ROY EDWARDS, D.O.
Surgical Critical Care Physician · MCALLEN, TX
Individual Active NPI 1255530309
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 144 | 298 | $138,330 | $39,630 | $31,266 |
| 2023 | 189 | 499 | $297,468 | $71,472 | $57,256 |
| 2022 | 187 | 521 | $315,399 | $70,970 | $56,465 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 67 | $201 | $158 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 58 | $74 | $59 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 32 | $160 | $127 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 30 | $110 | $87 |
| 99239 | Hospital discharge day management, more than 30 minutes | 18 | $108 | $86 |
| 99285 | Emergency department visit with high level of medical decision making | 18 | $166 | $124 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 15 | $123 | $98 |
| 99284 | Emergency department visit with moderate level of medical decision making | 15 | $115 | $91 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | ✓ | Q5178 | TX |
| Surgery Physician | 208600000X | Q5178 | TX | |
| Military Health Care Provider | 171000000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.