EDWARD LILLY, M.D.
Orthopaedic Surgery Physician · HENDERSONVILLE, NC
Individual Active NPI 1689614570
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 789 | 4,477 | $1,260,415 | $356,390 | $266,887 |
| 2023 | 800 | 4,171 | $1,423,813 | $413,331 | $311,599 |
| 2022 | 793 | 4,042 | $1,476,189 | $388,107 | $291,198 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 853 | $1 | $1 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 599 | $85 | $59 |
| 73564 | X-ray of knee, 4 or more views | 492 | $43 | $32 |
| 99458 | Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 324 | $37 | $29 |
| 73502 | X-ray of hip, 2-3 views | 244 | $43 | $31 |
| 20610 | Aspiration and/or injection of fluid from large joint | 219 | $63 | $46 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 175 | $104 | $68 |
| 99457 | Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 115 | $46 | $35 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 114 | $120 | $87 |
| 27447 | Replacement of knee joint, both sides of knee | 91 | $1,185 | $931 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 89 | $53 | $38 |
| 99454 | Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 78 | $43 | $33 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ✓ | 20000523 | NC |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | 200000523 | NC |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Orthopaedic Surgery Physician providers in North Carolina
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See all Orthopaedic Surgery Physician providers in North Carolina →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.