MICHAEL EDWARDS, MD
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · MOUNT PLEASANT, SC
Individual Active NPI 1649331729
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 259 | 1,348 | $305,028 | $109,057 | $83,306 |
| 2023 | 308 | 1,556 | $367,918 | $135,671 | $104,659 |
| 2022 | 337 | 1,909 | $446,491 | $178,577 | $135,957 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 495 | $62 | $48 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 256 | $75 | $53 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 95 | $91 | $71 |
| 11042 | Removal of skin and tissue, 20.0 sq cm or less | 54 | $55 | $43 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 39 | $125 | $90 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 32 | $112 | $80 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 25 | $77 | $54 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 11 | $82 | $65 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ✓ | 12973 | SC |
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.