EDWIN THEOSMY, D.O.
Adult Reconstructive Orthopaedic Surgery Physician · EDISON, NJ
Individual Active NPI 1720435605
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 264 | 2,895 | $570,723 | $182,111 | $140,024 |
| 2023 | 208 | 1,323 | $384,819 | $116,968 | $92,902 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J7318 | Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg | 1,560 | $5 | $4 |
| J0702 | Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg | 368 | $7 | $6 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 215 | $100 | $75 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 176 | $123 | $89 |
| 73502 | X-ray of hip, 2-3 views | 99 | $54 | $42 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 97 | $140 | $104 |
| 73564 | X-ray of knee, 4 or more views | 86 | $54 | $41 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 59 | $182 | $138 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 34 | $122 | $85 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 32 | $138 | $104 |
| 72100 | X-ray of lower and sacral spine, 2-3 views | 19 | $45 | $36 |
| 27130 | Replacement of thigh bone and hip joint with prosthesis | 16 | $1,394 | $1,110 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | ✓ | 25MB11413200 | NJ |
| Orthopaedic Surgery Physician | 207X00000X | 25MB11413200 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
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See all Adult Reconstructive Orthopaedic Surgery Physician providers in New Jersey →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.