Physician

Edgar S. Macias, M.D.

According to 2025 Medicare claims, Edgar Macias, M.D. (NPI: 1144482373) practices dermatology in the Fresno, CA market, with the plurality of this provider's patient population coming from Fresno, CA. This provider's primary affiliated billing organization is EDGAR S. MACIAS, M.D., INC (NPI: 1871882712; TIN: 274988308) and primary practice location at 93720-0361.

Macias' data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 2,500 traditional Medicare patients, billed 21,204 HCPCS/CPT codes, and received $2,634,063 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 2,071 prescription claims across 844 beneficiaries totaling $381,864 in drug costs, led by Taltz Autoinjector (Ixekizumab). Open Payments data shows 43 records totaling $981. 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 moved from a lower plateau to a higher plateau, from $704,195 to $2,634,063. Similarly, Part D prescription costs have moved from a lower plateau to a higher plateau, from $201,157 to $381,864. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.

Part B Carrier Billing Trend

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

Part B Carrier Billing Trend. X-axis: year 2015-2024. Y-axis: Medicare payment, unit: USD. Field: Tot_Mdcr_Pymt_Amt. Source: Medicare Physician & Other Practitioners by Provider.0$1.6M$3.3M2015 Medicare payment: $704,195 (USD; Tot_Mdcr_Pymt_Amt)2016 Medicare payment: $686,798 (USD; Tot_Mdcr_Pymt_Amt)2017 Medicare payment: $1,378,699 (USD; Tot_Mdcr_Pymt_Amt)2018 Medicare payment: $1,982,265 (USD; Tot_Mdcr_Pymt_Amt)2019 Medicare payment: $2,474,477 (USD; Tot_Mdcr_Pymt_Amt)2020 Medicare payment: $2,627,983 (USD; Tot_Mdcr_Pymt_Amt)2021 Medicare payment: $3,299,416 (USD; Tot_Mdcr_Pymt_Amt)2022 Medicare payment: $2,153,633 (USD; Tot_Mdcr_Pymt_Amt)2023 Medicare payment: $2,035,455 (USD; Tot_Mdcr_Pymt_Amt)2024 Medicare payment: $2,634,063 (USD; Tot_Mdcr_Pymt_Amt)2015201620172018201920202021202220232024
YearPatientsClm LinesPayment
20151,79811,815$704,195
20161,54310,747$686,798
20172,26217,295$1,378,699
20181,83318,436$1,982,265
20192,31727,442$2,474,477
20202,58031,044$2,627,983
20213,02335,845$3,299,416
20222,31420,905$2,153,633
20232,33118,294$2,035,455
20242,50021,204$2,634,063

Part D Events Trend

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

Part D Events Trend. X-axis: year 2015-2024. Y-axis: Drug cost, unit: USD. Field: Tot_Drug_Cst. Source: Medicare Part D Prescribers by Provider.0$242K$485K2015 Drug cost: $201,157 (USD; Tot_Drug_Cst)2016 Drug cost: $166,489 (USD; Tot_Drug_Cst)2017 Drug cost: $227,959 (USD; Tot_Drug_Cst)2018 Drug cost: $326,088 (USD; Tot_Drug_Cst)2019 Drug cost: $310,111 (USD; Tot_Drug_Cst)2020 Drug cost: $311,520 (USD; Tot_Drug_Cst)2021 Drug cost: $390,671 (USD; Tot_Drug_Cst)2022 Drug cost: $484,798 (USD; Tot_Drug_Cst)2023 Drug cost: $443,777 (USD; Tot_Drug_Cst)2024 Drug cost: $381,864 (USD; Tot_Drug_Cst)2015201620172018201920202021202220232024
YearPatientsClaimsDrug Cost
20154301,175$201,157
20164631,189$166,489
20176781,667$227,959
20187912,174$326,088
20196581,795$310,111
20205081,342$311,520
20217922,003$390,671
20227261,822$484,798
20237471,857$443,777
20248442,071$381,864

DME Billing Trend

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

No connected DME records

No connected DME records

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

Top 5 Part B carrier billing codes in 2024

By total payments.

CodeDescriptionPatientsClm LinesTotal Payment
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more1,3712,346$91
17110Destruction of skin growth, 1-14 growths8801,212$86
88305Pathology examination of tissue using a microscope, intermediate complexity1,3843,060$59
11102Biopsy of related skin growth, first growth647841$57
17000Destruction of precancer skin growth, 1 growth669810$36

Top 5 Part D drugs in 2024

By total drug costs.

DrugGenericClaimsTotal Day SupplyTotal Drug Cost
Taltz AutoinjectorIxekizumab24672$161,697
OpzeluraRuxolitinib Phosphate11330$44,004
Doxycycline HyclateDoxycycline Hyclate2904,030$12,153
Gentamicin SulfateGentamicin Sulfate2968,594$11,023
Hydrocortisone ButyrateHydrocortisone Butyrate12360$7,582

Top 5 DME services in 2024

No connected or detailed DME service-level records for 2024.

Open Payments Summary in 2024

CategoryDefinitionRecordsTotal Reported AmountTop Related Entity
General PaymentsReported payment or transfer-of-value amount.43$981ABBVIE INC.
Research PaymentsReported research-related payment or transfer-of-value amount.0$0N/R
Ownership / Investment InterestsReported value of ownership or investment interests.0$0N/R

FAQ

What Medicare data is available for Edgar S. Macias, M.D.?

Tedicare shows public-source Medicare data for Edgar S. Macias, M.D. (NPI 1144482373), 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 Edgar S. Macias, M.D. have ACO affiliation data?

No ACO affiliation record is shown in the available Tedicare data for this profile.

What billing organization is linked to Edgar S. Macias, M.D.?

Edgar S. Macias, M.D. is linked to EDGAR S. MACIAS, M.D., INC (billing NPI 1871882712) in the available physician profile data.

Does Edgar S. Macias, M.D. have Open Payments data?

Edgar S. Macias, M.D. has 43 connected Open Payments records in the available 2024 summary 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.