Physician

Earl Wilbert Edwards, MD

According to 2025 Medicare claims, Earl Edwards, MD (NPI: 1134176142) practices general practice in the Lancaster, PA market, with the plurality of this provider's patient population coming from Lancaster, PA. This provider's primary affiliated billing organization is SUBURBAN GERIATRICS II PC (NPI: 1073273363; TIN: 874132001) and primary practice location at 17602-3272. Edwards is affiliated with the PCMA Cooperative LLC (ACO ID: D0290), participating under the REACH model.

Edwards' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 16 traditional Medicare patients, billed 254 HCPCS/CPT codes, and received $6,662 in Medicare payments. The top billing code was 99213 (Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more). Part D data shows 2,409 prescription claims across 178 beneficiaries totaling $120,143 in drug costs, led by Eliquis (Apixaban). DME data shows 113 claims. No Open Payments records. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has fallen sharply in recent years, from $55,683 to $6,662. Concurrently, Part D prescription costs did not follow a clear longitudinal pattern. For DME billing, reported payments did not follow a clear longitudinal pattern.

Part B Carrier Billing Trend

Medicare payment trend, with N of patients and claim lines in the table.

Year	Patients	Clm Lines	Payment
2015	64	1,768	$55,683
2016	62	1,583	$46,217
2017	331	2,286	$101,529
2018	341	2,806	$193,287
2019	307	2,554	$201,332
2020	228	2,337	$204,861
2021	191	2,409	$163,120
2022	166	1,440	$100,676
2023	109	318	$20,854
2024	16	254	$6,662

Part D Events Trend

Drug cost trend, with N of patients and prescription claims in the table.

Year	Patients	Claims	Drug Cost
2015	80	774	$30,476
2016	63	845	$42,612
2017	258	1,726	$76,863
2018	433	10,959	$656,685
2019	376	11,806	$985,113
2020	312	11,930	$890,791
2021	272	10,114	$915,419
2022	258	9,771	$842,555
2023	249	9,360	$818,118
2024	178	2,409	$120,143

DME Billing Trend

Medicare payment trend, with N of patients and DME claim records in the table.

Year	Patients	Claims	Payment
2015	N/R	N/R	N/R
2016	N/R	N/R	N/R
2017	N/R	32	$267
2018	35	399	$16,244
2019	29	673	$51,336
2020	18	612	$57,117
2021	15	689	$77,155
2022	14	617	$75,276
2023	N/R	239	$44,780
2024	N/R	113	$35,130

* / # = suppressed by CMS; 0 = reported zero; N/R = not reported or blank.

Top 5 Part B carrier billing codes in 2024

By total payments.

Code	Description	Patients	Clm Lines	Total Payment
99213	Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more	13	22	$61

Top 5 Part D drugs in 2024

By total drug costs.

Drug	Generic	Claims	Total Day Supply	Total Drug Cost
Eliquis	Apixaban	33	1,092	$21,251
Linzess	Linaclotide	11	330	$6,168
Atorvastatin Calcium	Atorvastatin Calcium	101	3,762	$1,311
Sucralfate	Sucralfate	44	1,297	$1,158
Potassium Chloride	Potassium Chloride	29	919	$1,031

Top 5 DME services in 2024

By Total Medicare Payment Amount.

HCPCS Code	HCPCS Description	Supplier Rental Indicator	Total Supplier Beneficiaries	Total Supplier Claims	Total Medicare Payment Amount
E0465	Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)	Y	N/R	12	$24,506
B4035	Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape	N	N/R	41	$5,155
B4150	Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit	N	N/R	35	$4,644
B9002	Enteral nutrition infusion pump, any type	Y	N/R	14	$784
E0181	Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty	Y	N/R	11	$40

Open Payments Summary

No connected Open Payments records were found for this physician in General Payments, Research Payments, or Ownership / Investment Interests.

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FAQ

What Medicare data is available for Earl Wilbert Edwards, MD?

Tedicare shows public-source Medicare data for Earl Wilbert Edwards, MD (NPI 1134176142), including provider identity, specialty, market context, Medicare Part B activity, Part D prescribing, DME records, Open Payments where available, billing organization details, and ACO affiliation signals where available. Profile data covers 2015-2024, with current attribution based on 2025 claims where available.

Does Earl Wilbert Edwards, MD have ACO affiliation data?

Earl Wilbert Edwards, MD is shown with ACO affiliation data for PCMA Cooperative LLC (REACH, ACO ID D0290).

What billing organization is linked to Earl Wilbert Edwards, MD?

Earl Wilbert Edwards, MD is linked to SUBURBAN GERIATRICS II PC (billing NPI 1073273363) in the available physician profile data.

Does Earl Wilbert Edwards, MD have Open Payments data?

No connected Open Payments records are shown for this physician in the available General Payments, Research Payments, or Ownership / Investment Interests data.

Can I download physician-level Medicare data from Tedicare?

Yes. Tedicare provides sample physician export data and paid custom physician data exports for research, planning, outreach, and market analysis. Exports can include physician profile fields, market and specialty context, billing organization details, ACO affiliation signals where available, and Medicare utilization data.