (45-59 min)
An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter.
40 $107 $195
Blood draw (venipuncture)
Insertion of a needle into a vein to collect a blood sample.
38 $8 $12
Venipuncture for blood draw
Insertion of a needle into a vein to collect blood samples. This procedure is performed on patients aged 3 years or older.
37 $9 $25
Cystourethroscopy
A diagnostic exam of the bladder and urethra using an endoscope to visually inspect the urinary tract.
33 $177 $395
Initial hospital admission, high complexity
Initial hospital inpatient or observation care for a new patient involving high-level medical decision making, with at least 75 minutes total time on the date of the encounter.
16 $127 $225
Hospital follow-up visit, moderate complexity
Follow-up hospital visit for an existing patient involving moderate medical decision making. The visit requires at least 35 minutes of time spent on the date of service.
12 $61 $135
Ureteral stone crushing with stent insertion
An endoscope is used to break up a stone in the ureter, followed by the placement of a stent to keep the ureter open.
11 $314 $1,200
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
2.0% high complexity
23.5% medium
74.5% routine

Industry Payment Transparency

Open Payments through 2024 ↗
$13,667
Total received (2018-2024)
Avg $1,952/year across 7 years
Top 10% in PA for urology physician
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
49
Companies
474
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$11,604 (84.9%)
Consulting
Expert advisory fees, typically reflecting recognized clinical expertise
$1,703 (12.5%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$360 (2.6%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$1,294
2023
$3,304
2022
$1,664
2021
$1,991
2020
$1,483
2019
$2,034
2018
$1,897

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Janssen Biotech, Inc.
$225
PFIZER INC.
$164
Bayer Healthcare Pharmaceuticals Inc.
$149
PROGENICS PHARMACEUTICALS, INC.
$149
Astellas Pharma US Inc
$142
Boston Scientific Corporation
$129
Tolmar, Inc.
$128
Sumitomo Pharma America, Inc.
$101
UROGEN PHARMA, INC.
$45
Merck Sharp & Dohme LLC
$26
Innovation Technologies Inc
$20
IMMUNITYBIO, INC.
$17
Top 3 companies account for 41.6% of 2024 payments
All-time payments by company (2018-2024) ›
Astellas Pharma US Inc
$2,536
Boston Scientific Corporation
$1,854
PFIZER INC.
$1,844
Janssen Biotech, Inc.
$1,512
TOLMAR Pharmaceuticals, Inc.
$627
Bayer HealthCare Pharmaceuticals Inc.
$421
Bayer Healthcare Pharmaceuticals Inc.
$390
Sumitomo Pharma America, Inc.
$323
BioFire Diagnostics, LLC
$300
Avadel Specialty Pharmaceuticals, LLC
$271
Janssen Scientific Affairs, LLC
$268
Astellas Pharma Global Development
$258
Tolmar, Inc.
$258
Davol Inc.
$235
DAVOL INC.
$195
AstraZeneca Pharmaceuticals LP
$186
PROGENICS PHARMACEUTICALS, INC.
$149
Dendreon Pharmaceuticals LLC
$146
AbbVie, Inc.
$140
UROGEN PHARMA, INC.
$130
Aytu BioScience, Inc
$125
MEDIVATION SERVICES LLC
$124
E.R. Squibb & Sons, L.L.C.
$121
Myovant Sciences Inc.
$114
Merck Sharp & Dohme Corporation
$112
Merck Sharp & Dohme LLC
$102
UROVANT SCIENCES INC
$93
Medtronic, Inc.
$80
NeoTract Inc.
$79
Ferring Pharmaceuticals Inc.
$71
DENTSPLY IH Inc.
$65
Progenics Pharmaceuticals, Inc.
$62
Blue Earth Diagnostics Limited
$60
Janssen Products, LP
$60
Verity Pharmaceuticals Inc.
$53
UroGen Pharma, Inc.
$41
Myriad Genetic Laboratories, Inc.
$36
Telix Pharmaceuticals
$29
BOSTON SCIENTIFIC CORPORATION
$25
C. R. Bard, Inc. & Subsidiaries
$25
Innovation Technologies Inc
$20
GlaxoSmithKline, LLC.
$19
Alexion Pharmaceuticals, Inc.
$17
Accord Healthcare, Inc.
$17
IMMUNITYBIO, INC.
$17
Olympus America Inc.
$16
Metuchen Pharmaceuticals
$16
Axonics, Inc.
$14
AKRIMAX PHARMACEUTICALS, LLC
$11
Top 3 companies account for 45.6% of all-time payments
Associated products mentioned in payments ›
ALLOMAX · AMS 700 · ANKTIVA · Androgel · Axonics r-SNM System · Axumin · Bard InLay Optima Ureteral Stent with HydroGlide Guidewire · BioFire FilmArray · CAMCEVI · ELIGARD · ELIQUIS · ERLEADA · Erleada · FIRMAGON · GEMTESA · GENERAL THERAPIES · ILLUCCIX · IRRISEPT · JATENZO · JELMYTO · KEYTRUDA · LITHOVUE · LYNPARZA · LoFric · MYRBETRIQ · Myrbetriq · NOCDURNA · Natesto · Noctiva · Nubeqa · ORGOVYX · PHASIX · PROVENGE · PYLARIFY · Phasix · Phasix Mesh · Prolaris · SPACEOAR · SURGIPRO LL · ShockPulse - SE · Stendra · TOVIAZ · Trelstar · UroLift · VENTRALIGHT · XTANDI · Xtandi · ZYTIGA · rezum Generator
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (85%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 10% for urology physician in PA.

Looking for an urology physician in Pittsburgh?
Compare urology physicians in the Pittsburgh area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Urology physicians within 10 mi
85
Per 100K population
6.9
County median income
$76,393
Nearest hospital
WEST PENN HOSPITAL
1.3 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Herman is a clinical cardiology specialist, with above-average Medicare volume (top 25% in PA), with low-engagement industry engagement in the top 10% of PA peers, with 19 years of NPI registration.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Herman experienced with office visit, established patient (20-29 min)?
Based on Medicare claims data, Dr. Herman performed 630 office visit, established patient (20-29 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Herman receive payments from pharmaceutical companies?
Yes. Dr. Herman received a total of $13,667 from 49 companies across 474 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Herman's costs compare to other urology physicians in Pittsburgh?
Dr. Herman's average Medicare payment per service is $44. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Herman) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →